Munster Med-Inn: Wound Treatment Orders Missed - IN
The resident, identified in inspection records only as Resident C, carried a diagnosis list that read like a catalog of compounding vulnerabilities: vascular dementia, major depressive disorder, dysphagia, high blood pressure, a cardiac pacemaker, atrial fibrillation, and acute kidney failure. The resident could not make daily decisions independently.
The pressure ulcers alone were serious. One was Stage 3, meaning the wound had eaten through the full thickness of skin and into the fatty tissue beneath. Two were Stage 4, the most severe classification, where tissue loss is so complete that muscle, tendon, or bone is exposed.
On top of those existing wounds, the resident developed new injuries. A physician wrote an order on October 17 to treat a wound on the left medial first finger: clean it with wound cleanser or normal saline, apply skin prep to the surrounding skin, apply oil emulsion to the wound bed, and cover it with a dry dressing. The schedule was every Monday, Wednesday, and Friday during the day shift. A week later, on October 24, the same physician wrote a nearly identical order for a wound on the left lateral knee, with the same three-day-a-week schedule. The following day, October 25, another order addressed the left palm.
Three wounds. Three separate physician orders. A documented schedule.
Inspectors pulled the Treatment Administration Record for October 2025 and found something that didn't match. The treatments for both the left lateral knee and the left medial first finger were signed out as completed on October 24 only. One day. Not the Monday-Wednesday-Friday pattern the physician had ordered.
The Director of Nursing, interviewed the morning of the inspection, said the wound and skin treatments should be done as ordered by the physician. That was the whole of it.
What the record showed was that they weren't.
The citation was tagged at a level of minimal harm or potential for actual harm, affecting few residents. That designation sits at the lower end of CMS's harm scale, but the context around it is worth holding in mind. This was a resident already managing wounds severe enough to expose underlying tissue, whose dementia meant she could not advocate for herself, and whose treatment record showed a gap between what a physician prescribed and what staff documented doing.
Wound care for pressure ulcers at this stage is not incidental. A Stage 4 wound that isn't cleaned and dressed on schedule is a wound at risk of infection, of deepening, of becoming something harder to reverse. The physician who wrote these orders set a specific cadence for a reason.
The inspection was conducted October 28, 2025, as a complaint investigation. The facility, located at 7935 Calumet Ave in Munster, had a CMS identification number of 155131. Whether Resident C's wounds worsened in the days when treatments weren't recorded as completed, the inspection report does not say.
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: June 23, 2026 · Our methodology
MUNSTER MED-INN in MUNSTER, IN was cited for violations during a health inspection on October 28, 2025.
The resident could not make daily decisions independently.
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.