Munster Med-Inn: Wound Care Performed by Unqualified Staff - IN
The October 28 inspection at Munster Med-Inn, a nursing facility at 7935 Calumet Ave, centered on a single but telling discrepancy: treatment administration records showed a Qualified Medication Aide, known as a QMA, repeatedly signing out completed pressure ulcer treatments on a resident's left hip and left heel across September and October. The Director of Nursing told inspectors that QMAs were not permitted to perform any pressure ulcer treatments. That was her position at 11 in the morning.
By 2:50 that same afternoon, she handed inspectors the facility's own QMA job description policy, dated September 1, 2020. It said QMAs could perform minor skin treatments, including Stage 1 pressure ulcers.
The physician's order for the resident in question was written September 26. It called for cleaning the left heel with normal saline or wound cleanser, patting it dry, applying skin prep to the surrounding skin, and applying Dakin's solution moistened gauze to the wound bed, wrapped with kerlix. The same order applied to the left hip, with moistened gauze and a dry dressing cover. Both wounds required treatment every day shift and every evening shift.
The treatment administration records from September showed a QMA had signed off on completing both the hip and heel treatments on the day shift September 26 and September 28, and on the evening shift September 26. In October, the same pattern continued. A QMA's signature appeared on the hip and heel treatments for day shifts on October 1, October 7, and October 25, and on evening shifts October 3, October 8, October 17, and October 25.
That is thirteen documented instances across two months of a staff member signing out wound treatments that the facility's own nursing director said they had no authority to perform.
A family member, interviewed confidentially the day before the inspection concluded, told investigators they had personally witnessed QMAs performing the pressure ulcer treatments during visits. The family member wasn't describing a rumor or a concern. They had been there.
The deficiency was cited at a level of minimal harm or potential for actual harm, affecting a small number of residents. That classification reflects the regulatory finding, not necessarily the family's experience of watching someone treat their loved one's open wounds without, according to the DON's initial account, the authorization to do so.
What the inspection surfaces is a specific institutional failure: the person responsible for nursing oversight at the facility either did not know what her own QMA policy permitted, or did not know what her staff had been doing, or both. The treatment records were not hidden. They were the facility's own documentation, signed and dated across two calendar months.
Dakin's solution, used in wound care to reduce bacterial contamination, requires careful application. Pressure ulcers on the heel and hip carry real risk of deterioration if not managed correctly and consistently by appropriately trained staff. The inspection report does not describe what happened to the resident's wounds over those weeks. It records only that the treatments were signed as completed, by someone the DON said shouldn't have been doing them, under a policy that said they could.
The facility has been directed to contact the nursing home or the state survey agency for information on its plan to correct the deficiency.
The family member who watched the treatments happen has not been named. Their loved one's wounds were real.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Munster Med-inn from 2025-10-28 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: July 6, 2026 · Our methodology
MUNSTER MED-INN in MUNSTER, IN was cited for violations during a health inspection on October 28, 2025.
The Director of Nursing told inspectors that QMAs were not permitted to perform any pressure ulcer treatments.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.