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Health Inspection

Signature Healthcare Of Muncie

January 23, 2025 · Muncie, IN · 4301 N Walnut St
Citations 1
CMS Rating 2/5
Beds 140
Provider ID 155242
Healthcare Facility
Signature Healthcare Of Muncie
Muncie, IN  ·  View full profile →
Inspection Summary

SIGNATURE HEALTHCARE OF MUNCIE in MUNCIE, IN — inspection on January 23, 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

FF880
Minimal harm or 09676 Few affected

During an observation on 1/15/25 at 11:39 a.m., Resident 66's door had two signs posted.

The first sign was a red stop sign posted on pink paper.

The second sign was instructions regarding how to correctly apply PPE (personal protective equipment).

The door signs did not contain direction regarding what type of isolation the resident was under, what was required to enter the room, when a staff or visitor needed to wear P.P.E.

During an interview on 1/15/25 at 11:42 a.m., QMA 19 indicated Resident 66 was on some type of precautions, however she was unsure of the type and it might be droplet isolation.

She left and quickly returned stating the resident was on Enhanced Barrier Precautions (EBP) or contact isolation due to a rash she used to have.

The QMA indicated she thought staff and visitors were supposed to wear P.P.E. when the resident had a rash and the resident did not currently have a rash.

During an observation on 1/16/25 at 10:28 a.m., a third sign had been added to Resident 66's door.

The third sign indicated the resident was on Enhanced Barrier Precautions and offered instructions to staff and visitors.

During an observation on 1/17/25 at 10:44 a.m., CNA 21 was speaking to Resident 66 as she assisted her to exit the in room bathroom. CNA 21 removed gloves and threw them away.

She then used her bare hands to push the residents wheel chair and assist the residents to don shoes. CNA 21 was not wearing any form of PPE. CNA 21 did not complete hand hygiene.

During an interview at this time, CNA 21 indicated she believed she only needed PPE if the resident had a skin rash.

She had only used gloves when providing toileting care. CNA 21 reviewed the EBP sign posted on the resident's door and indicated she might be wrong.

When the door sign says EBP employees are supposed to wear full PPE during resident care and she had made an error.

The three signs regarding infection control and prevention remained posted on the resident door during the following dates and times: 1/17/27 at 10:03 a.m., 1/17/25 at 10:44 a.m., 1/21/25 at 3:46 p.m., 1/23/25 at 11:47 a.m.

During an interview on 1/21/25 at 3:48 p.m. LPN 20, indicated, the resident had contact isolation due to a history of skin rashes.

The resident did not have to remain in her room.

The resident only had to stay in her room if she had a rash.

Staff were to follow the directions on the posted signs.

Resident 66's clinical record was reviewed on 1/17/25 at 9:29 a.m.

Current diagnoses included candidiasid - unspecified, chronic respiratory failure with hypoxia, and depression.

The resident had current physician's orders which included:

155242

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 155242 B.

Wing 01/23/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Signature Healthcare of Muncie 4301 N Walnut St Muncie, IN 47303

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 MUNCIE, 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 SIGNATURE HEALTHCARE OF MUNCIE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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