Majestic Care Of North Vernon
Inspection Findings
F-Tag F0776
F 0776 Level of Harm - Actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
were not present in the room until after the x-ray tech was done. During an interview, on 10/15/2025 at 1:15 P.M., Licensed Practical Nurse (LPN) 3 indicated when the x-ray techs came to the facility to complete x-rays on residents, they would obtain the resident's face sheet and the order for the x-ray. The tech then would go to the room and get the x-ray. Most of the time they would ask the facility staff for assistance if the resident was not cognitively intact or if they had concerns that the resident wouldn't be physically able to assist them. The facility staff was always available to help. For Resident B, the x-ray tech would not have been able to get an x-ray of the resident's right arm without facility staff assistance due to the resident having increased pain in the arm. During an interview, on 10/16/2025 at 10:24 A.M., NP 5 indicated the resident had a contracture to the right arm for many years from having a stroke. The resident was cognitively intact. If the resident's contracture arm got pulled, the resident would be able to let you know when it was hurting. The resident did have a diagnosis of osteoporosis. Anything could happen if the resident's contracture arm was pulled. During an interview, on 10/16/2025 at 10:31 A.M., NP 6 indicated
she had reviewed the resident's x-ray results in October and referred the resident to see an orthopedic physician. If a resident had a contracture of the arm and the arm got pulled, it could put the resident in a lot of pain or could even cause a fracture. During an interview, on 10/16/2025 at 11:24 A.M., Certified Nurse Aide (CNA) 4 indicated the resident needed the complete assistance of two staff members for dressing, personal hygiene care, and turning and repositioning. The resident was able to feed herself some. CNA 4 was there when the x-ray tech came in August but the CNA was never asked to assist or never heard of anyone else being asked. She was unaware the x-ray tech was there, until they were gone. Almost always when the x-rays tech came to the facility she would go into the room and assist them. The x-ray techs would always ask for help or for staff to explain to them what assistance the resident needed. She had never seen them go into a room blindly and complete an x-ray. Resident B would not have been able to assist the x-ray tech with the x-ray of her right arm. During an interview, on 10/16/2025 at 11:32 A.M., the Administrator indicated the contract with the x-ray company should include verbiage that they would follow regulations and was unsure what their training was. The x-ray company would handle and have records of their training.
The facility did not provide them with any training information. A portion of the x-ray tech procedure manual was provided by the x-ray company's Regional [NAME] President. The procedure manual indicated, If the resident must be transferred or significantly re-positioned to perform the exam, facility staff must assist in
the transfer or re-positioning. A Portable Imaging and Diagnostic Testing Services Agreement, dated 04/01/2025, was provided by the Administrator on 10/16/2025 at 11:15 A.M. The agreement indicated, .COMPANY [facility] has in place a Code of Conduct.the goal of which is to ensure that all applicable federal, state, and local laws and regulations are followed. The Code includes a commitment to uphold a high standard of ethical and legal business practices and to prevent misconduct. Through the implementation of this Contract, each party acknowledges the commitment to compliance and agrees to conduct all transactions which occur pursuant to this Contract in accordance with all applicable federal, state and local laws and regulations.COMPANY has also implemented a policy to detect, address and prevent issues of fraud, waste, and abuse. This policy, the Code, and information regarding COMPANY'S Compliance Programs shall be made available to the Service Provider and Service Providers employees.
COMPANY will educate all Service Provider employees and contractors who work on matters related to this Contract on such policy, the Code and other applicable requirements.This citation relates to Intake 2640227.3.1-49(a)3.1-49(g)
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MAJESTIC CARE OF NORTH VERNON in NORTH VERNON, 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 NORTH VERNON, 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 MAJESTIC CARE OF NORTH VERNON or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.