Westridge Health Care Center: Wrong Medication Errors - IN
The resident, identified in inspection records as Resident D, lives at the facility with hemiplegia affecting his right side, chronic respiratory failure, major depressive disorder, and anxiety following a stroke. A federal assessment from August 2025 documented him as cognitively intact, with no delusions or hallucinations. He knew his medications.
On the first occasion, he caught the error himself, flagging LPN 4 when she returned to the dining room to deliver another resident's cup. She acknowledged the mistake and brought his correct medications. On the second, his sister was seated with him at dinner when LPN 4 set a small clear cup in front of him, said "here's your medications," and left. He looked at the cup and told his sister those weren't his pills. She took the cup, found LPN 4 in the hallway, and told her. The nurse confirmed she had given him the wrong medications, took the cup back, and later returned to watch him take the correct ones.
The sister reported the incident to the Director of Nursing the following day. The DON's response was that Resident D must be confused about what medications he takes. She never gave the sister a chance to explain that LPN 4 had already admitted the error.
When inspectors interviewed LPN 4 on September 18, her account was different. She said she had caught both errors herself, before the resident touched the cup. She said he had not said anything to her either time and had not even known they were the wrong pills.
The inspection also found that facility staff had been pre-pouring medications in advance, a practice the facility's own policy, unchanged since 2017, explicitly prohibits. The policy also requires staff to watch residents take their medications. On at least two occasions in the dining room, LPN 4 set the cup down and walked away.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Westridge Health Care Center from 2025-09-19 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 23, 2026 · Our methodology
WESTRIDGE HEALTH CARE CENTER in TERRE HAUTE, IN was cited for violations during a health inspection on September 19, 2025.
A federal assessment from August 2025 documented him as cognitively intact, with no delusions or hallucinations.
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.