Life Care Center Of Michigan City
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
was stating her bowels were not moving like they should. A Physician's Order, dated 10/15/25, indicated Miralax packet (polyethylene glycol 3350), give 1 packet by mouth twice daily for 5 days. The October 2025 MAR indicated Miralax was administered as ordered from 10/15/25 at 5:00 p.m. until 10/20/25 at 9:00 a.m.
A Progress Note, dated 10/16/25 at 3:27 p.m., indicated the resident was continuing the Miralax twice daily regimen and had one medium soft bowel movement. A Progress Note, dated 10/17/25 at 4:42 p.m., indicated the resident had not had a bowel movement yet. A Progress note, dated 10/20/25 at 8:30 p.m., indicated the resident complained of increasing abdominal pain and was unable to have a bowel movement. The nurse practitioner (NP) was notified, and new orders were received for a Fleet enema. After
the enema, the resident still did not have a bowel movement and complained of worsening pain and stated that she felt like she could have a seizure. 911 was called, the NP and family were notified. A Progress Note, dated 10/21/25 at 8:41 a.m., indicated the resident was admitted to the hospital for proctitis (an inflammation of the anus and the lining of the rectum) and constipation. The CT (computed tomography) of
the abdomen and pelvis, dated 10/20/25, indicated there was a large volume of stool throughout the colon and rectum. There was mild wall thickening of the rectum with adjacent inflammatory change concerning for proctitis. Stercoral colitis (rare inflammatory form of colitis that occurs when impacted fecal material leads to distention of the colon) was not excluded. During an interview on 10/28/25 at 10:40 a.m., the Director of Nursing indicated interventions for constipation were to be initiated if a resident had not had a bowel movement in 3 days. She was unable to find any other documentation. A facility policy titled, Bowel Protocol, reviewed on 9/15/25, indicated Procedure 1. Nursing staff will record, in the EHR, each time a resident has a bowel movement. 2. The facility in coordination with the resident's attending practitioner will implement standing orders to address a lack of bowel movement. A. These orders may vary within the facility for each attending practitioner. B. These orders may vary depending on the individual needs of a resident. This citation relates to Intake 2645073. 3.1-37(a)
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
10/28/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Life Care Center of Michigan City
802 US Highway 20 East Michigan City, IN 46360
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0695
F 0695
Provide safe and appropriate respiratory care for a resident when needed.
Level of Harm - Minimal harm or potential for actual harm
Based on observation, record review and interview, the facility failed to ensure a resident received the necessary care and treatment related to incorrect oxygen flow rate for 1 of 3 residents reviewed for respiratory care. (Resident E) Finding includes: On 10/27/25 at 1:13 p.m., Resident E was observed lying in her bed. She had a nasal cannula on and oxygen was flowing from the concentrator at 4 liters per minute (lpm). On 10/28/25 at 9:15 a.m., the resident was seated in her room with the nasal cannula on and oxygen flowing at 4 lpm. The resident indicated she was supposed to be on 2 lpm of oxygen. The resident's record was reviewed on 10/27/25 at 1:00 p.m. Diagnoses included, but were not limited to, chronic obstructive pulmonary disease, hypertension and chronic cough. The Quarterly Minimum Data Set assessment, dated 10/14/25, indicated the resident was cognitively intact and received oxygen. A Physician's Order, dated 4/3/24, indicated oxygen at 2 lpm continuously. During an interview on 10/28/25 at 1:20 p.m., LPN 1 indicated the resident was on 2 lpm of oxygen. She observed the resident's oxygen concentrator at 4 lpm and adjusted it to the correct flow rate. This citation relates to Intake 2645073. 3.1-47(a)(6)
Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
LIFE CARE CENTER OF MICHIGAN CITY in MICHIGAN CITY, 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 MICHIGAN CITY, 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 LIFE CARE CENTER OF MICHIGAN CITY or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.