Waters Of Chesterfield Skilled Nursing Facility
WATERS OF CHESTERFIELD SKILLED NURSING FACILITY in CHESTERFIELD, IN — inspection on March 30, 2026.
Found 2 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
Transfer for 2 copies of any portion of the health record necessary for the care of the resident. 8.
of the transfer form to the DON. 410 IAC (Indiana Administrative Code) 16.2-3.1-12(a)(6)(A)(i)
155617 03/30/2026
Waters of Chesterfield Skilled Nursing Facility 524 Anderson Rd Chesterfield, IN 46017
(Resident 2)Findings include:Resident 2's clinical record was reviewed on 3/25/26 at 2:17 p.m.
gastro-esophageal reflux disease (GERD).Current orders include the following: EBP related to PEG (gastrostomy) tube for infection prevention (1/14/26).A 2/24/26, quarterly, Minimum Data Set (MDS) assessment indicated the resident was moderately cognitively impaired and utilized a feeding tube.A 2/12/26, EBP care plan indicated for staff to follow the EBP guidelines when providing care and coming into direct contact with potentially infected materials or devices.
Direct care activities include device use such as feeding tubes.
Interventions included reinforcing proper handwashing and following personal equipment protocols (2/12/26) and set up isolation per facility protocol, following EBP guidelines (2/12/26).During a medication administration observation, on 3/26/26 at 9:27 a.m., LPN 5 completed hand hygiene and gathered the following supplies: some paper towels, two plastic cups with 30 milliliters (mL) of warm water in each, and the resident's liquid potassium medication.
LPN 5 entered the resident's room and placed the supplies on the bedside table.
She paused the resident's tube feed pump and entered the resident bathroom where she donned a pair of gloves. LPN 5 leaned her hips and thighs against the resident's bed and bedsheets and spoke with her. LPN 5 checked the g-tube for residual purposes and examined the g-tube site. LPN 5 flushed the tube with 30 mL of warm water, then administered the potassium medication, and flushed the tube again, with another 30 mL of warm water.
She restarted the tube feeding, gathered up the trash, and removed her gloves. LPN 5 remained leaning against the resident's bed and bedsheets through the whole medication administration process.
During an interview, at the time of the observation, LPN 5 indicated the EBP sign to the resident's door indicated that staff needed to wear personal protective equipment (PPE) to help prevent the spread of infection. Resident 2 had a g-tube and staff needed to wear a gown and gloves when providing direct patient care. LPN 5 indicated she had simply forgotten to put on the gown prior to the medication administration.
During an interview, on 3/20/26 at 11:28 a.m., the DON indicated that EBP was utilized when a resident has any lines, wounds, or catheters.
EBP helps to protect the residents from the spread of infection. Resident 2 had and g-tube and all staff members need to wear the appropriate PPE when proving direct contact care. LPN 5 should have worn a gown during the medication administration observation.A current facility policy, last revised 12/22, titled, Guidelines for Enhanced Barrier Precautions -(EBP) An extension of Personal Protective Equipment (PPE), provided by the DON on 3/30/26 at 10:20 a.m., indicated the following: .
Enhanced Barrier Precautions are defined as the use of PPE (gowns and gloves) during high- contact resident care activities that generate opportunities for transfer of MDRO's in the form of blood or body fluids, onto the hands and/or clothing of the rendering caregiver.
Who is at ?high risk' for acquiring or spreading a MDRO.c.) Feeding Tubes (any type) .Examples of ?high contact' resident care activities at which time EBP is to be practiced are. g.) Device care of Use of to include.
Feeding tubes (any type) .410 IAC (Indiana Administrative Code) 16.2-3.1-18(a)
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in CHESTERFIELD, IN, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from WATERS OF CHESTERFIELD SKILLED NURSING FACILITY or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.