River Bend Nursing: Notification Failures - IN
The resident at the center of the complaint, identified in inspection records as Resident B, had a physician order for weekly weights going back to November 2024, placed after a nurse practitioner was notified of significant weight loss. Two separate care plans also required weight monitoring. By March 2025, an interdisciplinary team note recorded that Resident B had lost 10 percent of their body weight over 180 days.
Inspectors pulled the Weights and Vitals Summary covering December 2024 through early September 2025. The gaps were not occasional. Recorded weights were missing on at least 27 separate dates across that span, including multiple consecutive weeks in December, January, February, April, May, June, and July.
The Treatment Administration Record for the same period told a different story. According to that document, weekly weights had been completed throughout.
The Director of Nursing did not dispute what the records showed. During an interview on November 24, she told inspectors that weights were supposed to be entered into the electronic medication record. If they were not there, she said, they were not done, and staff were probably checking off that they had completed it when they hadn't.
The facility's own policy, last revised in 2019, states that weights will be recorded in each individual's medical record. The interdisciplinary team had floated one explanation for the weight loss in its March note, suggesting the facility's scales had been down for several weeks at some point and may have contributed to the gap. That note did not account for the full scope of missing documentation stretching across nine months.
CMS rated the violation at the level of minimal harm or potential for actual harm. For Resident B, who entered the monitoring period already flagged for significant weight loss and nutritional risk, the months of unchecked boxes told a different story than the records did.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for River Bend Nursing and Rehabilitation from 2025-11-25 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: June 20, 2026 · Our methodology
RIVER BEND NURSING AND REHABILITATION in EVANSVILLE, IN was cited for violations during a health inspection on November 25, 2025.
Two separate care plans also required weight monitoring.
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.