Brownsburg Meadows
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
and he told her she potentially had messed up her rotator cuff when suspended by the belt/straps under her arms, and he would be ordering occupational therapy (OT) for the shoulder. A physical therapy (PT) evaluation had been ordered to assess her legs, more specifically to help retain her ability to stand and bear weight on her left leg. 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)
Event ID:
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If continuation sheet
BROWNSBURG MEADOWS in BROWNSBURG, IN inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 MEADOWS or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.