Munster Med-Inn

In the surveyor’s words

From the most serious findings on record at Munster Med-Inn, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Jan 28, 2026

  Based on record review and interview the facility failed to implement measures to prevent resident-to-resident verbal and physical abuse to a cognitively impaired dependent resident (Resident C) by his roommate (Resident B), who had a history of behaviors and recent verbal abuse toward Resident C, resulting in a physical altercation where Resident B struck Resident C in the face causing observed bruising, a bloody nose and swelling to his left jaw and cheek as well as facial fractures for 2 of 8 residents reviewed for abuse. […]

• Immediate jeopardy, isolatedF609Jan 28, 2026

  Based on record review and interview, the facility staff failed to report resident-to-resident verbal abuse from a resident with known behaviors (Resident B) towards his roommate (Resident C) to administration, which resulted in a lack of interventions to prevent later physical abuse for 2 of 8 residents reviewed for abuse. (Residents B and C) The immediate jeopardy began on 12/11/25 when a resident with a history of known physical and verbal behaviors was involved in a resident-to-resident verbal altercation with his roommate, which later escalated on a different day into a resident-to-resident physical altercation causing harm and a fractured jawbone. […]

• Actual harm, isolatedF688Jan 28, 2026

  Based on observation, record review, and interview, the facility failed to ensure a resident assessed without limited range of motion upon therapy discharge received recommended restorative services resulting in the development of a contracture to the right hand for 1 of 4 residents reviewed for range of motion. (Resident M)Finding includes:During random observations on 1/20/26 at 12:41 p.m., on 1/21/26 at 9:12 a.m.,1/22/26 at 9:24 a.m. and 1:18 p.m., and on 1/23/26 at 8:00 a.m. and 8:17 a.m., Resident M was observed in bed. At those times, the resident's right hand was closed in the shape of a fist. The resident indicated he could not move that hand or open it. There was no anticontracture device observed in his hand. […]

• Actual harm, isolatedF689Dec 5, 2024

  Based on observation, record review, and interview, the facility failed to ensure adequate supervision and assistance were provided to a dependent resident who required total assistance of staff for bed mobility for 1 of 3 residents reviewed for accidents. (Resident B) This deficient practice resulted in a fall and the resident sustained a left femur fracture. Finding includes: A confidential interview indicated Resident B fell out of bed while being repositioned with only one staff member and the resident sustained a leg fracture, the same leg that was fractured during a fall in October 2024. An additional confidential interview indicated the resident was having surgery on 12/4/24 due to re-injuring the left leg. The record for Resident B was reviewed on 12/4/24 at 1:42 p.m. […]

• Actual harm, isolatedF689Oct 22, 2024

  A. Based on observation, record review, and interview, the facility failed to ensure mechanical lift straps were safe for use prior to a transfer of a dependent resident for 1 of 1 resident reviewed for falls. (Resident B) This deficient practice resulted in a strap breaking during a transfer, the resident falling from the lift, and the resident sustaining a left femur fracture. B. Based on observation, record review, and interview, the facility failed to ensure hot water temperatures were below 120 degrees Fahrenheit on 2 of 4 floors throughout the facility. (The 5th and 2nd floors) Findings include: A. A confidential interview indicated Resident B fell from a mechanical lift when the sling straps broke, and the resident sustained a leg fracture. […]