River Bend Nursing: Care Quality Deficiencies - IN
The resident at the center of the findings, identified in inspection records as Resident B, had been flagged for nutritional risk and placed on weekly weight monitoring after a nurse practitioner was notified of significant weight loss in November 2024. Two separate care plans called for weights to be recorded and tracked. The orders were clear. The follow-through was not.
Inspectors reviewed the Weights and Vitals Summary covering December 2024 through September 2025 and found 27 dates with no recorded weight. The Treatment Administration Record for the same period showed the weekly weights had been marked completed. The numbers simply did not exist.
By March 2025, an interdisciplinary team note documented that Resident B had experienced a 10% weight loss over 180 days. Staff offered a partial explanation: the scales had been down for several weeks at some point, possibly contributing to the loss.
The Director of Nursing did not dispute what the records showed. In an interview on November 24, she told inspectors that weights should be entered into the electronic medication record's Weights and Vitals section, and that if they weren't there, they weren't done. Staff, she said, were probably checking off that they had completed the weights without actually doing them.
A 10% weight loss over six months in a resident already flagged as nutritionally at risk is a meaningful clinical event. It can signal worsening illness, inadequate nutrition, or both. Without accurate weight data recorded over that stretch, no one could track the trajectory or know when to intervene.
The facility's own policy, last revised in 2019, states that weights will be recorded in each individual's medical record. For Resident B, across more than nine months of documented gaps, that did not happen.
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 called for weights to be recorded and tracked.
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.