Waters Of Covington, The
WATERS OF COVINGTON, THE in COVINGTON, IN — inspection on October 20, 2025.
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
jeopardy to resident health or safety
shall be implemented when an employee or agent become aware of abuse or neglect of a resident or of an allegation of suspected abuse or neglect of a resident by a 3rd party. employees are required to report any incident, allegation, or suspicion of potential abuse, neglect or mistreatment they observe, hear about or suspect to the Administrator or an immediate supervisor who will immediately report the allegation to the Administrator.
The Administrator is the Abuse Coordinator.
All incidents will be documented, whether or not abuse occurred, was alleged or suspected.
Any incident or allegation involving abuse or mistreatment will result in an abuse investigation.
For any incident involving suspicion of abuse, neglect, or mistreatment, the Administrator or person appointed by the Administrator will gather further facts prior to making a determination to conduct an abuse investigation.
The immediate jeopardy that began on 9/24/25 was removed on 10/17/25, when the facility ensured a systemic plan to include education and monitoring of staff to ensure staff provided supervision and required care to all residents residing at the facility.
The noncompliance remained at the lower scope and severity level of no actual harm with the potential for more than minimal harm that is not immediate jeopardy because of the facility's need for continued monitoring.
This citation relates to Intake 2633270. 3.1-27(a)
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
10/20/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Waters of Covington, The
1600 E Liberty St Covington, IN 47932
SUMMARY STATEMENT OF DEFICIENCIES
According to the facilities proactive audit reviews, Resident G triggered for no BMs on 10/9/25 and 10/10/25 with Hospice being notified on 10/10/25. d. On 10/16/25 at 1:28 p.m., a record review was completed for Resident H. He had the following diagnoses which included but were not limited to major depressive disorder, heart transplant, hypertension, muscle weakness, and unsteadiness on feet.
His brief interview mental status (BIMS) score on 9/28/25 was 15, indicating his mental status was intact.
His MDS, dated [DATE], indicated he was continent of bowel and not receiving a bowel management program.
Resident H was prescribed Miralax 17 grams (gm) daily in a large glass of water for bowel health dated 8/30/25. He was prescribed Milk of Magnesia (MOM) 30 milliliters (ml) daily as needed for constipation dated 9/30/25. He had no bowel movement from 9/30/25 through 10/3/25.
On 10/4/25 at 21:59 he had a medium sized bowel movement.
Resident's care plan lacked any mention of the potential for constipation.
During an interview on 10/16/25 at 11:50 a.m., the DON indicated some of the time discrepancies may be due to a technological date/time recording error for some new tables that had been used by the aides to chart.
Some of the tablets were several hours behind the actual time zone, and had not been fixed yet.
During an interview on 10/17/25 at 11:45 a.m., the Administrator indicated it was his expectation for nursing staff to immediately respond to Resident B's complaints of pain and take appropriate measures to assist him or send him to the emergency room.
Further, it was his expectation that nursing staff should be charting accurately, and following the new facility protocol as implemented by the DON and MD. On 10/16/25 at 10:25 a.m., the Administrator provided a copy of facility policy titled, Bowel Protocol, dated 10/1/25. At this time the ADM indicated, there had been a bowel regimen in place at the time Resident B experienced his obstruction and hospitalization, but it was evidently not being implemented or monitored effectively, so the DON and MD with the clinical team got together to create a revised protocol, which he provided at that time.
The new protocol indicated, .use stepwise approach: A. no BM for 3 days [give] M.O.M. 30 ml by mouth once daily. B. If no BM for 4 days, notify the physician or NP. 5.
Documentation: record all bowel movements (date, time, consistency, amount), note interventions used and resident response, notify provider if: no BM 4+ days, signs of bowel obstructions or impaction, persistent diarrhea or bleeding. 6.
Special considerations: Opioid-induced constipation; initiate stimulant laxative at some time as opioid.
May require methylnaltrexone if refractory.
Palliative/Hospice Residents: prioritize comfort, liberal use of laxatives and suppositories as needed.
The immediate jeopardy that began on 9/24/25 was removed on 10/17/25, when the facility ensured a systemic plan to include education and monitoring of staff to ensure staff assessed and monitored residents for pain and change in condition, and that staff followed the facility bowel protocol.
The noncompliance remained at the lower scope and severity level of no actual harm with the potential for more than minimal harm that is not immediate jeopardy because of the facility's need for continued monitoring.
This citation relates to Intake 2633270. 3.1-37(a)
Facility ID: