Creasy Springs Health Campus
CREASY SPRINGS HEALTH CAMPUS in LAFAYETTE, IN — inspection on September 30, 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
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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