Plainfield Health Care Center
PLAINFIELD HEALTH CARE CENTER in PLAINFIELD, IN — inspection on February 20, 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 on 2/19/25 at 2:35 p.m., the Director of Nursing Services (DNS) indicated that Resident Q's wife came and notified them that the resident had two Rivastigmine (Exalon) patches on.
When the resident was admitted on [DATE], a complete head to toe skin assessment was completed by the nurse.
The DNS indicated that the skin assessment does not mention any patches on the skin, but that was not something they would document in the skin assessment.
The RNC indicated that both of the patches were located on the residents back, but in different areas.
During an interview on 2/20/25 at 1:48 p.m., the DNS indicated that during medication administration, staff were to verify that the order in the electronic chart matches the order on the label for the medication they were going to dispense and the pharmacy label on the medications included the entire order and instructions.
She indicated that neither order from both of his stays included documentation of where the patches had been applied, and it was not their policy to document where they apply medication patches.
On 2/19/25 at 11:30 a.m., the RNC provided an updated document and identified it as a current facility policy, titled, Transdermal Drug Delivery System (Patch) Application.
The policy indicated, .2.
Read label three times before administering, check with MAR .6.
Select an appropriate site for application, note physicians order for placement.
Observe site of previous application.
Rotate sites of placement. If patches are continuous remove existing patch and cleanse site .10.
Document administration on MAR.
Include site of administration to ensure rotation process
On 2/19/25 at 11:30 a.m., the RNC provided an updated document and identified it as the manufacturer guidelines for Rivastigmine (Exalon) patch dated 4/21/2000.
The guidelines indicated 4/21/2000, indicated, . 10.
Overdosage .it is recommended that in cases of asymptomatic overdose the patch should be immediately removed and no further patch should be applied for the next 24 hours .overdosage with cholinesterase inhibitors can result in cholinergic crisis characterized by severe nausea, vomiting, salivation, sweating, bradycardia, hypotension, respiratory depression, collapse, and convulsions.
Increasing muscle weakness is a possibility and may result in death if respiratory muscles are involved
155215
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 155215 B.
Wing 02/20/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Plainfield Health Care Center 3700 Clarks Creek Rd Plainfield, IN 46168
During an interview on 2/11/25 at 2:40 p.m., the BOM indicated in October 2024, Resident B had come to her and asked that they call the bank together as Resident B's bank statement was showing charges she did not make.
The bank asked if anyone had access to her bank card, and Resident B indicated the SSA so she could make purchases for the resident.
When the request was made to deactivate the debit card, the teller informed them the resident would need to present to the bank in person and they would make her a new card, and the resident would need to sign for any disputed charges on her bank statement.
Resident B was taken to the bank by facility transportation.
The SSA had quit without notice in September keeping the resident's debit card, it was not returned until the end of October. A police officer had visited the facility in December and gotten statements and paperwork.
The BOM indicated she had assisted the resident, and upon viewing the bank statements, many charges did not look like what the resident would have purchased living in the facility.
But again, the facility had not had access to the residents outside bank statements until the resident decided to share with them. In October the BOM asked the resident to lock the debit card up in her office and came up with a sign in and sign out of the card log.
A confidential interview conducted during the survey indicated in December 2024 police had been seen entering the facility and line staff indicated the police were in the facility to question the SSA for stealing Resident B's debit card and taking her money.
The resident had indicated that the SSA used her debit card to purchase items she had not approved.
155215
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 155215 B.
Wing 02/20/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Plainfield Health Care Center 3700 Clarks Creek Rd Plainfield, IN 46168