Southwood Healthcare Center: Immediate Jeopardy Staffing - IN
Resident P told inspectors he waited as long as nine hours after requesting pain medication. There was no nurse assigned to his unit. He had to wait for one to come to him.
Resident N turned on her call light before 6:00 a.m. one morning asking for Tylenol. A nurse aide answered after about half an hour and told her she would pass the message along. The Tylenol arrived at 7:00 a.m. with her morning medications. She told inspectors she believed it happened because there were not enough staff to reach residents more quickly. She had heard staff say one nurse was covering three units, though she was not certain.
CNA 12, who had worked at the facility for about a month, told inspectors it had been the same nurse, LPN 7, working alone on nights for her entire time there. Every night. The same person.
A QMA who worked 12-hour overnight shifts told inspectors she was assigned to a closed unit with one CNA, while the single nurse covered the rest of the building. She said it was very hard to oversee and meet all the residents' needs.
When inspectors asked the administrator to identify who else had worked night shifts alongside LPN 7 during that stretch, she could not.
The staffing failure did not emerge in a vacuum. The facility had already been cited for a staffing deficiency during an annual survey earlier in the year, and a corrective plan required regular audits. Those audits stopped over the summer when an interim administrator decided staffing had improved. When the current administrator took over, the audits resumed, but the single-nurse nights had already been running for weeks.
LPN 13, hired about a week before inspectors arrived, said she had worked as the only nurse on duty her first night. Administration told her there would be two nurses on nights going forward.
Federal inspectors rated the violation as immediate jeopardy, the most serious level of harm under federal nursing home oversight.
Resident P did not say whether he ever received the pain medication he had been waiting for.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Southwood Healthcare Center from 2025-10-09 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
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 5, 2026 · Our methodology
SOUTHWOOD HEALTHCARE CENTER in TERRE HAUTE, IN was cited for immediate jeopardy violations during a health inspection on October 9, 2025.
Resident P told inspectors he waited as long as nine hours after requesting pain medication.
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.