Copper Trace Health & Living Community
COPPER TRACE HEALTH & LIVING COMMUNITY in WESTFIELD, IN — inspection on October 28, 2025.
Found 2 citations. 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
never had any as far as he could remember.
She did not have anyone present with her when he gave her the discharge education.
During an interview, on 10/27/25 at 2:55 p.m., the Social Services Director (SSD) indicated Resident B would not give the facility any names or phone numbers of her support network, so they were unable to verify the capabilities or willingness of any caregivers.
Education was only given to Resident B.
Despite the impaired cognition, the resident sounded fine when she talked with the resident.
She did not believe the resident was impaired enough to be incapable of making her own decisions or to have impaired judgment.
The brother declined any other discharge plans except going home with home health because he said the resident could not afford any other options.
She believed she mentioned Medicaid to him, but she did not document any conversations.
She did not offer to help him apply for Medicaid for the resident.
During an interview, on 10/27/25 at 1:45 p.m., Resident B's brother indicated the resident had wanted to stay at the facility and he wanted her to as well, but she could not afford it. He was not educated on her care after discharge because he could not take care of her from Florida.
The facility never mentioned Medicaid and there were no offers to help him try to get Medicaid for Resident B.
With the insurance ending payment on 10/3/25, the social worker did not offer any options other than discharging home with home health or staying and paying out of pocket.
The resident could not afford to stay and pay out of pocket. He believed the resident had friends who helped her, but he could not verify who they were.
He had not spoken with them so he could not say what they were capable of or agreeable to do. He did not know any actual names and did not have any contact information.
The facility had not offered to assist him with obtaining power of attorney (POA) paperwork. He did not know who to contact, how to apply for Medicaid or how to proceed with getting access to the resident's banking information until the current hospital case manager gave him information and helped him.A current facility policy, titled Discharge Planning, dated 6/4/19, indicated .The discharge summary shall include a description of the resident's.mental functional status; F.
Ability to perform activities of daily living including: 1.
Bathing, dressing and grooming, transferring and ambulating, toilet use, eating, and using speech, language, and other communication systems; 2.
Need for staff assistance and assistive devices or equipment to maintain or improve functional abilities; and.Nutritional status and requirements: 1.
Weight and height; 2.
Nutritional intake; and 3.
Eating habits, preferences and dietary restrictions. J.
Mental and psychosocial status (ability to deal with life, interpersonal relationships and goals, make health care decisions, and indicators of resident behavior and mood);.Cognitive status (the ability to problem solve, decide, remember, and be aware of and respond to safety hazards); and P.
Medication therapy (all prescription and over-the-counter medications taken by the resident including dosage, frequency of administration, and recognition of significant side effects that would be most likely to occur in the resident). III. As part of the discharge summary, the nurse will reconcile all pre-discharge medications with the resident's post-discharge medications.
The medication reconciliation will be documented.The post-discharge plan will be developed by the Care Planning/Interdisciplinary Team with the assistance of the resident and his or her family and will include.The degree of caregiver/support person availability, capacity and capability to perform required care.What factors may make the resident vulnerable to preventable readmission, and G.
How those factors will be addressed.A copy of the following will be provided to the resident and any receiving provider .The discharge summary A current facility job description, titled Social Services Director, dated February 2021, indicated .Provides advice and appropriate referrals to minimize social and economic obstacles to discharge, and coordinates discharge planning communications and documentation This citation relates to Intake 2639611.3.1-12(a)(3)3.1-12(a)(4)(B)3.1-12(a)(18)3.1-12(a)(19)3.1-12(a)(20)3.1-12(a)(21)
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
10/28/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Copper Trace Health & Living Community
1250 W 146th Street Westfield, IN 46074
SUMMARY STATEMENT OF DEFICIENCIES
During an interview, on 10/28/25 at 11:15 a.m., LPN 2 indicated nursing did not assess Resident B's ability to safely manage her medications, her recall knowledge of her medications, or the ability to remember to safely take her medications at the correct time and correct dose.
During an interview, on 10/28/25 at 11:20 a.m., LPN 1 indicated he went over all the discharge instructions, medications, and follow up appointments with the resident at discharge. He believed she understood things at the time while he was talking to her, but she did have memory issues, so home health was taking over her care.
She was not allowed to administer any of her medications by herself or keep any medications in her room while in the facility.
Residents with memory issues and cognitive scores like Resident B usually had caregivers or family with them for discharge education, but Resident B never had any as far as he could remember.
She did not have anyone present with her when he gave her the discharge education.
During an interview, on 10/28/25 at 12:15 p.m., the Nursing Services Director for the home health agency indicated she had not received the discharge summary with a medication list from the facility. It was unavailable to the home health care nurse when she arrived to evaluate the resident on 10/8/25.
The agency attempted to initiate services within 24 to 48 hours, but weekends were more difficult.
They were not notified of any urgency and did not usually set up medications.
Monitoring the doses and managing as needed medications was not a service home health care provided.
Home health would only be visiting Resident B a few times a week and would not provide the level of supervision Resident B required with her poor cognition and memory.
The nurse would only see the resident once a week.A current facility policy, titled Discharge Planning, dated 6/4/19, indicated .The discharge summary shall include a description of the resident's.mental functional status; F.
Ability to perform activities of daily living including: 1.
Bathing, dressing and grooming, transferring and ambulating, toilet use, eating, and using speech, language, and other communication systems; 2.
Need for staff assistance and assistive devices or equipment to maintain or improve functional abilities; and.Nutritional status and requirements: 1.
Weight and height; 2.
Nutritional intake; and 3.
Eating habits, preferences and dietary restrictions. J.
Mental and psychosocial status (ability to deal with life, interpersonal relationships and goals, make health care decisions, and indicators of resident behavior and mood);.Cognitive status (the ability to problem solve, decide, remember, and be aware of and respond to safety hazards); and P.
Medication therapy (all prescription and over-the-counter medications taken by the resident including dosage, frequency of administration, and recognition of significant side effects that would be most likely to occur in the resident). III. As part of the discharge summary, the nurse will reconcile all pre-discharge medications with the resident's post-discharge medications.
The medication reconciliation will be documented.The post-discharge plan will be developed by the Care Planning/Interdisciplinary Team with the assistance of the resident and his or her family and will include.The degree of caregiver/support person availability, capacity and capability to perform required care.What factors may make the resident vulnerable to preventable readmission, and G.
How those factors will be addressed.A copy of the following will be provided to the resident and any receiving provider .The discharge summary A current facility job description, titled Social Services Director, dated February 2021, indicated .Provides advice and appropriate referrals to minimize social and economic obstacles to discharge, and coordinates discharge planning communications and documentation This citation relates to Intake 2639611.3.1-12(a)(3)3.1-12(a)(4)(B)3.1-12(a)(18)3.1-12(a)(19)3.1-12(a)(20)3.1-12(a)(21)
Facility ID: