Clark Rehab: CNA Gave Resident Pain Medication - IN
The incident happened on October 8, 2025, shortly before 11 p.m. Resident B, whose diagnoses included fibromyalgia, depression, and chronic pain syndrome, had turned on her call light after Licensed Practical Nurse 10 came in with a medication cup and left the room before Resident B could ask for a pain pill.
Certified Nursing Assistant 11 answered the call light. Resident B told her what had happened and asked her to request the pain medication from the nurse. CNA 11 found LPN 10 at the medication cart and passed along the message.
LPN 10's response, according to CNA 11's written statement: she had a feeling Resident B was going to ask for that. She said she had the pain medication right there. Would CNA 11 mind walking it to her?
CNA 11 said she didn't mind.
Video footage reviewed by the facility's executive director captured the sequence. LPN 10 pulled open a drawer on the medication cart, withdrew a medication cup, and handed it to CNA 11 along with a cup of water. CNA 11 carried both into Resident B's room and came out empty-handed.
Administering medication is not within a nursing assistant's scope of practice. Two other staff members interviewed by inspectors on October 29 said so without hesitation. CNA 7 said CNAs could not administer medication to residents. LPN 5 said nurses could not give medications to CNAs to administer to residents. The facility's own written job description for CNAs, dated October 14, 2025, lists the position's essential functions as bathing, dressing, toileting, mobility, transfers, eating, and grooming. Medication is not on the list.
The facility said it identified the problem the following day, October 9. All nursing staff were educated on medication administration and scope of practice that same day. CNA 11 received one-on-one education about the scope of practice violation on October 14. The facility provided inspectors with documentation of both steps.
Federal inspectors, conducting a complaint inspection on October 29, 2025, cited the violation as past noncompliance, with a deficiency beginning October 9 and corrected by October 14. The level of harm was assessed as minimal harm or potential for actual harm. One of three residents reviewed was affected.
The clinical record reviewed by inspectors belonged to a single resident. The inspection did not identify other instances of CNAs delivering medication.
What the records don't show is what Resident B understood about who was handing her the medication, or whether she knew the person delivering it was not the nurse responsible for her care. She was a resident living with chronic pain, who had already waited once that night after a nurse left her room before she could ask for what she needed. When she finally got her pain pill, it came through a chain of delegation that no one at the medication cart stopped to question.
LPN 10's comment, as CNA 11 recorded it, was that she had a feeling the resident was going to ask for that. She had the medication ready. She just needed someone to carry it.
CNA 11 said she didn't mind.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Clark Rehabilitation and Skilled Nursing Center from 2025-10-29 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 19, 2026 · Our methodology
CLARK REHABILITATION AND SKILLED NURSING CENTER in CLARKSVILLE, IN was cited for violations during a health inspection on October 29, 2025.
The incident happened on October 8, 2025, shortly before 11 p.m.
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.