Plainfield Health Care Center
Inspection Findings
F-Tag F0684
F 0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Level of Harm - Minimal harm or potential for actual harm
Based on record review and interview, the facility failed to complete physician ordered weekly skin assessments or document the resident's refusal for 2 of 4 residents reviewed for quality of care. (Resident B and E)Findings include:1. A clinical record review for Resident B was completed on 10/14/25 at 12:02 p.m. Diagnoses included rhabdomyolysis (a condition characterized by the breakdown of skeletal muscle tissue, leading to release of harmful substances into the bloodstream), type II diabetes mellitus, history of coccyx fracture, and morbid (severe) obesity.A current physician's order, dated 12/26/24, indicated to complete a weekly skin assessment every evening shift on Mondays for weekly skin assessments.The resident's clinical record lacked an ordered skin assessment for 6/2/25, 6/23/25, 6/30/25, 7/7/25, 7/28/25, 8/4/25, 8/11/25, 9/1/25, 9/15/25, 9/22/25, and 9/29/25.A health care plan, dated 5/9/24, indicated the Resident B would refuse care. Interventions included, to monitor behavior episodes and attempt to determine underlying cause. Consider location, time of day, persons involved, and situations. Document behavior and potential causes.A general progress note, dated 10/3/25, indicated the area to Resident B's right flank had worsened. There was noted redness, warmth, and odor. There was a small amount of serosanguinous drainage (a type of wound drainage that was light pink, thin and watery) noted. The wound was 75% necrotic tissue (dead tissue cells) and 25% adherent slough (dead tissue accumulated on the wound bed, appearing as yellow, tan, white material). New orders were received from Nurse Practitioner for
an antibiotic and a specialty mattress.2. The clinical record for Resident E was completed on 10/14/25 at 2:20 p.m. Diagnoses included chronic obstructive pulmonary disease, contusions to right and left small toes, type II diabetes mellitus, and dementia.A current physician's order, dated 5/20/25, indicated to complete a weekly skin assessment every day shift on Thursdays for weekly skin assessments.The residents clinical record lacked an ordered skin assessment for 8/26/24, 9/2/25, and 9/9/25.A current health care plan, dated 12/31/24, indicated the resident had a potential for pressure ulcer development related to decreased mobility and incontinence. Interventions included complete head-to-toe skin assessment weekly and as needed.During an interview on 10/15/25 at 3:27 p.m., the Director of Nursing (DON) indicated the skin assessments should be completed and documented weekly on the day and shift indicated in the order.
If a resident refuses to allow the assessment, they should be approached at a later time. If they continue to refuse, the refusal should be documented in the clinical record.A current facility policy, revised 6/2020, titled, Wound Management, provided by the Corporate Nurse Consultant on 10/15/25 at 4:30 p.m., included
the following: .Procedure I. Assessment A. A Licensed Nurse will perform a skin assessment upon admission, readmission, weekly, and as needed for each resident. II. Wound Management.G. The Attending Physician and Interdisciplinary Team (IDT) will be notified of:.vi. Residents refusing treatment.This citation relates to Intake 2636572.3.1-37(a)
Residents Affected - Few
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
PLAINFIELD HEALTH CARE CENTER in PLAINFIELD, 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 PLAINFIELD, 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 PLAINFIELD HEALTH CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.