Cypress Grove Rehab: Missed Showers for Weeks - IN
Federal inspectors found the facility failed to provide bathing on scheduled days for two of four residents they reviewed during an April inspection. The violations affected residents who were supposed to receive showers twice weekly.
Resident 25, who has hypertension and is cognitively intact, was scheduled for showers on Tuesdays and Fridays according to an updated schedule from April 1. But shower records showed she missed her scheduled bathing on March 10, March 27, and March 31.
Her October grievance form specifically noted she wasn't getting showers and wasn't getting her hair washed. Staff were educated that she preferred showers over complete bed baths, according to the grievance documentation.
The resident requires partial assistance from staff for bathing, meaning staff must do half the work while she handles the other half.
Resident 18, who has dementia but was assessed as cognitively intact, faced similar problems with his Wednesday and Saturday shower schedule. Records showed he missed scheduled showers on March 14, March 18, and March 25.
On April 8, he refused a shower because staff offered it outside his preferred time. The documentation indicated he would accept bathing only during specific hours.
Both residents were supposed to receive supervision or assistance during bathing based on their most recent assessments. Resident 25's quarterly assessment from January indicated her partial assistance needs, while Resident 18's March admission assessment showed he required supervision.
The facility's shower schedule had been updated as recently as April 1, but the missed bathing continued even after the schedule revision.
Inspectors reviewed both electronic medical records and paper shower documents to track the missed bathing incidents. The pattern of missed showers stretched across multiple weeks for both residents.
When confronted about the violations, the administrator provided a policy titled "Residents Rights" that was revised in July 2023. The policy states that "all staff members recognize the rights of residents at all times and residents assume their responsibilities to enable personal dignity, well being, and proper delivery of care."
The policy language contrasted sharply with the documented pattern of missed bathing. Federal regulations require nursing homes to ensure residents receive bathing according to their individual needs and preferences.
For Resident 25, the missed showers represented an ongoing problem that persisted despite her formal complaint. Her grievance had specifically identified the shower issue and staff preference education, yet the missed bathing continued months later.
Resident 18's situation highlighted how inflexible scheduling could interfere with basic care. His refusal on April 8 occurred because staff offered the shower at the wrong time, suggesting the facility wasn't accommodating his documented preferences.
The inspection found these bathing failures among a small sample of residents reviewed. Inspectors examined only four residents' bathing records but found violations affecting half of them.
Both residents were assessed as having the cognitive capacity to understand their bathing needs and express preferences. Resident 25 was noted as cognitively intact despite her hypertension, while Resident 18 maintained cognitive function despite his dementia diagnosis.
The missed showers occurred during a period when the facility had clear documentation of each resident's bathing schedule and assistance needs. Staff had access to both the updated shower schedule and individual care assessments.
The violations were classified as causing minimal harm or potential for actual harm, but the pattern affected residents' basic hygiene and dignity over multiple weeks.
Resident 25's grievance from October had resulted in staff education about her shower preferences, yet the missed bathing continued through March and into April when inspectors arrived.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Cypress Grove Rehabilitation Center from 2026-04-09 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
CYPRESS GROVE REHABILITATION CENTER in NEWBURGH, IN was cited for violations during a health inspection on April 9, 2026.
Federal inspectors found the facility failed to provide bathing on scheduled days for two of four residents they reviewed during an April inspection.
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.