Cobblestone Crossings: Rough Handling Complaint Uninvestigated - IN
That was all he got.
By the time federal inspectors arrived at Cobblestone Crossings Health Campus on October 23, 2025, it had been a couple of weeks. Resident B's husband still did not know the specifics of what had happened to his wife. He told inspectors he felt the Director of Nursing had been trying to figure out whether he was going to make something of it.
He remains in the dark.
What inspectors pieced together from interviews with staff and administrators paints a picture of a nursing assistant who, focused on getting a task done, kept coming back to a resident's room after being asked to leave, handled the resident roughly in the process, and walked away from the job without anyone in authority deciding her conduct crossed the line into abuse.
The aide, identified in inspection records only as CNA 4, had been assigned to get Resident B ready for bed. At some point during that process, other employees asked her to leave the room. She left. Then she came back. She was asked to leave again. The inspection record does not specify how many times this happened or what exactly occurred during the physical handling of the resident, but the facility's own training materials, provided to inspectors by the administrator, define physical abuse to include "holding or handling roughly" and give as a specific example: "Staff member pulls a resident in order to make them move more quickly."
The Director of Nursing told inspectors she did not believe CNA 4 intended to harm Resident B. Because of that, she said, she did not classify what happened as abuse. Her reasoning: CNA 4 was focused on completing her task, getting the resident to bed, and even though she had been asked to leave by other employees, she returned to finish the job. The DON acknowledged she could not speak to what CNA 4 was thinking when she came back after being told to go.
Intent, in this case, became the deciding factor. The facility concluded there was none, and so there was no abuse, and so the incident was handled internally.
CNA 4 and the facility parted ways.
The administrator told inspectors she had spoken with CNA 4 by phone. During that conversation, CNA 4 was not willing to acknowledge that the other employees' requests for her to leave the room had been appropriate. She could not understand, the administrator said, any errors in her own behavior. Despite this, the administrator said she believed CNA 4 would be safe to work with dependent residents if she received more training. She did not feel the situation warranted a report to the Indiana State Board of Nursing for investigation.
So no report was filed.
The Director of Nursing, in her interview with inspectors, said she had spoken to Resident B's husband in the middle of the investigation and had given him the details of what occurred. Resident B's husband told inspectors something different. He said the DON called and described it as a little situation. He was told they would share details once the investigation was complete. As of the inspection date, those details had not come.
Both accounts cannot be true.
What the inspection record does not resolve is what Resident B herself experienced, what she understood about what was happening in her room that night, or whether anyone asked her. The record identifies her only by a letter. Her husband is her primary outside contact. He has been waiting.
The gap between what the facility said it did and what the husband said he was told runs through the entire incident. The facility classified the episode as not abuse. The facility's own written training materials, the ones the administrator handed over to inspectors, describe the conduct at issue as a textbook example of physical abuse. Staff pulling a resident to make her move more quickly. Handling roughly. The document was titled "Preventing, Recognizing, and Reporting Abuse and Neglect." The facility used it for staff education.
Inspectors cited Cobblestone Crossings under F0600, the federal standard governing the right of residents to be free from abuse, neglect, and exploitation. The deficiency was tagged at a level of minimal harm or potential for actual harm, meaning inspectors found that what happened to Resident B did not rise to the level of serious injury in their assessment, or that the harm could not be fully established from the record available. Few residents were identified as affected.
The lower harm level does not change what the husband has been left with. He told inspectors the facility never gave him the specifics. He had been waiting a couple of weeks. The DON, in her own account, said she had told him the details during a phone call in the middle of the investigation, a call he described as being told almost nothing. One of them is wrong about what was said on that call. The inspection record does not say which.
CNA 4, for her part, was gone. She and the facility had parted ways, the administrator said, as though the separation were mutual, a professional disagreement rather than the removal of a staff member who, when confronted about her conduct, could not identify anything she had done wrong. She had been willing to return to a resident's room after being asked to leave. She had not been willing, on the phone with the administrator, to acknowledge why that was a problem.
The administrator believed more training would fix it. She did not report CNA 4 to the state nursing board. Which means CNA 4's personnel history, as far as Indiana's regulatory system is concerned, contains no record of this incident, no flag, no investigation. She can apply for work at another facility.
Resident B's husband is still waiting for a phone call that, by the time inspectors arrived, had already been overdue for weeks.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Cobblestone Crossings Health Campus from 2025-10-23 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: August 5, 2026 · Our methodology
COBBLESTONE CROSSINGS HEALTH CAMPUS in TERRE HAUTE, IN was cited for violations during a health inspection on October 23, 2025.
By the time federal inspectors arrived at Cobblestone Crossings Health Campus on October 23, 2025, it had been a couple of weeks.
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.