White River Lodge
WHITE RIVER LODGE in BEDFORD, IN — inspection on March 27, 2026.
Found 3 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During an interview on 3/27/26 at 11:45 a.m., the Corporate Administrator Consultant indicated the facility did not limit the use of as needed psychotropics to 14 days. On 3/27/26 at 11:40 a.m., the Administrator provided a copy of the policy, Psychoactive Medication Protocol, revised on April, 2025, and indicated it was the policy currently being used. A review of the policy indicated, .3. the facility must ensure . d. PRN orders for psychotropic drugs are limited to 14 days. If the attending physician or prescribing practitioner believes that it is appropriate for the PRN order to be extended beyond 14 days, he or she should document their rationale in the resident's medical record and indicated the duration for the PRN order . 410 IAC (Indiana Administrative Code) 16.2-3.1-48(a)(2) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
155631 03/27/2026
White River Lodge 3710 Kenny Simpson LN Bedford, IN 47421
During an interview on 3/24/26 at 1:33 p.m., Resident 2 indicated staff put the cannula on for her when she was in her chair, but she did not know if it was cleaned or replaced before being placed in her nares.
During an interview on 3/26/26 at 2:04 p.m., the Director of Nursing indicated the resident's nasal cannula should not have been left on the floor. 410 IAC (Indiana Administrative Code)16.2-3.1-47(a)(6)
155631 03/27/2026
White River Lodge 3710 Kenny Simpson LN Bedford, IN 47421
13)Finding includes:During an observation on 3/24/26 at 1:33 p.m., Resident 13 was observed to have
have her broken teeth pulled for dentures.On 3/26/26 2:18 p.m., Resident 13's clinical record was reviewed.
The diagnoses included, but were not limited to, left-sided hemiplegia (paralysis on one side of the body) and atherosclerotic heart disease.The Brief Oral Health Status Examination Assessment Tool, indicated the following:- On 10/21/25, Resident 13 had 1-3 decayed or broken teeth.
The assessment indicated she needed referred to the dentist immediately.- On 1/13/26, Resident 13 had 1-3 decayed or broken teeth.
The assessment indicated she needed referred to the dentist immediately.The clinical record lacked documentation of a dentist referral after 10/21/25 and 1/13/26 oral assessments.
During an interview on 3/27/26 10:26 a.m., the Director of Nursing (DON) indicated Resident 13 oral assessments were completed quarterly.
The clinical record lacked documentation of a dental consult after the 10/21/25 and 1/13/26 assessments.On 3/27/26 at 11:25 a.m., the Administrator provided the facility policy, Dental Services, dated 5/2025 and indicated it was the policy currently being used by the facility. A review of the policy indicated, .6a.
Although the cumulative score is helpful, individuals who score on items with an asterisk that are underlined should be referred for a dental evaluation and exam and follow-up immediately.410 IAC (Indiana Administrative Code) 16.2-3.1-24(a)