Columbia Healthcare Center: Bathing Neglect Violations - IN
Resident F has quadriplegia. That means they depend entirely on staff to bathe them, to move them, to do everything. The care plan the facility wrote for this resident called for a full bed bath twice a week, with partial baths in between. A shower schedule put those sessions on Tuesday and Friday evenings. None of this was complicated or ambiguous. The schedule existed. The obligation was written down.
In August 2025, Resident F did not receive a shower or a complete bed bath on August 1st, August 5th, August 12th, or August 22nd. There is no documentation that staff offered alternatives on those days, rescheduled, or recorded a refusal. The days simply passed without a bath.
When inspectors reviewed the records on September 4th, they found the gap between what the facility's shower sheets showed and what was entered into the electronic Point of Care system. The Director of Nursing told inspectors that shower sheets were part of the clinical record, and that staff were supposed to transfer the information over to the electronic system, but that sometimes they forgot.
Sometimes they forgot.
The Assistant Director of Nursing offered a different framing that same afternoon. Residents got at least two showers per week, she said, or more if that was their preference. If a resident refused, staff were supposed to try again or offer a different time. What the ADON did not address was what the records actually showed: four missed sessions, no documented refusals, no documented reattempts.
The administrator, when inspectors returned on September 8th, handed over a resident rights policy. It was undated. The policy stated that residents have the right to be treated with dignity and respect, and to make their own schedule and participate in activities of their choosing. The facility offered this document as a response to findings about a quadriplegic resident who had gone unbathed on multiple scheduled days.
A person with quadriplegia cannot reach for a washcloth. Cannot turn on a faucet. Cannot decide, on a Tuesday evening when nobody shows up, to take care of themselves. Every day that passes without bathing is a day that passed because staff did not come. The care plan existed to prevent exactly that. It did not.
Federal inspectors cited the facility under F0677, the tag covering basic activities of daily living care, and rated the level of harm as minimal harm or potential for actual harm. That rating sits at the lower end of the federal scale, meaning inspectors did not find evidence of serious injury. What they found was a pattern across a month, four missed days for a resident who had no ability to compensate on their own, and a nursing leadership team whose explanation centered on forgetting to move data from one form to another.
The gap between the shower sheet and the electronic record is an administrative problem. The four missed baths are a care problem. The facility conflated the two.
Columbia Healthcare Center's own policy says Resident F had the right to dignity. In August 2025, on at least four scheduled days, nobody came.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Columbia Healthcare Center from 2025-09-08 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 23, 2026 · Our methodology
COLUMBIA HEALTHCARE CENTER in EVANSVILLE, IN was cited for neglect violations during a health inspection on September 8, 2025.
That means they depend entirely on staff to bathe them, to move them, to do everything.
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.