Signature Healthcare Of Muncie
SIGNATURE HEALTHCARE OF MUNCIE in MUNCIE, IN — inspection on September 17, 2025.
Found 2 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
During an interview with the DON on 9/16/25 at 9:51 a.m., she indicated she was told by RN 7 of a phone conversation Resident M had with her relative about the accident.
Since RN 7 knew family was aware, he did not contact the family or the representative.
During an interview with Resident M's second emergency contact on 9/16/25 at 10:40 a.m., she indicated Resident M was able to understand medical information, but it depended on how it was explained to her.
The day her foot was hurt, Resident M called her and told her about the accident.
Resident M was at the orthopedic clinic when she contacted her.
The resident thought her foot was broken.
Nobody from the facility communicated with the emergency contact.
She contacted the facility and was told by a nurse that the resident's foot was fractured.
The emergency contact left several messages for the DON.
She called at 7:40 p.m. (she did not remember the date) and was told to call back at 10:00 p.m. because the nurse was busy providing care for another resident.During an interview with RN 7 on 9/16/25 at 2:50 p.m., he indicated he was aware of the accident on 8/11/25.
The next morning, during rounds, the MD ordered an x-ray of the left ankle.
The facility transportation took the resident to the orthopedic clinic for evaluation. On the day of the accident, Resident M told her relative about what happened.
Facility policy was to contact family and/or resident representative(s), but unfortunately, he did not. In retrospect, he should have contacted the resident's representative and/or family about the accident/injury.A current facility policy, titled Accidents and Incidents, provided by the DON on 9/16/25 at 2:47 p.m., indicated the following: .
The intent is to ensure the facility provides an environment that is free from accidents and incidents that are avoidable, the facility investigates these occurrences with applicable documentation, and appropriate reporting is completed as applicable .2.
The following data, as applicable, shall be included in the residence medical record.f.
The resident's representative, as applicable, notification.A current facility policy, titled Notification of Change of Condition, provided by the DON on 9/16/25 at 2:42 p.m., indicated the following: . To ensure appropriate individuals are notified of changes in condition.The facility must inform the resident, consult with the residents physician, and notify, consistent with his or her authority, the resident's representatives when there is. B. A significant change in the resident's physical, mental, or psychosocial status. 2.
Documentation of notification or notification attempts should be recorded in the resident's electronic medical record. 3.
The resident and/ or representative, and the medical providers, should be notified of a change in condition.
The medical provider will provide guidance related to the changing conditions.This citation relates to Intake 2607823.3.1-5(a)(2)
155242 09/17/2025
Signature Healthcare of Muncie 4301 N Walnut St Muncie, IN 47303
During a phone interview with QMA 4 on 9/16/25 at 2:28 p.m., she indicated she was in another
caused her daughter to cry. CNA 2 tried to get Resident N to go back to his room, but Resident N
nig' and he (the CNA) was going to beat his (Resident N's) a. CNA 2 said Get up and get your own damn medicine. Oh, wait.
You can't. QMA 4 and CNA 3 intervened and tried to get Resident N away from the situation.
Resident N stuck his feet on the floor and would not let them move him.
Resident N was very opinionated and would get into arguments with the staff over his medications sometimes.
He had already received his medications but did not think he had. LPN 8 assured Resident N he had already received his medication. QMA 4 witnessed CNA 2 talking to himself, cussing and saying things like This place don't want to mess with me. LPN 8 told QMA 4 to contact the DON to report the incident.
During an interview with Resident N on 9/17/25 at 2:17 p.m., he indicated CNA 2 was not making any sense and was being rude. CNA 2 would not let Resident N get two words in. CNA 2 raised his voice - there was no need for him to be yelling. He was very rude for no reason.
Resident N indicated he had no problems with other staff, had returned to his normal routine, and was not adversely affected by the incident.CNA 2 was not available for interview during the survey. A current facility policy, titled Abuse, Neglect and Misappropriation of Property, provided by the DON on 9/16/25 at 2:00 p.m., indicated the following: .It is the organization's intention to prevent the occurrence of abuse, neglect, exploitation, injuries of unknown origin, and misappropriation of resident property, and to assure that all alleged violations of federal or state laws which involve abuse, neglect, exploitation, injuries of unknown origin and misappropriation of resident property are investigated, and reported immediately to the facility administrator, the State Survey Agency, and other appropriate state and local agencies in accordance with federal and state law.
The organization will include screening, training, prevention, identification, investigation, protection, and reporting to provide protection for the health, welfare, and rights of each resident residing in the facility .
Abuse is defined as the willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm, pain, or mental anguish.
Abuse also includes deprivation by an individual, including a caretaker, of goods or services that are necessary to attain or maintain physical, mental, and psychosocial well-being.
Instances of abuse of all residents, irrespective of any mental or physical condition, cause physical harm, pain or mental anguish. It includes verbal abuse, sexual abuse, physical abuse, and mental abuse, including abuse facilitated or enabled through the use of technology.
Verbal abuse is use of any oral, written or gestured language that includes any threat, or any frightening, disparaging or derogatory language, to residents or their families, or within their hearing distance, regardless of age, ability to comprehend, or disability.The deficient practice was corrected on 8/24/25 after the facility implemented a systemic plan that included the education of staff regarding the facility's abuse policy, interviewed and/or assessed other residents for abuse, completed an Interdisciplinary Team (IDT) review of the incident, and planned for Quality Assurance activities to mitigate reoccurrence of the deficient practice.
This citation relates to Intake 2598489.3.1-27(a)(b)
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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.