Waters of Georgetown: Insulin Delays All Month - IN
The resident had a physician's order, in place since August 2025, requiring Humalog, a short-acting insulin, before meals and at bedtime. The schedule was precise: 7:30 in the morning, 11:30 in the morning, 4:30 in the afternoon, 10:00 at night. Short-acting insulin is timed to food. It is meant to be given before a meal, not an hour and a half after one.
The medication administration records told a different story.
On March 1, the 4:30 p.m. dose arrived at 6:03 p.m. On March 2, the 11:30 a.m. dose came at 12:40 p.m. The next day, the same dose was pushed to 12:57. On March 4, the 10:00 p.m. bedtime dose was given at 11:52 p.m. By March 7, the 10:00 p.m. dose wasn't administered until after midnight — 12:25 a.m. on March 8.
The delays weren't clustering around one shift or one week. They spread across the month. March 9 brought two late doses in the same day: the morning dose delayed until 10:50 a.m., more than three hours behind schedule, and the midday dose pushed to 12:53 p.m. On March 10, the 11:30 a.m. dose came at 1:02 p.m. On March 12, the morning dose didn't arrive until 10:56 a.m. On March 15, the 10:00 p.m. dose was administered after midnight on March 16, at 12:28 a.m.
The pattern continued through the final week of the month. March 16 brought another late midday dose, given at 12:46 p.m. March 19 and March 21 each saw the afternoon dose delayed past 5:45 and 6:23 p.m. respectively. On March 24, the 11:30 a.m. dose came at 1:07 p.m. On March 25, the last documented delay, the 4:30 p.m. dose was given at 6:40 p.m., more than two hours late.
Inspectors cited the violation under Indiana Administrative Code provisions governing nursing care and noted that residents affected numbered many, not just one.
On the afternoon of March 30, the Regional Director of Operations provided inspectors with a document called Standard Supervision and Monitoring, dated November 25, 2011. The document described the facility's philosophy of proactive care and stated that staff assignments are based on resident needs and acuity, and that those needs "will be accomplished by provision of as much hands on care as necessary."
The document was more than fourteen years old.
It said nothing specific about medication timing. It offered no protocol for insulin administration, no monitoring system for late doses, no mechanism for catching a pattern like the one recorded in the March 2026 medication administration records. What it offered was language — purpose-driven, resident-centered language — about physical and psychosocial well-being.
The inspection was triggered by complaints. Three separate intake reports were linked to this citation.
What the records show is a resident whose insulin, calibrated to arrive before meals and control blood sugar in the hours that followed, arrived late on more than half the days in March. Some delays were modest. Others stretched past two hours. At least three times, a dose intended for one calendar day was given in the early hours of the next.
The facility's response, at the moment inspectors asked, was a document from 2011.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Waters of Georgetown, The from 2026-03-30 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
WATERS OF GEORGETOWN, THE in GEORGETOWN, IN was cited for violations during a health inspection on March 30, 2026.
The resident had a physician's order, in place since August 2025, requiring Humalog, a short-acting insulin, before meals and at bedtime.
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.