River Terrace Health Campus: Incontinence Care Failures - IN
The citation, filed under F0725, covers what inspectors described as a failure affecting many residents — not one or two, but a pattern broad enough that federal surveyors used the highest population category available on the form. These were people who depended entirely on staff to manage their most basic bodily needs. They could not do it themselves. That was the whole point of being there.
The inspection was triggered by a complaint, logged under case number IN00454644. Someone reported what was happening. Inspectors came and confirmed it.
Incontinence care is not a peripheral concern in a nursing home. For residents who cannot reposition themselves, cannot reach a call button reliably, or cannot communicate their discomfort, sitting in soiled briefs or clothing is not a minor inconvenience. Prolonged contact with waste against skin causes breakdown. Skin breakdown leads to pressure wounds. Pressure wounds, in a frail elderly person, can become life-threatening infections. The path from a missed incontinence check to a serious medical crisis is short and well-documented.
Federal surveyors rated the harm level as minimal harm or potential for actual harm — the lower end of the scale, but the phrase "potential for actual harm" is doing real work there. It means the conditions inspectors found were the kind that cause injury. They hadn't necessarily documented the injury yet. That is a different thing from saying no one was hurt.
River Terrace Health Campus sits on Presbyterian Avenue in Madison, a small city of roughly 11,000 people in southeastern Indiana along the Ohio River. It operates as a health campus, a model that typically combines skilled nursing, rehabilitation, and assisted living services under one roof. The residents cited in this inspection were those in the skilled nursing population — people assessed as needing around-the-clock care, people whose care plans identified them as dependent on staff for activities of daily living.
Dependent is a clinical term, but it describes something concrete: a person who cannot perform a task without someone else doing it for them. When the inspection report says residents dependent on staff for activities of daily living did not receive the care and services needed related to incontinence care, it means staff did not come. Or did not come in time. Or came and did not complete the task adequately. The report does not specify which. It specifies that the failure happened, and that it happened to many people.
The facility has an opportunity to submit a plan of correction to state and federal regulators. Plans of correction are standard procedure following any citation. They describe what a facility intends to do differently. They do not erase what was found.
What was found here is a basic failure of custodial care — the most fundamental obligation a nursing home carries. A resident who needs help with incontinence care has, in most cases, no other option. They are not in a position to advocate loudly for themselves, seek care elsewhere, or wait until a more convenient time. They are in a bed, in a room, waiting for someone to come.
Someone filed a complaint. Inspectors arrived and found enough to cite the facility for failing many residents. The people in those rooms are still there.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for River Terrace Health Campus from 2025-03-28 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: July 5, 2026 · Our methodology
RIVER TERRACE HEALTH CAMPUS in MADISON, IN was cited for violations during a health inspection on March 28, 2025.
These were people who depended entirely on staff to manage their most basic bodily needs.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.