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Complaint Investigation

Columbia Healthcare Center

Inspection Date: September 8, 2025
Total Violations 1
Facility ID 155224
Location EVANSVILLE, IN
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Inspection Findings

F-Tag F0677

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0677 Level of Harm - Minimal harm or potential for actual harm

  1. 7. On 9/4/25 at 12:02 P.M., Resident F's clinical record was reviewed. Resident F's diagnoses included, but
  2. were not limited to, quadriplegia.

    The most recent Significant Change Minimum Data Set (MDS) Assessment, dated 8/6/25, indicated Resident F was dependent on staff (staff do all of the work) for bathing.

    Residents Affected - Some

    The current care plan included, but was not limited to: Resident requires assistance with ADLs (activities of daily living); Assist with bathing as needed per resident preference. Offer full bed bath two times per week, partial bath in between. Start date: 9/23/24

    A current shower schedule indicated Resident F received showers on Tuesday and Friday during the evening shift.

    The Point of Care Task Response for Showering and shower sheets were reviewed. Resident F did not receive or refuse showers or a complete bed bath on the following scheduled days in August 2025: 8/1/25 8/5/25 8/12/25 8/22/25

    On 9/4/25 at 9:36 A.M., the Director of Nursing (DON) indicated that shower sheets were a part of the clinical record. Staff were supposed to transfer all information on the shower sheets over to the POC Response, but sometimes they forgot.

    On 9/4/25 at 2:42 P.M., the Assistant Director of Nursing (ADON) indicated that residents got at least two showers per week or more if that was what they preferred. If a resident refused a shower, staff should reattempt or offer to give the shower on a day and time that the resident preferred.

    On 9/8/25 at 11:00 A.M., the Administrator provided a current undated Resident Rights policy that indicated You have the right to be treated with dignity and respect, as well as make your own schedule and participate in the activities you choose.

    This citation is connected to Intake 2592689. 3.1-38(a)(2)(A)3.1-38(b)(2)

    FORM CMS-2567 (02/99) Previous Versions Obsolete

    Event ID:

    Facility ID:

    If continuation sheet

📋 Inspection Summary

COLUMBIA HEALTHCARE CENTER in EVANSVILLE, IN inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

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 EVANSVILLE, 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 COLUMBIA HEALTHCARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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