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 →

Source Document

Official CMS Inspection Report (Medicare.gov)

Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.

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.

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.

More Reports

About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.