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Complaint Investigation

Brownsburg Health Care Center

Inspection Date: September 30, 2025
Total Violations 1
Facility ID 155206
Location BROWNSBURG, IN
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Inspection Findings

F-Tag F0880

Infection Control Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0880 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some

FORM CMS-2567 (02/99) Previous Versions Obsolete

Unit Manager 11 indicated staff should sanitize their hands between each resident during a medication pass, and medications should never be dispensed by being popped into a staff member's hand. On 9/30/25 at 11:02 a.m., Unit Manager 11 and a visitor observed QMA 9 as she left Resident W's room and approached the medication cart. QMA 9 was not observed to sanitize her hands. A sign posted on Resident W's door indicated, Stop, Enhanced Barrier Precautions Everyone Must: Clean their hands, including

before entering and when leaving the room.On 9/30/25 at 11:04 a.m., QMA 9 indicated she had cleaned her hands before preparing medications for Resident R, and therefore it was okay for her to pop pills into her hand, but she should have sanitized her hands after she had touched the resident's clothing. Enhanced Barrier Precautions (EBP) signs were taped to the doors of seven residents on the 100, 200, and 300 hallways. A Contact Precautions sign taped to one resident's door on the 200-hallway indicated, Stop Contact Precautions everyone must: Clean their hands, including before entering and when leaving the room. Providers and staff must also wear gloves and gown before room entry.The CDC Guidance, dated 2/27/24, Clinical Safety: Hand Hygiene for Healthcare Workers- Hand hygiene protects both healthcare personnel and patients. Hand hygiene means cleaning hands with: handwashing with water and soap [e.g., plain soap or with an antiseptic], antiseptic hand rub [alcohol-based foam or gel hand sanitizer].Some healthcare personnel may need to clean their hands as often as 100 times during a work shift to keep themselves, patients, and staff safe.Know when to clean your hands: Immediately before touching a patient .After touching a patient or patient's surroundings.On 9/30/25 at 12:27 p.m., the Administrator provided a Standard Precautions policy, Revised 6/2020, and indicated the policy was the one currently being used by

the facility. The policy indicated, Standard Precautions are used in the care of residents regardless of their diagnoses or suspected or confirmed infection status. Standard Precautions presume that blood, body fluids, secretions, and excretions [except sweat], non-intact skin and mucous membranes may contain transmissible infectious agents.A. Hand Hygiene i. Hand hygiene refers to hand washing with soap [anti-microbial or non-antimicrobial] OR using alcohol-based hand rubs [gels, foams, rinses] that do not require access to water.On 9/30/25 at 12:27 p.m., the Administrator provided a Medication Administration policy, undated, and indicated the policy was the one currently being used by the facility. The policy indicated, Purpose: To provide practice standards for safe administration of medications for residents in the facility .II. Wash hands before and after medication administration.This citation relates to Intake 2625844.3.1-18(a)3.1-18(l)

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📋 Inspection Summary

BROWNSBURG HEALTH CARE CENTER in BROWNSBURG, IN inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in BROWNSBURG, IN, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from BROWNSBURG HEALTH CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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