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Complaint Investigation

Creasy Springs Health Campus

Inspection Date: September 30, 2025
Total Violations 1
Facility ID 155777
Location LAFAYETTE, IN
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Inspection Findings

F-Tag F0760

Pharmacy Service Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0760 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

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

milliequivalent (mEq) capsule once a day. This medication was administered on 8/16/25, 8/17/25 and 8/18/25 for a total of three (3) times given in error.8. Tramadol (a medication used to treat pain) 50 mg tablet once a day.9. Trazodone (a medication used to treat depression) 50 mg tablet at bedtime. This medication was administered on 8/15/25, 8/16/25 and 8/17/25 for a total of three (3) times given in error.10. Meclizine (a medication used to control nausea, vomiting, and dizziness) 12.5 mg tablet every 8 hours as needed.11.

Senna (a medication used to treat constipation) 8.6 mg tablet as needed at bedtime. During an interview,

on 9/29/25 at 12:10 p.m., the Director of Health Services (DHS) indicated LPN 3 transcribed the correct medications for Resident B from the hospital. RN 2 was to review the transcriptions. RN 2 did not review the transcriptions for Resident B and instead entered the admitting medications for Resident C into Resident B's record. The records for Resident B and C were not double checked per the policy and procedure. The admitting records for Resident B and C were reviewed on 8/18/25, and the error was found. Resident C did not have any medication errors. Resident B had 11 entries which were entered incorrectly. Resident B received 23 medications in error on 8/15/25, 8/16/25, 8/17/25 and 8/18/25. Some of the medications entered in error had been discontinued on 8/16/25 after Resident B's wife had reviewed some of the medications with LPN 3. The NP was called and medications were discontinued. A complete review of Resident B's medications was not completed by the NP or LPN 3. A second check was not completed until 8/18/25 and the error was discovered. The physician reviewed Resident B's medications, and the orders were updated. Resident B did receive some medications which he should not have received. Resident B was observed for adverse reactions.During an interview, on 9/30/25 at 2:26 p.m., RN 2 indicated she did not complete the second check for the admission orders for Resident B. She did admit Resident C into the facility and transcribed his orders. She indicated all new admission orders were to be checked by a second nurse per the policy and procedure.A current facility policy, titled PREPARATION AND GENERAL GUIDELINES, dated 11/18 and received from the DHS on 9/30/25 at 2:38 p.m., indicated .FIVE RIGHTS right resident, right drug, right dose, right route and right time, are applied for each medication being administered.If a dose seems excessive considering the residents age and condition, or a medication order seems to be unrelated to the residents current diagnosis or conditions, the facility personnel calls the provider pharmacy for clarification prior to administration of the medication or if necessary contacts the prescriber for clarification.A current facility policy, titled MEDICATION ORDERS, dated 11/18 and received from the DHS on 9/30/25 at 2:38 p.m., indicated .Medication orders are recapped as required by regulation.This citation relates to Complaint 2619363.3.1-48(c)(2)

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📋 Inspection Summary

CREASY SPRINGS HEALTH CAMPUS in LAFAYETTE, 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 LAFAYETTE, 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 CREASY SPRINGS HEALTH CAMPUS or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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