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Complaint Investigation

Copper Trace Health & Living Community

October 28, 2025 · Westfield, IN · 1250 W 146th Street
Citations 2
CMS Rating 3/5
Beds 104
Provider ID 155841
Healthcare Facility
Copper Trace Health & Living Community
Westfield, IN  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

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

FF0627
Resident Rights Deficiencies

He was not educated on her care after discharge because he could not take care of her from Florida.

options other than discharging home with home health or staying and paying out of pocket.

The

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)

155841 10/28/2025

Copper Trace Health & Living Community 1250 W 146th Street Westfield, IN 46074

while he was talking to her, but she did have memory issues, so home health was taking over her

usually had caregivers or family with them for discharge education, but Resident B never had any as

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)

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 WESTFIELD, 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 COPPER TRACE HEALTH & LIVING COMMUNITY or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


More Reports

About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.