Waterford Place: Infection Control Deficiency - IN
That is what a federal inspector found on the morning of January 30, 2026, in the room of a resident at Waterford Place Health Campus, a nursing facility on St. Joseph Drive in Kokomo. The resident, identified in inspection records as Resident 11, had a Foley catheter for a condition called neurogenic bladder. The urine visible in the catheter tubing was cloudy and contained sediment, the kind of appearance that signals something is wrong.
The resident's medical history made the scene harder to look past. The clinical record listed a history of urinary tract infections, acute kidney failure, retention of urine, heart failure, chronic obstructive pulmonary disorder, atrial fibrillation, hypertension, anxiety disorder, and chronic pain syndrome. A physician's order dated December 27, 2025, just over a month before the inspection, had directed staff to administer ciprofloxacin, a broad-spectrum antibiotic, at 500 milligrams twice daily for 14 days to treat an active urinary tract infection.
This was not a resident with much margin for error.
The care plan for Resident 11, in place since May 2024, listed the Foley catheter and included interventions that directed staff to observe the catheter tubing. What inspectors observed instead was tubing draining into a bag resting against a trash can that contained actual garbage.
When the inspector raised the issue at 11:19 that morning, the Assistant Director of Nursing said the catheter bag should not be on the trash can and acknowledged that placing it there contributed to infection risk for a resident with a UTI history. Two minutes later, the Medical Record Nurse said the same thing: the bag was not supposed to be there, and the resident was at risk.
At 11:30, a Qualified Medical Assistant identified in the report as QMA 6 was asked about it. The response was direct. The bag should be hung on the bed rail, the QMA said, and never on the trash can. "When you hang the bag on the dirty trash can, the resident would be at risk of developing a major infection."
Three staff members, in three separate interviews conducted within eleven minutes of each other, said the same thing. None of them had caught it before the inspector walked in.
The facility's own written policy on urinary catheter care, last reviewed in December 2024, directed staff to check urine for unusual appearance, to keep the drainage bag positioned lower than the bladder to prevent backflow into the urinary tract, and to keep the catheter and tubing free of kinks. The policy said nothing about trash cans because it did not need to.
CMS rated the harm level for this deficiency as minimal harm or potential for actual harm. That language is a regulatory category, not a medical conclusion. Resident 11 had already completed a course of antibiotics for a urinary tract infection in the weeks before the inspection. Catheter-associated urinary tract infections are among the most common healthcare-acquired infections, and residents with the kind of complex medical histories documented here, including kidney failure and a bladder that does not drain on its own, face compounded risk when basic catheter hygiene breaks down.
The inspection was completed February 2, 2026. The deficiency covered one of two catheter residents reviewed during the survey.
Somewhere in Resident 11's room that morning, a bag of urine rested against a can of garbage, cloudy and full of sediment, while the care plan on file said to observe the tubing.
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
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
WATERFORD PLACE HEALTH CAMPUS in KOKOMO, IN was cited for violations during a health inspection on February 2, 2026.
The resident, identified in inspection records as Resident 11, had a Foley catheter for a condition called neurogenic bladder.
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.