Wellbrooke Of Kokomo
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
fallen in the bathroom and broke his toilet, then got himself back up into his wheelchair. He told her he had gotten his own towels out of the linen closet and put them on the bathroom floor. She immediately went to LPN 1 and informed her Resident C fell. She had made it clear which resident had fallen.During a phone interview, on 8/27/25 at 4:22 p.m., QMA 6 indicated, on 6/21/25 at 10:30 p.m., CNA 2 told her a resident fell. The resident she was told had fallen had the same first name as Resident C. QMA 6 indicated she went to the other resident's room (not Resident C) to check on him and he indicated he did not fall. QMA 6 then informed LPN 1 she a resident fell, she checked on him, and he indicated he did not fall. When QMA 6 went into Resident C's room the next morning (on 6/22/25 at approximately 4:00 a.m.) to administer his medications, he indicated his bathroom had been flooded with water from his toilet. QMA 6 then realized Resident C was the resident who had fallen the night before. QMA 6 then went to LPN 5 and reported Resident C had fallen last night.During a phone interview, on 8/27/25 at 12:05 p.m., LPN 1 indicated she was working Resident C's unit, on 6/21/25 from 10 a.m. to 10 p.m., but she was not taking care of Resident C during the shift.During a phone interview, on 8/27/25 at 3:52 p.m., LPN 5 indicated he was notified by QMA 6, on 6/22/25 at approximately 5:00 a.m., Resident C had fallen on 6/21/25 at 10:30 p.m. LPN 5 went to Resident C's room and seen his toilet was broken. He completed a fall assessment with neurological checks at that time.During an interview, on 8/27/25 at 3:30 p.m., Clinical Support 8 indicated Resident C's bruise to his back which was noticed after his fall was not measured and followed according to the facility policy and procedure.A current facility policy, titled Bruise, Rash, Lesion, Skin Tear, Laceration Assessment Guidelines, dated 5/10/16 and provided by Clinical Support 8 on 8/27/25 at 1:09 p.m., indicated .utilized to describe and monitor bruises, rashes, lesions, skin tears and lacerations.If skin alteration occurs post admission, follow the below steps: a. Complete Bruise incident in EHR (electronic health record) by an RN/LPN along with the template/assessment progress note. IDT should review this timely and wound nurse or designee complete an assessment in wound management or Wound Zoom. This may not include hemosiderin staining, petechiae, and senile purpura. B. Continue to monitor weekly in wound management or Wound Zoom. C. Must review for at least 1 week in wound management or Wound Zoom. Once wound nurse/designee determines that the wound is healing as expected, resolved or becomes a chronic skin condition this wound nurse/designee may heal the wound in wound management or Wound Zoom.This citation related to Intakes 1376644, 1376646 and 13766473.1-37(a)
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WELLBROOKE OF KOKOMO in KOKOMO, 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 KOKOMO, 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 WELLBROOKE OF KOKOMO or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.