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Complaint Investigation

North Capitol Nursing & Rehabilitation Center

October 15, 2025 · Indianapolis, IN · 2010 N Capitol Ave
Citations 1
CMS Rating 3/5
Beds 123
Provider ID 155226
Healthcare Facility
North Capitol Nursing & Rehabilitation Center
Indianapolis, IN  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

NORTH CAPITOL NURSING & REHABILITATION CENTER in INDIANAPOLIS, IN — inspection on October 15, 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

FF0678
Quality of Life and Care Deficiencies

During the incident, she was in the heat of the moment. It was the first time she had experienced a resident in that condition. ADNS had handled the paperwork and notified the medical provider, family and hospice.

Education was provide to her after the incident.

She was educated about moving in correct order which means understand the situation and code status.

An interview was conducted with Qualified Medication Aide (QMA) 3 on [DATE] at 12:25 p.m.

She indicated on the morning of [DATE], she had walked on the memory care unit and had observed Resident B on the floor with nursing staff around making sure she was okay. LPN 2 was performing CPR on the resident. EMS arrived and transferred the resident to the hospital. An interview was conducted with Resident B's Representative on [DATE] at 1:49 p.m.

She indicated she was notified by the facility the resident had an unwitnessed fall and had a seizure.

She had sustained a head injury to the back of her head and was transferred to the hospital.

She was in the hospital for approximately 8 hours and returned to the facility the same day.

The facility staff had initiated CPR on Resident B and that was upsetting.

The resident was a DNR and all the advanced directive paperwork was in her chart.

The nursing staff had acted in a panic mode. An Advanced Directives policy was provided by the Executive Director on [DATE] at 3:30 p.m. It indicated, .It is the policy of this facility to provide information to resident/resident representative his/her rights to formulate advanced directives.

The facility will not discriminate against any individual based on whether or not they have implemented an advanced directive. If a resident has a valid Advanced Directive, the facility's care will reflect the resident's wishes as expressed in the Directive, in accordance with state law.

This citation relates to Intake 2640525.

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 INDIANAPOLIS, 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 NORTH CAPITOL NURSING & REHABILITATION CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

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.