Ignite Medical Resort Chesterton
Inspection Findings
F-Tag F0558
F 0558
Reasonably accommodate the needs and preferences of each resident.
Level of Harm - Minimal harm or potential for actual harm
Based on observation and interview, the facility failed to ensure a resident's call light was in reach for a resident who was trying to be put back to bed for 1 of 3 residents reviewed for Activities of Daily Living (ADLs). (Resident H)Finding includes:On 9/25/25 at 11:33 a.m., Resident H was observed sitting in a wheelchair in her room. The resident appeared fatigued and was visibly shaking in the wheelchair. The resident indicated she had been waiting to be put back to bed. Her husband had asked the staff to put her back to bed when he left for the day and he was told it would be a while because they had a lot of things to do. The resident indicated she tried to press her call light again because she really needed to go back to bed and could not locate it. At 11:35 a.m., RN 1 was notified that Resident H could not locate her call light and wanted to be put back to bed. RN 1 looked around the room and located the resident's call light in the back corner of the room out of reach and not in view of the resident. RN 1 notified the resident that she would find an aide to assist her back to bed. The resident was assisted back to bed at 11:48 a.m.Resident H's record was reviewed on 9/24/25 at 11:10 a.m. The diagnoses included, but were not limited to, muscle weakness, encephalopathy (brain dysfunction), diabetes, and adult failure to thrive.The 8/31/25 admission Minimum Data Set (MDS) assessment indicated the resident was moderately impaired for daily decision making. The resident required substantial to maximum assistance with toileting, shower and bathing, lower body dressing, sit to stand, and chair to bed transfer.A Nurse's Note, dated 9/16/25 at 7:29 p.m., indicated
the resident's spouse had requested assistance putting his wife back to bed. The resident appeared very lethargic and had difficulty locating a pulse. She was pale in appearance and vitals were checked. The resident was admitted to the hospital with a severe urinary tract infection.During an interview on 9/25/25 at 1:00 p.m., the Assistant Director of Nursing (ADON) indicated she understood the call light concern and had no additional information to provide.This citation relates to Intake 2621750.3.1-3(p)(1)
Residents Affected - Few
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
09/25/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Ignite Medical Resort Chesterton
2775 Village Point Chesterton, IN 46304
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0684
F 0684 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
impaired for daily decision making. The resident required substantial to maximum assistance with toileting, shower and bathing, lower body dressing, sit to stand, and chair to bed transfer.
A Care Plan, dated 8/27/25, indicated the resident had potential for pain related to acute cystitis (inflammation of the bladder lining). Interventions were to remove and limit cause where possible and respond immediately to complaints of pain.
A Nurse's Note, dated 9/16/25 at 7:29 p.m., indicated the resident's spouse had requested assistance putting his wife back to bed. The resident appeared very lethargic and had difficulty locating a pulse. She was pale in appearance and vitals were obtained. The resident was admitted to the hospital with a severe urinary tract infection.
A Physician's Order, dated 9/19/25, indicated to administer Cephalexin (antibiotic) 500 milligram (MG) by mouth four times a day for 7 days.
A Follow Up Note, dated 9/20/25, indicated the resident had a complicated urinary tract infection (UTI) with acute cystitis.
The Medication Administration Record (MAR) indicated the resident's Cephalexin was not signed out as given for the following doses: 9/21/25 at 7:30 a.m. 9/21/25 at 11:30 a.m. 9/21/25 at 5:30 p.m.
During an interview on 9/26/25 at 3:30 p.m., the Nurse Consultant indicated she understood the resident missed three doses of antibiotic. The pharmacy had made time changes to the doses, and the original order was discontinued, which caused the three doses to be missed.
This citation relates to Intake 2621688. 3.1-37(a)
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
09/25/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Ignite Medical Resort Chesterton
2775 Village Point Chesterton, IN 46304
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0698
F 0698 Level of Harm - Minimal harm or potential for actual harm
The 9/21/25 admission Minimum Data Set (MDS) assessment indicated the resident was cognitively intact for daily decision making and was on dialysis.
A Care Plan, dated 9/16/25, indicated the resident was on diuretic therapy related to fluid retention.
Interventions were to administer medications as ordered by the physician and monitor adverse reactions.
Residents Affected - Few
A Physician's Order, dated 9/19/25 at 11:55 p.m., indicated to hold Clonidine (blood pressure medication), Irbesartan (blood pressure medication), Furosemide (diuretic), and Spironolactone (diuretic and blood pressure medication) in the morning on dialysis days and send the medications with the resident to dialysis.
The Medication Administration Record (MAR) indicated the order for medication to be sent to dialysis was signed out as given on 9/22/25 and 9/24/25.
The pre/post dialysis form was not filled out on 9/24/25 and was not in the binder.
During an interview on 9/25/25 at 1:16 p.m., the Assistant Director of Nursing (ADON) indicated she understood the concern with the dialysis binder not being sent to the dialysis center on 9/24/25 and the resident's medications not being sent to dialysis center on 9/22/25 and 9/24/25. The ADON indicated she had found the prepackaged medication for the resident in the medication cart.
The Dialysis Protocol policy, received as current from ADON on 9/25/25 at 1:19 p.m. indicated, . 8.
Medications to be administered during or post dialysis will be labeled and sent with resident to dialysis .
This citation relates to Intake 2619593. 3.1-37(a)
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
IGNITE MEDICAL RESORT CHESTERTON in CHESTERTON, 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 CHESTERTON, 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 IGNITE MEDICAL RESORT CHESTERTON or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.