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Complaint Investigation

North Capitol Nursing & Rehabilitation Center

Inspection Date: October 15, 2025
Total Violations 1
Facility ID 155226
Location INDIANAPOLIS, IN
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Inspection Findings

F-Tag F0678

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0678 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

Practical Nurse (LPN) 2 was on the floor and on her cell phone with a 911 dispatcher. At that time, Resident B was seizing and snoring breath sounds. LPN 2 was pushing on the resident's chest area, but she was trying to rouse the resident. She had suggested to turn the resident on her side, but they decided not to move her due to not knowing the extent of the resident's injuries to her head. EMS arrived and transferred

the resident to the hospital emergency room. After, she notified Resident B's Representative and hospice personnel. An interview was conducted with LPN 2 on [DATE REDACTED] at 11:41 a.m. She indicated she was notified Resident B had fallen. She ran into the memory care unit and checked Resident B's code status. She observed the resident on floor and having a seizure. The resident's back of head was bleeding a lot and her breathing sounded like a snore. She contacted 911 and was instructed by the dispatcher to initiate CPR.

LPN 2 performed light chest compressions to the resident. The resident came out of the seizure and breathing returned to normal. She then turned the resident on her side. EMS arrived and wrapped the resident's head, placed a neck brace on and oxygen. The resident was awake and breathing normal when

she was transferred to the hospital. The resident was returned later that day. 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 REDACTED] at 12:25 p.m. She indicated on the morning of [DATE REDACTED], 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 REDACTED] 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 REDACTED] 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.

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📋 Inspection Summary

NORTH CAPITOL NURSING & REHABILITATION CENTER in INDIANAPOLIS, 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 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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