Harrison Springs Health Campus: Elopement Failure - IN
The care plan had been in place for three weeks before any of that happened.
Dating to October 14, 2025, the plan identified the resident as someone who was actively trying to leave. The interventions were specific: one-on-one supervision until an alternate placement could be found, a wanderguard device on the right wrist, monitoring for wandering triggers, and encouraging regular family contact. The facility's own interdisciplinary team had signed off on all of it that same morning, at 9:17 a.m., in a meeting that included the Director of Nursing, the Assistant Director of Nursing, the Therapy Director, the Executive Director, the Social Services Director, and the Infection Preventionist.
Six people in a room. A written plan. A device on the resident's wrist.
The resident left anyway.
What happened next is documented in that same October 14 IDT note. The resident had left the facility building and fallen on the grounds outside. When staff responded, their solution was to call the resident's family and ask them to come to the facility to provide the one-on-one supervision that the care plan assigned to the facility's own staff.
The family was not employed there. The family was not listed as a care intervention. The family was called because someone needed to watch this resident, and at that moment, Harrison Springs did not have that covered.
By 9:33 the following morning, it was over. A nurse's note from October 15 recorded that the resident had been discharged to a higher level of care at a different facility. The Harrison Springs bus transported the resident. A family member packed the belongings and took them.
Federal inspectors cited the facility under F0741, which covers the standard requiring nursing homes to provide sufficient staff to maintain the highest practicable physical, mental, and psychosocial well-being of each resident. The citation was tied to a complaint investigation. CMS assessed the level of harm as minimal harm or potential for actual harm, and noted that some residents were affected.
The inspection report does not describe the nature or severity of the fall. It does not say whether the resident was injured. It does not explain how long the resident was outside before staff intervened, or how the elopement was discovered. What the record shows is that a resident who was supposed to be watched one-on-one, around the clock, was not watched — and fell.
The admission paperwork Harrison Springs gave this resident when they arrived, dated October 28, 2024, listed the wide range of providers involved in care at the campus: physicians, therapists, labs, hospice, pharmacies, psychologists. The document described an organized healthcare arrangement, a network of professionals coordinating around each resident's needs.
When this particular resident needed one person to stay with them, the facility called a family member.
The resident had been living at Harrison Springs for nearly a year by the time the care plan was written. The wanderguard, the supervision requirement, the monitoring protocols — none of it prevented what happened on October 14. The day after the fall, the resident left Harrison Springs for good, transported on the facility's own bus, belongings packed by family, heading somewhere else.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Harrison Springs Health Campus from 2025-11-06 including all violations, facility responses, and corrective action plans.
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 5, 2026 · Our methodology
HARRISON SPRINGS HEALTH CAMPUS in CORYDON, IN was cited for violations during a health inspection on November 6, 2025.
The care plan had been in place for three weeks before any of that happened.
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.