Lutheran Community Home
LUTHERAN COMMUNITY HOME in SEYMOUR, IN — inspection on October 23, 2025.
Found 1 citation. 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 observation on 10/23/2025 at 1:14 P.M., the resident was in bed, and the roam alert bracelet was on his left ankle.
The resident's Care Plans were reviewed and lacked a Care Plan for the roam alert system.
The resident's orders lacked orders for the roam alert bracelet, monitoring the functionality of the device, and monitoring the skin under the device.
During an interview on 10/23/2025 at 2:04 P.M., the Assistant Director of Nursing indicated if a resident was determined to be an elopement risk, a roam alert bracelet would be placed on them.
The computer would be updated with their name and picture, and an order would be placed in the Electronic Medication Administration Record (EMAR) to monitor the resident and the device. A Care Plan should also be written for the use of the device.
There should have been a Care Plan for the roam alert device, and an order added to his EMAR.
The current facility policy, titled Resident Alarms was provided by the DON on 10/23/2025 at 2:33 P.M.
The policy indicated, .When alarms are utilized, additional monitoring shall be provided, including but not limited to: Verifying alarms are working properly.
Monitoring for adverse consequences associated with the use of the alarms.
The current facility policy, titled Comprehensive Care Plans was provided by the Administrator on 10/23/2025 at 2:10 P.M.
The policy indicated, .It is the policy of this facility to develop and implement a comprehensive person – centered care for each resident.
This citation relates to Intake 2642237. 3.1-31(a)
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