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Complaint Investigation

Crown Point Health Campus

Inspection Date: August 19, 2025
Total Violations 1
Facility ID 155637
Location CROWN POINT, IN
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Inspection Findings

F-Tag F0580

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0580 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Based on record review and interview, the facility failed to ensure a resident's family/Responsible Party was notified for a new medication order, for 1 of 3 residents reviewed for family/Responsible Party notification. (Resident O)Finding includes:Resident O's record was reviewed on 8/18/25 at 1:06 p.m The diagnoses included, but were not limited to, osteomyelitis and schizophrenia.A Nurse Practitioner's Progress Note, dated 8/12/25 at 12:29 p.m., indicated the resident voiced she was not able to fall asleep at night and when

she does fall asleep, she has difficulty staying asleep. A Nurse Practitioner's Order, dated 8/12/25, indicated melatonin three milligrams was to be administered every night for insomnia.There was no documentation that indicated the resident's Responsible Party/family had been notified of the change in medication.During

an interview on 8/19/25 at 3:10 p.m., the Regional Nurse Consultant indicated the Responsible Party/family had not been notified of the medication order.This citation relates to Intake 2590825.3.1-5(a)(3)

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:

📋 Inspection Summary

CROWN POINT HEALTH CAMPUS in CROWN POINT, IN inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

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 CROWN POINT, 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 CROWN POINT HEALTH CAMPUS or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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