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Complaint Investigation

Mitchell Manor

August 18, 2025 · Mitchell, IN · 24 Teke Burton Dr
Citations 1
CMS Rating 3/5
Beds 120
Provider ID 155324
Healthcare Facility
Mitchell Manor
Mitchell, 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

MITCHELL MANOR in MITCHELL, IN — inspection on August 18, 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

FF0689
Quality of Life and Care Deficiencies

During an interview on 8/18/25 at 10:35 a.m., the Administrator indicated the transportation driver drove Resident B to an appointment and on the way back decided to stop at a restaurant drive through and get lunch for himself, his wife, and the resident. He then stopped at the nearby hospital and exited the vehicle to take his wife lunch.

The transportation van had air-conditioning, however, Resident B indicated he rolled down the window and turned the van off.

After approximately 15 minutes, Resident B left the vehicle and went into the hospital to try and locate the drive. A security guard from the hospital met her, provided a wheelchair, and sat with her until the transportation driver returned.

When the transportation driver returned, he asked Resident B not to say anything because he had bought her lunch.

The Administrator indicated Resident B did not report the incident for over a week.

During an interview on 8/18/25 at 11:20 a.m., the DON indicated she was not sure of the exact date the above incident occurred because Resident B did not report it for over a week.

The resident had an appointment on 7/24/25 at 9:15 a.m. and she believed it happened on that date during lunchtime.

The Weather Underground website at www.wunderground.com, indicated during the week of 7/24/25 through 7/28/25, the average high temperature was 90 degrees.

Resident B was out of the facility and unavailable for interview during the survey period. On 8/18/25 at 10:49 a.m., the Administrator provided the policy titled, Transportation Coordination and Services with a revised date of 5/15/25, and indicated it was the policy currently being used by the facility. A review of the policy indicated, .

Procedure: 3.

The facility will ensure that safety and infection prevention procedures are followed in accordance to state and federal guidance .This citation relates to Complaint 2574607.3.1-45(a)(2) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE

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 MITCHELL, 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 MITCHELL MANOR or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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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.