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Health Inspection

White Oak Health Campus

June 2, 2026 · Monticello, IN · 814 S 6th St
Citations 3
CMS Rating 5/5
Beds 61
Provider ID 155782
Healthcare Facility
White Oak Health Campus
Monticello, 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

WHITE OAK HEALTH CAMPUS in MONTICELLO, IN — inspection on June 2, 2026.

Found 3 citations. 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

FF0554
Resident Rights Deficiencies

During an interview on 5/28/26 at 11:16 a.m., the Director of Nursing indicated the resident's family had been nonˆcompliant and had previously brought medications into the facility for the resident.

When the resident lived in Assisted Living, she had been permitted to selfˆadminister creams.

The family continued to bring the resident medications even after receiving education that nursing staff needed to be notified of any new skin issues or itching so that the resident could be properly assessed.A facility policy titled, Guidelines for Self-Administration of Medications, indicated, .1.

Residents requesting to self-medicate or has self-medication as a part of their plan of care shall be assessed using the observation Trilogy-Self Administration of Medication within the electronic health record.

Results of the assessment will be presented to the physician for evaluation and an order for self-medication. a.

The order should include the type of medications the resident is able to self-medicate 6. A self-Medication plan of care will be initiated and updated as indicated. 7.

The assessment will be reviewed quarterly, and PRN with change of condition. 8.

The assessment will be documented in the EHR . 410 IAC (Indiana Administrative Code) 16.2-3.1-11(a) 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

155782 06/02/2026

White Oak Health Campus 814 S 6th St Monticello, IN 47960

During an interview on 6/1/26 at 3:28 p.m., the MDS Coordinator indicated she had coded an antipsychotic was administered because the resident had received promethazine and that drug required an AIMS assessment along with additional monitoring.

During an interview on 6/1/26 at 4:10 p.m., the Nurse Consultant indicated the MDS should not have been marked for antipsychotic medications.

During a follow-up interview on 6/2/26 at 3:58 p.m., the Nurse Consultant indicated she had spoken with the Consultant Pharmacist.

The Consultant Pharmacist had explained that although promethazine was similar to Compazine (a typical antipsychotic medication), the medication was not truly classified as an antipsychotic, but rather an antiemetic. 410 IAC (Indiana Administrative Code) 16.2-3.1-31(i)

155782 06/02/2026

White Oak Health Campus 814 S 6th St Monticello, IN 47960

During an interview on 6/1/26 at 2:29 p.m., the Infection Preventionist indicated enhanced barrier precautions should be implemented for residents with a PICC line.A facility policy, titled, Enhanced Barrier Precautions Standard Operating Procedure, received as current, indicated .1.

Enhanced barrier precautions will be in place during high contact care activities for residents with the following conditions: .ii.

All residents with indwelling medical devices. 1.

Includes but not limited to: catheters, central lines, feeding tubes, tracheostomy tubes .2.

Personal protective equipment should be used even if blood and body fluid exposure is not anticipated. a. At minimum, staff shall wear gloves and gowns during high contact care activities .410 IAC (Indiana Administrative Code) 16.2-3.1-18(b)

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 MONTICELLO, 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 WHITE OAK HEALTH CAMPUS 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.