Restoracy Of Goshen, The
Inspection Findings
F-Tag F0684
F 0684 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
cognitive impairment.A Physician's Order, dated 12/4/2024, indicated the resident was to receive losartan 100 milligrams orally daily. There were no administration parameters ordered for the administration of the losartan.The following blood pressures were obtained, the losartan given and the physician was not notified of the abnormal blood pressure readings.-7/1/2025 8:40 A.M. 113/55 mmHg-7/31/2025 9:45 A.M. 110/41 mmHg-8/11/2025 9:48 A.M. 123/41 mmHg-8/23/2025 9:10 P.M. 122/49 mmHgA Care Plan, initiated 11/9/2020 and revised on 5/21/2024, indicated Resident F had hypertension. Interventions included, but were not limited to: give antihypertensive medications as ordered and monitor for side effects of orthostatic hypotension.During an interview, on 8/27/2025 at 2:09 P.M., the DON indicated based on nursing judgement, she would have held the administration of the losartan for a systolic blood pressure less than 130 mmHg and a diastolic blood pressure less than 90 mmHg. She indicated every nurse was different regarding their nursing judgement. During an interview, on 8/27/2025 at 2:42 P.M., Resident F's nurse practitioner indicated she would not be cool with the losartan being given with the diastolic blood pressures
in the 40's and 30's and was not aware the medication had been given with those blood pressure readings.A policy was requested for administration of antihypertensive medications, on 5/27/2025 at 3:00 P.M. The Executive Director indicated a policy was not available for administration of antihypertensive, but
the staff should have followed the physician's orders. This citation relates to intakes 2562332 and 2579643.3.1-37(a)
Event ID:
Facility ID:
If continuation sheet
RESTORACY OF GOSHEN, THE in GOSHEN, 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 GOSHEN, 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 RESTORACY OF GOSHEN, THE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.