Brownsburg Meadows
BROWNSBURG MEADOWS in BROWNSBURG, IN — inspection on September 4, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During an interview on 9/4/25 at 11:00 a.m., the Director of Nursing Services (DNS) indicated in her opinion Resident D had not been injured with a mechanical lift or during the lift process, she had already been standing when the safety belt slipped, and she complained of foot pain.
The manufacturer's general information for the mechanical lift indicated the lift could be used with one staff member, although it was the facility protocol to use two staff members when transferring residents with mechanical lifts.
During an interview on 9/4/25 at 1:19 p.m., a representative from the Orthopedic physician's office indicated Resident D had been seen by the Orthopedic physician on the day prior and diagnosed with a newly acquired acute avulsion fracture (a break in the bone that occurred when a piece of bone was pulled away from the main part of the bone by a strong force from a ligament or tendon) at the tip of the distal fibula, that was nondisplaced.
This was a separate finding from a prior healed distal fibula fracture in anatomic alignment that was also viewed on the x-ray. On 9/4/25 at 11:00 a.m., the DNS provided a printout of the manufacturer's general information for the stand-up mechanical lift, undated.
The information indicated passive and active series lifts were designed for safe usage with one caregiver.
There were circumstances such as obesity of the patient that may dictate the need for a two-person transfer. It was the responsibility of each facility and medical professional to determine if a one or two-person transfer was more appropriate, based on the task, patient load, environment, capability, and skill level of the staff member. On 9/4/25 at 2:56 p.m., the ADNS provided a Fall Management Policy, dated 6/25, and indicated the policy was the one currently being used by the facility.
The policy indicated, A fall is defined as unintentionally coming to rest on the ground, floor, or other lower level.3. A care plan will be developed at the time of new move-ins with care plan interventions to address the resident specific fall risk factors.5.
The resident specific fall risk factors will be communicated to the assigned caregiver utilizing the resident profile or the CNA assignment sheet.
This citation relates to Intakes 2566173, 2603419, and 2606522. 3.1-45(a)(2)
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