Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around March 2027
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Seymour Crossing during CMS and state inspections, most recent first.
A resident with stroke-related R-sided hemiparesis and a hand contracture was ordered to wear a resting hand splint on the R hand at all times except for hand washing and skin checks. Surveyors observed the resident multiple times without the splint, and the device was found stored in the room rather than in use. The resident said he did not think he had worn it for some time, CNA staff said they usually applied it but did not document it, and the EMAR/progress notes lacked documentation of application or refusal.
A facility failed to follow a physician order for a resident with diabetes and moderate cognitive impairment when an ordered hemoglobin A1C was not completed as scheduled. The record showed prior A1C results earlier in the year, but no result for the missed test, and the DON/Administrator stated the lab had a requisition but never obtained the specimen and the facility did not catch that the test was not done.
Failure to Deliver Saturday Mail: Residents reported in council that mail was not delivered on Saturdays and weekend mail was held until Monday. The ADON/Activity Director stated she did not have a mailbox key and had not been distributing mail on Saturdays, despite weekend Activity Aides being present. The facility policy stated residents have the right to send and promptly receive mail.
A cognitively intact resident with cardiac and hematologic conditions reported that over four hundred dollars in cash kept in her dresser went missing after she and an LPN friend had previously counted and documented a higher amount in an envelope. Financial records showed a large petty cash check from the resident’s account written directly to an LPN, contrary to the stated practice of issuing such checks for family to cash, and the administrator and DON were unaware the check had been made out to staff. In addition, several cognitively intact residents with COPD, heart failure, cerebral palsy, stroke, depression, anxiety, diabetes, and hypertension had orders for PRN or scheduled hydrocodone-acetaminophen or oxycodone-acetaminophen, and review of MARs and controlled substance records revealed multiple instances where an LPN signed out extra narcotic doses between scheduled times that were not documented as given on the MAR and were not reported as received by the residents. When confronted, an LPN admitted in a signed statement to taking residents’ narcotic medications for personal use beginning shortly after hire, constituting misappropriation of both resident funds and medications.
Multiple residents, including those with cognitive impairment and significant medical needs, were exposed to excessive heat in common areas due to a broken air conditioning unit. The facility did not monitor or document air temperatures as required by policy, and residents avoided activities and dining in affected areas. The deficiency was identified during a complaint investigation.
The facility did not have an RN on duty for eight consecutive hours on two days, as required. The DON was unsure why coverage was lacking, and the Administrator confirmed there was no specific policy for RN coverage, relying instead on State and Federal regulations.
The facility failed to follow physician orders for three residents, including not administering midodrine for low blood pressure for a resident with atrial fibrillation, administering Lisinopril-Hydrochlorothiazide despite low blood pressure for another resident, and not following nephrostomy tube care orders for a third resident. These actions were contrary to the specified medical orders and facility policies.
The facility failed to document meal consumption for two severely cognitively impaired residents, both with significant medical conditions. Despite the facility's policy requiring staff to document nutritional intake after each meal, records for these residents were incomplete on multiple occasions, leading to a deficiency in maintaining accurate documentation.
A facility failed to implement pharmacy recommendations for a resident's medication regimen. Despite a physician's agreement to switch the resident's iron therapy from ferrous sulfate to Ferrex, the change was not reflected in the EMAR, and the resident continued receiving the incorrect medication. The facility's policy required timely review and implementation of pharmacy recommendations, which was not followed in this case.
A medication error occurred when an LPN initially prepared the wrong insulin dosage for a resident without verifying the current order. Upon checking the EMAR, the LPN corrected the dosage from 2 units to 6 units, as required by the resident's blood sugar level. The facility's policy mandates a 3-way check to ensure correct medication administration.
A resident receiving Coumadin therapy experienced a significant medication error due to delayed communication of PT/INR lab results. The resident continued to receive a 7.5 mg dose of Coumadin daily without necessary adjustments, as the high PT/INR results were not communicated to the physician until several days later. The facility's process required timely communication of lab results to adjust medication dosages appropriately.
A facility failed to ensure a resident was clinically appropriate for self-administration of medication before leaving it unattended at the bedside. The resident was found with a medicine cup and bottles on her table, indicating she sometimes administered them herself. Staff interviews revealed a lack of awareness and adherence to the facility's medication policy, with no care plan or order for self-administration in place prior to the incident.
Failure to Apply Ordered Splint for Resident With Hand Contracture
Penalty
Summary
The facility failed to ensure a splinting device was applied as ordered for a resident with a hand contracture and limited ROM. Resident 74 had a history of stroke with right-sided hemiparesis/hemiplegia and was assessed as moderately cognitively impaired. An OT note dated 02/19/2026 documented that the resident could not use his carrot splint because he kept losing it, and the therapist applied a resting hand splint to the resident’s right hand, educated the resident on its use, and recommended the splint to prevent further spasticity, worsening contracture, and sores on the hand. The physician’s order directed staff to apply the resting hand splint to the resident’s right hand at all times, removing it only for hand washing and skin checks. During multiple observations, the resident was repeatedly found without the splint in place while in bed and while seated in his wheelchair in the lounge. On one observation, the splint was found lying on the dresser behind the television next to the resident’s ball cap, and the resident stated he did not think he had worn it for some time. CNA 2 stated staff usually put the splint on the resident but did not document it anywhere, and that CNAs would tell the nurse, who would check it off in the EMAR. Review of the resident’s February, March, and April 2026 EMARs and progress notes showed no documentation that the splint was applied or that the resident refused it.
Failure to Complete Ordered Hemoglobin A1C Testing
Penalty
Summary
The facility failed to follow a physician’s order for laboratory services for one resident with diabetes and moderate cognitive impairment. The resident had an order for a hemoglobin A1C to be completed every third month on the first Thursday, and the clinical record showed results in April and July 2025, but no hemoglobin A1C result for October 2025 was found in the record. During interview, the Administrator stated the facility could not provide the October 2025 hemoglobin A1C result. The Administrator said the laboratory had a requisition for the test, but the lab never came to obtain it and the facility did not catch that the test was not completed. The facility policy on lab and radiology tracking stated that one person should be assigned to track labs, daily order checks should ensure all orders are entered, and the designated person should run lab tracking reports daily to confirm each due test has been obtained.
Failure to Deliver Saturday Mail
Penalty
Summary
The facility failed to ensure residents received mail on Saturdays. During a Resident Council meeting held on 04/02/2026, residents stated that mail was not delivered on Saturdays and that any mail received over the weekend had to wait until the following Monday to be distributed. The Activity Director was present at the meeting and stated she did not have a key to the mailbox and had not been delivering mail to residents on Saturdays. Clinical record review showed that Resident 16, Resident 57, Resident 59, and Resident 64 were cognitively intact based on MDS assessments dated between 01/15/2026 and 03/31/2026. During an interview on 04/07/2026, the Activity Director stated she had been filling in since May 2025 and became the permanent Activity Director in December 2025, worked Monday through Friday, and was in the facility as manager on duty every 5th or 6th weekend. She also stated the Activity Aides were in the facility every weekend, and the mailbox key was provided to the Activity Director during the survey process for Saturday mail access. The facility policy stated residents have the right to send and promptly receive mail.
Misappropriation of Resident Funds and Narcotic Medications by Nursing Staff
Penalty
Summary
The deficiency involves the facility’s failure to prevent misappropriation of a cognitively intact resident’s money and misappropriation of multiple cognitively intact residents’ narcotic pain medications. One resident, diagnosed with heart failure, hypertension, and anemia, kept a large amount of cash in an envelope in her dresser drawer. She reported that over four hundred dollars was missing from this envelope, which she kept in her room where she had no roommate and no family visitors, and she rarely left the room except for showers or using the restroom. A close friend who was an LPN at the facility had helped her count the money the day after Christmas, documenting $510 on the outside of the envelope, but when they recounted the money in early January, only $77 remained, leaving $433 unaccounted for. The administrator later confirmed the envelope amounts and stated he had not known the resident had that much money in her possession. Further review of the resident’s financial records showed that the business office had written a petty cash check for $767 from the resident’s account payable to the same LPN, with the resident’s name in the memo line, leaving only $0.81 in the resident’s facility account. The business office manager stated that the facility’s practice was to allow residents to receive up to $50 in cash per day, and for amounts over $50, checks were written so that a resident’s family could cash them; however, in this case, the check was written directly to the LPN, who reported that she cashed the check and returned the cash to the resident. The LPN stated that after the resident made some Christmas purchases and mailed a gift to an out-of-state loved one, there was still $510 left in the envelope. The administrator and DON reported they were unaware that a check for this resident had been written in the LPN’s name, and the resident had no family involvement. The deficiency also includes misappropriation of narcotic pain medications for several cognitively intact residents with diagnoses such as COPD, cerebral palsy, heart failure, depression, anxiety, stroke, diabetes, and hypertension. For one resident receiving hydrocodone-acetaminophen as needed every eight hours, the MAR showed a single narcotic dose administered by an LPN on a specific date, while the controlled substance record showed another nurse signing out multiple doses that same day at different times. Another resident with heart failure, hypertension, diabetes, depression, and COPD had an order for hydrocodone-acetaminophen every 12 hours; the controlled substance record showed multiple doses signed out by an LPN on several days and times, including doses between scheduled intervals, while the MAR reflected only some of these administrations and lacked documentation for others. Similar discrepancies were found for two additional residents ordered oxycodone-acetaminophen as needed every six hours, where the controlled substance records showed multiple doses signed out by the same LPN at various times, but the MARs documented far fewer administrations. The administrator and DON reported that the LPN who began working in early August had initially done well in orientation, but it was later reported that she appeared to have signed out too many narcotic pills over a weekend. Upon investigation, the DON identified multiple instances where this LPN had signed out narcotic doses between scheduled times for residents. Interviews with the involved residents confirmed they received their scheduled pain medications but did not receive any additional doses beyond what was ordered. When confronted with documentation showing narcotics signed out outside of scheduled doses, the LPN admitted in a written, signed statement that she had been taking narcotic medications from residents for her own use starting about two weeks after hire. A nurse described that narcotics were kept under double lock in medication carts, with each administration documented in a narcotic count book, and a random count of one cart on the day of survey was correct. The facility’s abuse policy defined misappropriation of resident funds or property as wrongful use of a resident’s property or money without consent, which was not adhered to in these instances.
Failure to Maintain Safe and Comfortable Environment Due to Excessive Heat
Penalty
Summary
The facility failed to maintain a safe, comfortable, and homelike environment for five of seven residents reviewed, as evidenced by excessive heat in common areas due to a broken air conditioning unit. Resident B, who was cognitively intact and had diagnoses including hypertension, diabetes, and asthma, reported that the air conditioning in the hallway and dining room was broken, causing him to avoid these areas due to excessive heat. He stopped attending activities and sometimes avoided eating in the dining room. The Maintenance Director confirmed that the air conditioning unit serving the B hallway, kitchen, and dining room had been nonfunctional for about two months and required replacement. During this period, the facility did not have a thermometer to monitor air temperatures and relied on thermostats, which showed temperatures in the common areas ranging from 81 to 83 degrees Fahrenheit. Observations revealed that the main dining room, where multiple residents were eating, was affected by heat from the kitchen, as the door was propped open. Residents D, E, F, and G, all of whom were severely cognitively impaired, required extensive staff assistance for mobility, and had significant medical conditions, were present in the restorative dining area during these conditions. The facility's Emergency Operations Plan required monitoring and documentation of ambient air temperatures and specified actions if temperatures exceeded 81 degrees Fahrenheit, but these procedures were not followed. The deficiency was identified during a complaint investigation and related to the facility's failure to ensure a safe and comfortable environment as required.
Failure to Provide Required RN Coverage
Penalty
Summary
The facility failed to provide the required Registered Nurse (RN) coverage for eight consecutive hours a day on two specific days, as identified during a review of the nursing schedule from July to September 2024. On Saturday, September 28, 2024, and Sunday, September 29, 2024, there was no RN on duty for the required duration. During an interview, the Director of Nursing (DON) acknowledged that the schedule typically included an RN for eight hours each day but was unsure why coverage was lacking on those two days. The facility's Administrator confirmed that there was no specific policy for RN coverage, and they adhered to State and Federal regulations without any nursing waivers in place.
Failure to Follow Physician Orders for Medication and Treatment
Penalty
Summary
The facility failed to adhere to physician's medication hold parameters and treatment orders for three residents. Resident 18, who was cognitively intact and had diagnoses including atrial fibrillation and renal insufficiency, did not receive midodrine as ordered when their blood pressure was below 110 on multiple occasions. Despite having an order to administer midodrine for low blood pressure, the medication was not given when the resident's blood pressure readings were below the specified threshold. Interviews confirmed that the medication should have been administered according to the physician's order. Resident 70, also cognitively intact, had an order to hold Lisinopril-Hydrochlorothiazide if their systolic blood pressure was less than 130. However, the medication was administered on several occasions when the resident's blood pressure was below this parameter. Additionally, Resident 38's nephrostomy tube care was not performed according to the physician's order, which specified cleansing with soap and water. Instead, normal saline was used, contrary to the order. The facility's policies were not followed, and there was no specific policy on adhering to physician orders, which was considered standard practice.
Failure to Document Meal Consumption for Cognitively Impaired Residents
Penalty
Summary
The facility failed to document meal consumption for two residents who were severely cognitively impaired. Resident 16, with diagnoses including hypertension, diabetes, non-Alzheimer's dementia, anxiety, and depression, had missing meal consumption records on multiple occasions throughout January and February 2025. These omissions included several meals such as dinner, lunch, and breakfast on specific dates, indicating a lack of consistent documentation of the resident's nutritional intake. Similarly, Resident 36, who was also severely cognitively impaired and diagnosed with anemia, heart failure, hypertension, non-Alzheimer's dementia, and depression, experienced weight loss without being on a prescribed weight loss regimen. The resident's meal consumption records were incomplete on several dates, mirroring the pattern observed with Resident 16. During an interview, a CNA confirmed that staff were responsible for documenting meal consumption after each meal, as per the facility's policy. However, the records for these residents were not consistently maintained, leading to a deficiency in documenting nutritional intake.
Failure to Implement Pharmacy Recommendations for Resident's Medication
Penalty
Summary
The facility failed to follow pharmacy recommendations for a resident reviewed for medication irregularities. The resident, who was moderately cognitively impaired, had diagnoses including hypertension, diabetes, cirrhosis, malnutrition, and anemia. A Pharmacy Consultation Report recommended optimizing the resident's iron therapy by switching from ferrous sulfate 325 mg every other day to Ferrex 150 mg daily. Although the physician agreed with this recommendation, the change was not implemented in the resident's medication administration record. The February 2025 Electronic Medication Administration Record showed that the resident continued to receive ferrous sulfate every other day, and there was no new order for Ferrex 150 mg daily. During an interview, the IP Nurse indicated that the signed recommendations were given to the nurse responsible for the resident's care to transcribe the physician's order, but the medication changes were not made. The facility's policy required pharmacy recommendations to be reviewed and followed up by the physician within 30 days, but this process was not completed for the resident in question.
Medication Error in Insulin Administration
Penalty
Summary
The facility failed to prevent a medication error during the administration of insulin to Resident 69. During an observation, an LPN prepared to administer 2 units of insulin without verifying the resident's current insulin order on the computer. Upon being prompted to verify the order, the LPN checked the Electronic Medication Administration Record (EMAR) and discovered that the resident's blood sugar level of 207 required 6 units of insulin according to the sliding scale order. The LPN then corrected the dosage and administered the correct amount of insulin to the resident. The clinical record for Resident 69 included a physician's order for insulin administration based on a sliding scale, which specified different insulin dosages according to blood sugar levels. The facility's policy on medication administration required a 3-way check to ensure the correct medication, dose, route, rate, time, and resident. The LPN initially failed to follow this policy by not verifying the insulin order before preparing the medication, leading to a potential medication error.
Failure to Prevent Significant Medication Error in Coumadin Therapy
Penalty
Summary
The facility failed to prevent a significant medication error for a resident who was receiving Coumadin therapy. The resident, who was cognitively intact and had diagnoses including hypertension, diabetes, anxiety, depression, and cerebrovascular accident, was supposed to have their PT/INR levels monitored to adjust the Coumadin dosage accordingly. However, the PT/INR lab results, which were drawn on a Friday, were not received by the facility until the following Monday. During this period, the resident continued to receive the prescribed 7.5 mg dose of Coumadin daily without the necessary adjustment based on the lab results. The facility's process required that the PT/INR results be communicated to the physician before administering the next dose of Coumadin. Despite this, the results indicating a high PT/INR were not communicated to the physician until several days later. The Director of Nursing acknowledged that the staff should have contacted the Nurse Practitioner on the day the lab was drawn to verify the medication dosage. This oversight led to the resident receiving potentially inappropriate doses of Coumadin for several days.
Failure to Ensure Clinical Appropriateness for Self-Administration of Medication
Penalty
Summary
The facility failed to ensure that a resident was clinically appropriate for self-administration of medication before leaving medication unattended at the bedside. During an observation, a resident was found in her wheelchair with a medicine cup filled with various colored pills on her bedside table and two separate medicine bottles with liquid drop medications on the bed. The resident indicated that the nurse left the medications on the table for her to take while she was in the restroom, and she sometimes administered them herself. No staff were present in the room or within sight of the resident at the time. Interviews with facility staff revealed a lack of awareness and adherence to the facility's medication administration policy. A Qualified Medication Aide mentioned the presence of a confused resident who wandered the hallway regularly, while an LPN stated she was unaware of any residents self-administering medications and emphasized that staff should remain in the room until medication is taken. The Director of Nursing confirmed that the resident lacked a care plan and an order for self-administration prior to the incident. The resident's clinical record, reviewed after the observation, showed no assessment or order for self-administration until after the deficiency was noted.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Seymour
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Lutheran Community Home | 1.2 mi | — | 15 | 0 |
| Covered Bridge Health Campus | 2.6 mi | — | 8 | 0 |
| Hoosier Health & Living Community | 10.9 mi | — | 3 | 0 |
| Majestic Care Of North Vernon | 12.9 mi | — | 5 | 0 |
| Hampton Oaks Health Campus | 17.5 mi | — | 1 | 0 |
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