Signature Healthcare of Muncie: Wound Care Gaps - IN
The heel injuries were being managed with heel protectors. The elbow wound, a stage 2 pressure injury, was left open to air. For the coccyx, nursing aides applied moisture barrier cream during incontinence care, which the director of nursing described as a routine nursing measure rather than a physician-ordered treatment. The resident did have a private caregiver who helped with repositioning and a pressure-redistributing mattress, but formal treatment orders for two of the four wounds were simply absent from the record.
A care plan for the pressure injuries was not put in place until September 25, 2025, more than two weeks after the resident's weekly skin assessments began. Those assessments, conducted on September 9, 16, and 23, were each signed off with a note indicating existing skin impairment. The only additional instruction in the record told staff to open an event in the electronic system for newly identified skin issues. No further documentation followed.
The facility's own skin integrity policy, revised as recently as January 2025, required licensed nurses to obtain physician orders upon admission for any area of impaired skin and directed wound nurses to document all impaired skin areas in the electronic medical record on an ongoing basis until healed or discharge.
The director of nursing provided the treatment records and the policy to inspectors at 2:51 p.m. on the day of the inspection. The inspection was filed as a complaint.
The resident's private caregiver had been keeping them repositioned throughout. The facility's documentation had not caught up.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Signature Healthcare of Muncie from 2025-10-01 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
SIGNATURE HEALTHCARE OF MUNCIE in MUNCIE, IN was cited for violations during a health inspection on October 1, 2025.
The heel injuries were being managed with heel protectors.
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.