Castleton Health Care Center: Medication Failures - IN
Inspectors reviewing medication records at Castleton Health Care Center found that a sliding-scale insulin regimen, meaning the dose was supposed to match whatever the blood glucose reading showed, went undocumented on April 16, April 18, and April 19. The record was simply blank. There was no way to confirm the checks happened, no way to confirm the right dose was given, no way to confirm anything at all.
A second resident, a woman living with type 2 diabetes, unspecified psychoses, anxiety, depression, degenerative joint disease across five or more joints, and nerve damage throughout her body, missed six separate medications during the evening of April 1. Her Eliquis, a blood thinner, was not administered. Neither was her Lyrica for pain, her ropinirole for restless leg syndrome, her BuSpar for anxiety, her quetiapine for depression, or her famotidine for stomach discomfort. The administration blocks on her medication record were blank. No progress note, no explanation, no record of anyone noticing.
The Director of Nursing, when inspectors pressed the issue on April 27, handed over two documents: an undated medication error policy and an undated training on what to do when a medication isn't in the cart. The training spelled out that staff should contact the pharmacy, notify the physician, notify the family, and document every step taken. None of that appeared to have happened on April 1.
Inspectors had asked the Executive Director and the Director of Nursing on April 26 to provide the facility's policies on medication administration documentation. They left the building the following day without receiving them.
For the woman who missed her blood thinner that evening, Eliquis is prescribed to reduce the risk of clotting. The inspection report does not say whether anyone checked on her afterward.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Castleton Health Care Center from 2026-04-27 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 17, 2026 · Our methodology
CASTLETON HEALTH CARE CENTER in INDIANAPOLIS, IN was cited for violations during a health inspection on April 27, 2026.
There was no way to confirm the checks happened, no way to confirm the right dose was given, no way to confirm anything at all.
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.