Munster Med-Inn: Wrong Wound Treatment Applied - IN
By October 23, 2025, a wound physician examining a resident at Munster Med-Inn documented that the right medial distal foot had a wound bed that was 60% adhered necrotic black tissue. Only 20% was granulation tissue — the pink, rebuilding kind. Another 20% was described as other viable tissue. The depth was unmeasurable.
Ten days earlier, on October 13, the same foot had measured 1.7 centimeters long, 1.0 centimeters wide, and 0.3 centimeters deep, with 80% granulation tissue. The wound had been moving in the wrong direction.
The physician changed the treatment that day. The new order called for Mupirocin 2% ointment, applied daily and as needed.
The wound nurse never got the message.
During an interview with inspectors on October 27, the wound nurse said she was unaware the treatment to the right medial distal foot had changed. She had applied the wrong treatment. She had not used the Mupirocin ointment. She also told inspectors that the bandages on the wound were old and outdated.
What made the admission more striking was what she said next: the wound physician had been in the facility on October 23, the same day he changed the order. She had done the treatments alongside him that day. Her initials were on the bandages from that visit.
She had been in the room. She had worked next to the physician. And she still did not know the order had changed.
The inspection report does not say how many days passed between October 23 and the October 27 interview, during which the wrong treatment was applied. It does not say whether anyone else reviewed the updated order during that window or flagged the discrepancy. It does not say what, if anything, happened to the wound in the days the Mupirocin was not applied.
A second wound on the same resident's right foot, the distal lateral foot, was also being tracked during this period. On October 13, that wound measured 1.5 centimeters long, 1.2 centimeters wide, and 0.3 centimeters deep, with 90% granulation tissue. On October 23, it remained at similar dimensions, still 90% granulation tissue. That wound appeared to be holding.
The medial wound was not.
On October 16, a physician's note described the right distal medial foot as 100% intact purple maroon color, measuring 2 centimeters by 1.5 centimeters, depth unmeasurable. The color and the inability to measure depth are both signs of tissue that has lost circulation or is dying from within.
The Director of Nursing, interviewed by inspectors on October 28, said wound and skin treatments should be done as ordered by the physician. That was the extent of what the inspection report captured from that conversation.
CMS rated the harm level as minimal harm or potential for actual harm, and noted that few residents were affected. The deficiency was cited under F0686, which covers the treatment of pressure injuries and wounds.
Munster Med-Inn is located at 7935 Calumet Ave in Munster, Indiana. The inspection was conducted on October 28, 2025, in response to a complaint.
The resident's foot, in the last clinical note captured in the inspection record, had a wound bed that was more than half dead tissue. The nurse who dressed it four days later did not know what she was supposed to put on it.
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.
Only 20% was granulation tissue — the pink, rebuilding kind.
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.