Dyer Nursing And Rehabilitation Center
DYER NURSING AND REHABILITATION CENTER in DYER, IN — inspection on August 11, 2025.
Found 1 citation. 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.
Inspection Findings
notification. (Resident D)Finding includes:Resident D's record was reviewed on 8/11/25 at 1:51 p.m.
(paralysis on one side of the body, dysphagia (difficulty swallowing) and weakness.The Quarterly Minimum Data Set (MDS) assessment, dated 5/12/25, indicated the Resident was severely impaired for daily decision making.
The resident required substantial/maximum assistance with shower/bathing, upper body dressing and personal hygiene.
The resident required dependent care with lower body dressing and toileting. A Physician's Order, dated 7/29/25, indicated for a Doppler ultrasound (non-invasive imaging technique used to assess blood flow in various parts of the body) to be completed on the right lower extremity due to new onset edema with pain.A Nurse's Note, dated 7/29/25 at 10:35 a.m., indicated the resident had new onset edema (swelling) to the right lower extremity and foot and had complaints of pain.
The Nurse Practitioner (NP) was aware and had ordered a Doppler.
The paperwork was ready and a tech would arrive at the facility within 24 hours.A Nurse's Note, dated 7/30/25 at 10:30 a.m., indicated the resident continued to have edema on the right lower extremity.
The Doppler tech was in the facility and indicated the report would be ready in an hour.
The NP was made aware.The Doppler report indicated results were interpreted on 7/30/25 at 12:25 p.m.
The impression indicated there was partial clotting in the proximal to distal superficial femoral vein causing luminal stenosis (a blood clot partially impeding blood flow through the vein).There was no documentation indicating the facility had communicated the abnormal Doppler results upon receipt to the physician or NP.
There was no follow up on the Doppler procedure from 7/30-8/5/25.A Nurses Note, dated 8/5/25 at 10:16 a.m., indicated a new order was received for Eliquis (blood thinner) 5 milligrams twice a day.A Physician's Order dated 8/5/25, indicated to administer Eliquis (blood thinner) 5 milligrams by mouth twice a day.
During an interview on 8/11/25 at 3:35p.m., the Director of Nursing indicated a Doppler had been ordered on 7/29/25 and it was completed on 7/30/25.
She had called the company who interpreted the results, and they indicated they reported the results on 7/30/25.
She could not determine when the results were reported to the physician and understood the concern that there was a delay in treatment.This citation relates to Complaint 2584012.3.1- 49(j)(2) 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 TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.