Signature Healthcare Of Muncie
Inspection Findings
F-Tag F0686
F 0686 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
were measured, but not necessarily the ones that were not open like bruises or redness. If the nurse was unable to complete the skin assessment, the next shift would do the skin assessment. During an interview,
on 10/1/25 at 10:52 a.m., RN 4 indicated when a resident was admitted a skin assessment was performed.
Pressure injuries were measured and put into a skin event. If the pressure injury did not have a treatment,
the DON and the NP would be informed to get an order to treat the area. The wound NP assessed the pressure injuries each week and assessed the skin of all new admissions. During an interview, on 10/1/25 at 11:52 a.m., the DON indicated she was unable to locate wound measurements in the electronic record for the resident's right elbow pressure injury other than on admission or wound measurements for the other pressure injuries in the resident's clinical record. She indicated the heel protectors were the treatment utilized for the right and left heel DTIs. The right elbow stage 2 pressure injury was left open to air and utilized turning and repositioning for bony prominences per nursing measures. The resident had a private caregiver who kept the resident repositioned and propped with pillows. The resident had an order for a pressure relieving/redistribution mattress as well. She was unable to locate a specific treatment order for
the right elbow. For the coccyx pressure injury, the CNAs routinely applied moisture barrier creams to the resident with incontinence care as a nursing measure. The application of moisture barrier cream was not typically a physician's order. She was unable to locate a specific order for treatment for the coccyx pressure injury. A care plan for the pressure injuries was not implemented until 9/25/25 other than those listed in the initial baseline care plan. Review of a treatment administration record for 9/8/25 through 10/1/25, provided by the DON on 10/1/25 at 2:51 p.m., indicated a weekly skin assessment was performed on 9/9/25, 9/16/25, and 9/23/25. The assessment was signed off as existing skin impairment. The special instructions indicated Open an appropriate event for newly identified skin issues. No additional documentation was listed. A facility policy, revised 1/31/25, provided by the DON on 10/1/25 at 2:51 p.m., titled Skin Integrity, indicated the following: .A resident with impaired skin integrity receives necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection and prevent avoidable skin integrity issues from developing.Upon admission, the licensed nurse shall complete the initial skin check and obtain orders from the physician/practitioner for any area of impaired skin integrity that may not have orders in place when the resident is admitted to the facility from other healthcare settings or home.The Nurse Leader/Wound Nurse shall document all impaired skin integrity areas such as: pressure, stasis, surgical incision, or diabetic ulcers in the EMR [electronic medical record] on an ongoing basis or until closed or the resident has been discharge. This citation relates to Intake 2621648. 3.1-40(a)(2)
Event ID:
Facility ID:
If continuation sheet
SIGNATURE HEALTHCARE OF MUNCIE in MUNCIE, 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 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.