Majestic Care Of Deming Park
Inspection Findings
F-Tag F0609
F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Based on interview and record review, the facility failed to report an allegation of resident-to-resident abuse to the Indiana Department of Health in a timely manner for 2 of 4 residents reviewed for abuse (Resident B and C). This deficient practice was corrected by 11/3/25 prior to the start of the survey and was therefore Past Noncompliance. Findings include: A Facility Reported Incident form, submitted by the Interim Administrator on 10/30/25, indicated, on 10/8/25 at 8:45 a.m., Resident B was sitting in the back west hallway with a female resident sitting close by, when Resident C came down the hall and yelled at Resident B to leave her alone. Resident B then yelled at Resident C in response. The residents were immediately separated. During an interview on 11/12/25 at 2:04 p.m., the Social Services Director (SSD) indicated the morning of 10/8/25, she heard yelling down the hallway. As she turned the corner to where the noise was coming from, she observed multiple staff members separating Resident B and Resident C. She spoke with all residents involved and then went to the former Administrator and reported the incident. The former Administrator indicated to her that she wanted to reach out to someone prior to the SSD entering a progress note regarding the incident. She indicated to the SSD she would let her know when to proceed with documentation. The SSD indicated she noticed later, the former Administrator had left the facility for
the day. She proceeded to enter the progress notes regarding the incident at that time. She had thought the incident had been reported to the Indiana Department of Health, as Resident B had threatened Resident C.
A progress note, dated 10/8/25 at 3:23 p.m., entered by the SSD, indicated she had heard yelling down the hall. When she arrived, Resident B was being moved by a staff member away from another resident. When Resident B was asked what had happened, he indicated Resident C had told him not to touch the female resident, and Resident B responded he would lay him out and fuck him up. The SSD had reported the incident to the Administrator. A current facility policy, revised 6/5/25, titled, Abuse, Mistreatment, Neglect, Exploitation and Misappropriation, provided by the Director of Nursing on 11/12/25 at 3:38 p.m., included
the following: .E. Initial Reporting .2) Department of Health. a) If abuse is alleged or Serious Bodily Injury. If any form of abuse is alleged (e.g., physical verbal, etc.) ., the Administrator or his/her designee will notify
the Department of Health immediately, but not later than 2 hours after the allegation is made. This deficient practice was corrected by 11/3/25 prior to the start of the survey and was therefore Past Noncompliance.
The facility implemented a systemic plan that included staff education, skin assessments, and wound care plan audits, and ongoing monitoring was in place. This tag relates to Intake 2657794. 3.1-28(c)
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:
MAJESTIC CARE OF DEMING PARK in TERRE HAUTE, 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 TERRE HAUTE, 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 DEMING PARK or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.