Westminster Village Muncie Inc

In the surveyor’s words

From the most serious findings on record at Westminster Village Muncie Inc, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812May 13, 2026

  Based on observation, interview, and record review, the facility failed to ensure food was served in a method to prevent possible cross contamination and/or foodborne illness for 56 of 56 residents who ate meals served in the skilled unit facility kitchen. Findings include: During a lunch meal service, on 5/6/26 from 11:35 a.m. to 11:40 a.m., the following food service concerns were observed:Cook 5 was wearing disposable gloves. Using her gloved hands, she touched resident meal tickets, clean dishes, scoops, tongs, sweat potato fries, and a sandwich. She repeated this process touching meal tickets, the outside of the bread bag, fries, sandwich wraps, and plate rims. […]

• No harm, potential for more than minimal, patternF565Jun 18, 2025

  Based on record review and interview, the facility failed to have a system in place to respond to and promptly resolve resident council concerns. Finding includes: Review of the facility's Resident Council Minutes, on 6/16/25 at 9:36 a.m., included the following Resident Council concerns: On 4/17/25 at 10:30 am., six residents attended the resident council meeting. A concern in the minutes under dietary indicated the hot foods not. The Resident Council Action Form was left blank. The form had areas for the reported concern, date the form was due back to resident council, staff response and action plan, and staff signature and title. On 5/15/25 at 11:00 a.m., seven residents attended the resident council meeting. The Old Business section was left blank. […]

• No harm, potential for more than minimal, patternF689Feb 10, 2023

  Based on observation, interview, and record review, the facility failed to ensure residents, who were at risk for falls, had interventions in place in accordance with their care plan for 4 of 8 residents reviewed for fall prevention. (Residents 16, 38, 41 & 42 ) Findings include: 1. Resident 16's clinical record was reviewed on 2/7/23 at 1:05 p.m. Current diagnoses included dementia, hypertension, depression and chronic obstructive pulmonary disease. The resident had a current,8/12/22, physician's orders for a bed pad alarm, a low bed,a single blue mat on the floor beside the bed, and wheel chair anti- tippers. A current, 12/31/22, care plan problem indicated the resident was at risk for falls. […]

• No harm, potential for more than minimal, isolatedF880May 13, 2026

  A. Based on observation, interview, and record review, the facility failed to follow enhanced barrier precautions (EBP) and utilize proper hand hygiene during suprapubic catheter (urinary catheter inserted into the bladder via the abdomen) care for 1 of 2 residents reviewed for urinary catheters. (Resident 17)B. Based on observation and interview, the facility failed to properly handle medications utilizing infection prevention and control measures during medication administration for 2 of 4 residents reviewed for medication administration. (Resident 37 and Resident 40)Findings include:A1. During an observation, on 5/6/26 at 11:38 a.m., Resident 17 was in his bed. The urinary catheter drainage bag and tubing were directly against the floor. […]

• No harm, potential for more than minimal, isolatedF628Jun 18, 2025

  Based on record review and interview, the facility failed to provide bed hold policy and transfer/discharge notifications to the resident/representative for 2 of 2 residents reviewed for hospitalizations. (Residents 1 & 17) Findings include: 1. Resident 1's clinical record was reviewed on 6/17/25 at 11:41 a.m. Diagnoses included acute on chronic diastolic (congestive) heart failure, hypertensive heart disease with heart failure, and hypertension. A 4/6/25, quarterly, Minimum Data Set (MDS) assessment indicated the resident was cognitively intact. A 5/31/25, discharge, MDS assessment indicated the resident discharged with a return anticipated. […]