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Complaint Investigation

Shady Nook Care Center

November 20, 2025 · Lawrenceburg, IN · 36 Village Drive
Citations 1
CMS Rating 1/5
Beds 94
Provider ID 155525
Healthcare Facility
Shady Nook Care Center
Lawrenceburg, IN  ·  View full profile →
Inspection Summary

SHADY NOOK CARE CENTER in LAWRENCEBURG, IN — inspection on November 20, 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.

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Inspection Findings

FF0760
Pharmacy Service Deficiencies
Actual Harm

During an interview, on 11/20/2025 at 10:02 A.M., the DON indicated she received a call on the morning of 11/01/2025 from the nurse that was on shift saying she accidentally gave a resident the wrong medications.

The resident was assessed right away, the NP was notified, and the resident was sent to the local hospital where he was admitted for observation.

The facility educated all nursing staff and implemented an audit tool to monitor medication administration.

The current General Dose Preparation and Medication Administration policy, with a revision date of 01/01/2022, was provided by the DON on 11/20/2025 at 12:43 P.M.

The policy indicated, .Facility staff should.Verify each time a medication is administered that it is the correct medication, at the correct dose, at the correct route, at the correct rate, at the correct time, for the correct resident, as set forth in facility's medication schedule.

The deficient practice was corrected on 11/02/2025, after the facility implemented a systemic plan of staff education, medication administration audits, and monitoring to ensure implementation of the in-servicing was monitored related to medication administration.

This citation relates to Intake 2661017. 3.1-48(c)(2)

Facility ID:

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 LAWRENCEBURG, 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 SHADY NOOK CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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