Ignite Medical Resort Chesterton

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)

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

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

09/25/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Ignite Medical Resort Chesterton

2775 Village Point Chesterton, IN 46304

SUMMARY STATEMENT OF DEFICIENCIES