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Complaint Investigation

Brownsburg Meadows

October 16, 2025 · Brownsburg, IN · 2 E Tilden
Citations 2
CMS Rating 3/5
Beds 147
Provider ID 155761
Healthcare Facility
Brownsburg Meadows
Brownsburg, IN  ·  View full profile →
Inspection Summary

BROWNSBURG MEADOWS in BROWNSBURG, IN — inspection on October 16, 2025.

Found 2 citations. 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.

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Inspection Findings

FF0602
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Potential for More Than Minimal Harm

During an interview on 10/16/25 at 2:05 p.m., the ADNS indicated the Regional Director of Clinical Services conducted a narcotic audit, specifically looking for discrepancies of Oxycodone, with a date range of 7/1/25 - 9/23/25.

Upon conclusion of the audit, there were at least 7 more residents found with discrepancies regarding their Oxycodone and around 348 tablets unaccounted for.

The medication cards and narcotic sheets for discharged residents were missing. On 10/16/25 at 4:15 p.m., the ADNS provided a Controlled Substances: Storage, Documentation, Inventory and Destruction policy, revised 10/25, and indicated the policy was the one currently being used by the facility.

The policy indicated, Purpose of the Policy: To prevent diversion, improper use and accidents related to controlled substances.

Policy: It is the policy of this facility that all controlled substances will be stored, recorded, accounted for, and destroyed by state regulation.When the resident's physician discontinues a controlled substance, all unused medication will be destroyed by the Director of Nursing or ADNS and a witnessing licensed nurse or QMA.This deficient practice was corrected by 9/29/25 prior to the start of the survey and was therefore Past Noncompliance.

The facility implemented a systemic plan that included monitoring delivery, storage and counting of narcotic medications, staff education regarding accurate narcotic counts and policy and procedures for medication destruction, and ongoing monitoring by Quality Assurance and Performance Improvement (QAPI).

This citation relates to Intake 2623477.3.1-28(e)(3)3.1-28(o)

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

10/16/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Brownsburg Meadows

2 E Tilden Brownsburg, IN 46112

SUMMARY STATEMENT OF DEFICIENCIES

Federal health inspectors cited BROWNSBURG MEADOWS in BROWNSBURG, IN for a deficiency under regulatory tag F-F0755 during a complaint investigation conducted on 2025-10-16.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 2 deficiencies cited during this inspection of BROWNSBURG MEADOWS.

Correction Status: Past Non-Compliance.

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.


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