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Waterford Place: Assessment Coordination Failures - IN

Healthcare Facility
Waterford Place Health Campus
Kokomo, IN  ·  5/5 stars

That is what a state inspector found at Waterford Place Health Campus on the morning of January 30, 2026, at 11:13 a.m., when they walked into the room of a resident identified in the inspection report as Resident 11.

The resident had a Foley catheter because of a neurogenic bladder, a condition documented in a care plan dating back to May 2024. The medical history was extensive: acute kidney failure, heart failure, chronic obstructive pulmonary disease, hypertension, atrial fibrillation, chronic pain syndrome, and anxiety disorder. And, listed plainly among the diagnoses, a history of urinary tract infections.

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That history was not theoretical. A physician's order dated December 27, 2025, just over a month before the inspection, directed staff to administer ciprofloxacin, an antibiotic, 500 milligrams twice daily for 14 days, specifically to treat a UTI. The resident was still within the window of that recent infection when inspectors found the catheter bag sitting on the trash can.

The facility's own staff, interviewed minutes after the observation, did not dispute any of it.

The Assistant Director of Nursing told inspectors at 11:19 a.m. that the catheter bag should not have been on the trash can and that placing it there contributed to infection risk for a resident with a UTI history. Two minutes later, the Medical Record Nurse confirmed the bag was not supposed to be on the trash can and said the resident was at risk of infection. At 11:30 a.m., a Qualified Medical Assistant identified in the report as QMA 6 was direct about what that risk meant: "When you hang the bag on the dirty trash can, the resident would be at risk of developing a major infection."

The facility's own written catheter care policy, last reviewed in December 2024, spelled out what staff were supposed to do. Check the urine for unusual appearance. Keep the drainage bag positioned lower than the bladder to prevent backflow into the urinary tract. Keep the catheter and tubing free of kinks, and check the resident frequently to make sure they weren't lying on it.

The urine inspectors observed was cloudy with sediment, which is among the signs the policy directed staff to watch for. The bag was on a trash can rather than hung properly. The care plan itself listed "observe the catheter tubing" as a specific intervention for this resident.

Inspectors cited the facility for failing to maintain the catheter bag and tubing in a sanitary manner. The deficiency was classified as causing minimal harm or the potential for actual harm, and it applied to one of two catheter residents reviewed during the inspection.

The inspection was completed February 2, 2026. The report was printed July 16, 2026.

Waterford Place Health Campus is located at 800 St. Joseph Drive in Kokomo. For the resident in room that morning, with cloudy urine moving through tubing hooked to a trash can full of garbage, the gap between the facility's written policy and what was actually happening in that room was not abstract. The staff who walked in with inspectors already knew what the bag being there meant. They said so, one after another, within the same quarter hour. None of them had caught it before the inspector did.

Full Inspection Report

The details above represent a summary of key findings. View the complete inspection report for Waterford Place Health Campus from 2026-02-02 including all violations, facility responses, and corrective action plans.

Additional Resources


Editorial Standards

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

Quick Answer

WATERFORD PLACE HEALTH CAMPUS in KOKOMO, IN was cited for violations during a health inspection on February 2, 2026.

The resident had a Foley catheter because of a neurogenic bladder, a condition documented in a care plan dating back to May 2024.

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.

Frequently Asked Questions

What happened at WATERFORD PLACE HEALTH CAMPUS?
The resident had a Foley catheter because of a neurogenic bladder, a condition documented in a care plan dating back to May 2024.
How serious are these violations?
Violation severity varies from minor documentation issues to serious safety concerns. Review the inspection report for specific deficiency codes and scope. All violations must be corrected within required timeframes and are subject to follow-up verification inspections.
What should families do?
Families should: (1) Ask facility administration about specific corrective actions taken, (2) Request to see the follow-up inspection report verifying corrections, (3) Check if this represents a pattern by reviewing prior inspection reports, (4) Compare this facility's ratings with other nursing homes in KOKOMO, IN, (5) Report any new concerns directly to state authorities.
Where can I see the full inspection report?
The complete inspection report is available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request a copy directly from WATERFORD PLACE HEALTH CAMPUS or from the state Department of Health. The report includes specific deficiency codes, facility responses, and correction timelines. This facility's federal provider number is 155678.
Has this facility had violations before?
To check WATERFORD PLACE HEALTH CAMPUS's history, visit Medicare.gov's Care Compare and review their inspection history, quality ratings, and staffing levels. Look for patterns of repeated violations, especially in critical areas like abuse prevention, medication management, infection control, and resident safety.


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