Waterford Place: Care Treatment Plan Violations - IN
The inspection at Waterford Place Health Campus, at 800 St. Joseph Drive, took place January 30, 2026. At 11:13 in the morning, inspectors observed Resident 11's catheter bag hanging off the side of a trash can next to the bed. The trash can had trash in it. The urine visible in the catheter tubing was cloudy and filled with sediment.
Resident 11 had a long list of diagnoses: a history of urinary tract infections, acute kidney failure, anxiety disorder, chronic pain syndrome, hypertension, heart failure, chronic obstructive pulmonary disorder, retention of urine, and atrial fibrillation. The resident had a Foley catheter because of neurogenic bladder, a condition in which the bladder cannot be controlled normally. A physician's order dated December 27, 2025, showed the resident had been prescribed ciprofloxacin, an antibiotic, 500 milligrams twice a day for 14 days to treat a urinary tract infection.
The care plan, written in May 2024, listed one of the interventions for catheter management as observing the catheter tubing.
Nobody had.
Six minutes after inspectors made the observation, they spoke with the Assistant Director of Nursing. The ADON said the catheter bag should not be 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 said the same thing: the bag was not supposed to be on the trash can, and the resident was at risk of infection.
At 11:30 a.m., a Qualified Medical Assistant identified in the report as QMA 6 told inspectors the bag should always be hung on the bed rail. "When you hang the bag on the dirty trash can," QMA 6 said, "the resident would be at risk of developing a major infection."
Three different staff members, within 17 minutes of the inspection observation, each confirmed what had been done was wrong and why it mattered. None of them had caught it before inspectors arrived.
The facility's own catheter care policy, last reviewed in December 2024, required staff to check the urine for unusual appearance, keep the drainage bag positioned lower than the bladder to prevent urine from flowing back into the bladder, and ensure the catheter and tubing were kept free of kinks. The cloudy, sediment-filled urine in the tubing and the bag's placement on a trash can with garbage in it were both visible to anyone who entered the room.
CMS cited the deficiency at a level of minimal harm or potential for actual harm. One of two residents reviewed for catheter care was affected.
Resident 11 had already been prescribed a two-week course of antibiotics for an active urinary tract infection at the time the bag was found on the trash can. Urinary tract infections in people with indwelling catheters can spread to the kidneys or bloodstream. This resident's diagnoses included acute kidney failure.
The inspection was completed February 2, 2026.
What the report does not say is whether the catheter bag had been placed on the trash can that morning or had been there longer. It does not say whether anyone had checked the tubing, as the care plan required, in the days before inspectors arrived. It does not say how long the urine had been cloudy.
What it does say is that when inspectors walked into that room, the bag was on the trash can, the trash was in the can, and the tubing showed visible signs that something was wrong. And every staff member they asked knew, immediately, that it should not have been that way.
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 inspection at Waterford Place Health Campus, at 800 St.
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.