South Shore Health & Rehab: Medication Failures - IN
Three weeks later, on August 20, the same resident's blood pressure was 83/60. Again, no Midodrine.
The order for the drug had been in place since August 2024. The medication administration records for July, August, and September 2025 showed staff were checking the resident's blood pressure once a day instead of every eight hours as the order required. When the readings fell into dangerous territory, the medication sat unused.
When inspectors interviewed the Director of Nursing on September 19, she confirmed the resident should have received the Midodrine as ordered.
A second resident's records told a similar story of orders written and then forgotten. That resident, who had suffered a stroke and lived with diabetes and atrial fibrillation, was dependent on staff for toileting and transfers and had moderate cognitive impairment. A physician reviewed lab work on April 28, 2025, and handwrote two instructions at the bottom of the results: repeat the labs in one week, and give a dose of potassium.
Neither happened. The repeat labs were never run. The potassium was never given.
By the time inspectors reviewed the record on September 18, nearly five months had passed.
The Director of Nursing, interviewed on September 22, confirmed both the missed lab and the missed potassium dose.
CMS rated the harm level as minimal or potential for actual harm. The inspection, triggered by a complaint, was completed September 22, 2025.
For the first resident, two blood pressure readings low enough to trigger a medication order came and went without treatment. The order remained listed as current on the September 2025 medication sheet.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for South Shore Health & Rehabilitation Center from 2025-09-22 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
SOUTH SHORE HEALTH & REHABILITATION CENTER in GARY, IN was cited for violations during a health inspection on September 22, 2025.
Three weeks later, on August 20, the same resident's blood pressure was 83/60.
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.