Plainfield Health Care Center
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Based on record review and interview, the facility failed to complete an Interdisciplinary Team (IDT) post fall assessment and implement post fall interventions for 3 of 3 residents reviewed for accidents. (Resident B, E, and F) Findings include:1. The clinical record for Resident B was reviewed on 11/6/25 at 10:21 a.m.
Diagnoses included history of stroke affecting left side, epilepsy, and dementia with behavioral disturbance.A health care plan, dated 6/22/25, indicated the resident was a high risk for falls related to confusion, incontinence and poor comprehension/communication.Resident B's progress notes lacked documentation of an IDT review of falls on 8/13/25, 8/17/25, 8/21/25, 8/22/25, and 8/23/25. The resident's care plan lacked an added intervention for the fall on 8/23/25.2. The clinical record for Resident E was reviewed on 11/6/25 at 12:05 p.m. Diagnoses included senile degeneration of the brain, convulsions, dementia, and difficulty walking.A health care plan, revised on 9/5/25, indicated the resident was a high risk for falls related to gait/balance problems, incontinence, safety awareness, and medication side effects.Resident E's progress notes lacked documentation of an IDT review of falls on 8/15/25, 9/2/25, 9/4/25, 9/5/25, 9/17/25, and two falls on 9/18/25. The resident's care plan lacked added interventions for the falls on 8/15/25 and 9/2/25.3. The clinical record for Resident F was reviewed on 11/6/25 at 12:57 p.m.
Diagnoses included intercranial injury with loss of consciousness, difficulty walking, repeated falls, dementia, and Parkinson's disease.A health care plan, revised 10/13/25, indicated the resident was a high risk for falls related to an unsteady gait, walking too fast, Parkinson's disease, and a history of traumatic brain injury.Resident F's progress notes lacked documentation of an IDT review of a fall on 8/12/25, 8/13/25, 8/30/25, 10/6/25, 10/11/25, 10/15/25, and 10/18/25. The resident's care plan lacked an added intervention for falls on 10/6/25.During an interview on 11/6/25 at 1:39 p.m., the Director of Nursing (DON) indicated an Interdisciplinary Team (IDT) review had been completed during the following morning meeting for the resident's falls, however, he had failed to document the root cause and review of the IDT and had also failed to add interventions for some of the falls. This should be completed and documented with each resident fall.A current facility policy, undated, titled, Response to Falls, provided by the Administrator on 11/7/25 at 9:20 a.m., included the following: Purpose To ensure the Facility responds quickly and appropriately to resident falls in a manner that addresses both the resident's immediate needs and longer-term fall prevention. Policy.V. The Interdisciplinary Team (IDT) will review the investigative reports on
a regular basis, as they many occur, and make systemic changes to reasonably limit future occurrences, consider change in POC [plan of care] interventions, system changes, etc.II. Post-Fall Assessment and Monitoring.C. Following each resident fall, the Interdisciplinary Team (IDT)-Falls Committee will review the Post-Fall Assessment & Assessment within 72 hours, or as soon as practicable. i. Based on the Post-Fall Assessment & Investigation, the IDT Committee will review fall prevention interventions and modify the plan of care as indicated.This citation relates to Intake 2659706.3.1-45(a)
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.