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Complaint Investigation

Vernon Health & Rehabilitation

August 25, 2025 · Wabash, IN · 1955 S Vernon St
Citations 1
CMS Rating 3/5
Beds 71
Provider ID 155810
Healthcare Facility
Vernon Health & Rehabilitation
Wabash, IN  ·  View full profile →
Inspection Summary

VERNON HEALTH & REHABILITATION in WABASH, IN — inspection on August 25, 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.

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Inspection Findings

FF0684
Quality of Life and Care Deficiencies
Potential for More Than Minimal Harm

Based on interview and record review, the facility failed to administer medications according to physician order for 1 of 3 residents reviewed for medication administration. (Resident B) Findings include:Resident B's closed clinical record was reviewed on 8/25/25 at 10:44 a.m.

Diagnoses included spastic quadriplegic cerebral palsy, dysphagia, and scoliosis.

Current orders during the resident's stay included diazepam 2.5 milligram (mg) four times a day. A June 2025 Medication Administration Record (MAR) indicated he received four doses of diazepam on 6/7/25.A June 2025 narcotic count sheet indicated the medication was not removed for his 6/7/25 morning and noon doses.

During an interview, on 8/25/25 at 4:25 p.m., the ADON indicated it showed the medication was documented as administered on the MAR but was not signed out on the controlled medication log.

Staff should double check the medication, dispense the medication from the medication card, mark that the medication was prepped on the MAR, give the medication, and then mark that the medication administered on the MAR.

During an interview, on 8/25/25 at 4:33 p.m., the Administrator indicated that the diazepam was signed off as administered on the MAR but was not signed out on the narcotic count sheet.

Looking at both sheets, it appeared the medication was not administered to Resident B.A current facility policy, titled Medication Administration, provided by the Administrator on 8/25/25 at 4:14 p.m., indicated the following: Policy: Medications are administered by licensed nurses, or other staff who are legally authorized to do so in this state, as ordered by the physician and in accordance with professional standards of practice, in a manner to prevent contamination or infection. 20.

Sign MAR after administered. 21. If medication is a controlled substance, sign narcotic sheet.This citation relates to Intake 1753947.3.1-37(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.

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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 WABASH, 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 VERNON HEALTH & REHABILITATION or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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