Wedgewood Healthcare Center
Inspection Findings
F-Tag F0554
F 0554
Allow residents to self-administer drugs if determined clinically appropriate.
Level of Harm - Minimal harm or potential for actual harm
Based on observation, interview and record review, the facility failed to ensure a self-administration assessment was in place for a resident (Resident F) for 1 of 3 residents reviewed for resident rights.
Findings include:During an observation on 11/17/25 at 9:35 a.m., the following was observed in Resident F's room:-a medication cup with a oval white pill -an Albuterol hand-held inhaler-an Anora hand-held inhaler
During an interview, on 11/17/25 at 9:37 a.m., Resident F indicated the medication in the cup was his Lasix (diuretic) from yesterday that he had forgotten to take. The doctor said it was okay for him to have the rescue inhalers at bedside. The clinical record for Resident F was reviewed on 11/17/25 at 10:05 a.m. The resident's diagnoses included, but were not limited to, chronic obstructive pulmonary disease (COPD), hypertension and anxiety. The admission Minimum Data Set (MDS) assessment, dated 9/25/25, indicated
the resident's cognition was intact. The resident's November medication administration record indicated Resident F received the following medications:-Anoro Ellipta 62.5 - 25 mcg/act (microgram/actuation), inhale one puff daily in the morning for COPD-Lasix 40 mg (milligram) daily in the morning for hypertension-Albuterol Sulfate HFA 108 (90 base) mcg/act, inhale 2 puffs orally every 6 hours as needed for shortness of air/wheezingThe clinical record lacked documentation of a self-administration medication assessment and physician's order for the resident to self-administer medications.During an interview, on 11/18/25 at 2:05 p.m., Registered Nurse (RN) 5 indicated before a resident can self-administer medications, the resident should be assessed for self-administration and a physician's order should be in place.On 11/18/25 at 2:55 p.m., the Regional Director of Clinical Operations provided a current, undated copy of the document titled Resident Self-Administration of Medications. It included, but was not limited to, Policy.It is the policy of this facility to provide resident centered care.Procedure.Residents may not self-administer medication until the assessment is completed.Physician/Provider order is required for residents to self-administer medication. 3.1-11(a)
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:
WEDGEWOOD HEALTHCARE CENTER in CLARKSVILLE, 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 CLARKSVILLE, 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 WEDGEWOOD HEALTHCARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.