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Harrison Springs Health Campus: Elopement Failure - IN
The care plan had been in place for three weeks before any of that happened....
Latest reports, citations, and penalties from CMS data
The care plan had been in place for three weeks before any of that happened....
Anticoagulants, the class of medication at issue, require careful management around falls....
Inspectors visited the 70-bed facility on ten separate days between October 24 and November 6, 2025....
The deficiency affected a small number of residents, according to the inspection record, but the implications reach further than the count suggests....
The MDS, as it's known, is a standardized federal assessment that nursing homes complete for every resident....
The November 20 complaint investigation found that Stone Oak Care Center had failed to provide and implement an infection prevention and control program....
The deficiency, cited under F0684, is one of the more concrete failures a nursing home can produce....
The administrator, identified in the inspection report as V1, acknowledged the problem directly....
The resident, identified in inspection records as Resident 4, did not speak English....
The deficiency was classified as isolated, meaning inspectors identified the problem in a limited number of cases rather than as a widespread practice....
At Stone Oak Care Center, federal inspectors found that process had broken down....
The citation, issued November 13, 2025, was one of 19 deficiencies inspectors documented during the visit....
The citation, issued November 6, 2025, came out of a complaint investigation....
That is what inspectors documented at La Bella of Edwardsville, a nursing home on Center Grove Road, during a complaint inspection completed November 6, 2025....
The level of harm was recorded as actual harm, not potential, not possible....
It was a complaint inspection, meaning someone had already raised a concern before investigators arrived....
No documented notification of any kind....
The policy was called the 2025-2026 Health Officer Order Masking and Vaccination....
That distinction matters less to a resident lying in bed waiting for someone to respond than it might look on paper....
That is what a complaint inspection at Edenbrook North found on November 8, 2025....