Waters Of Huntington Skilled Nursing Facility, The

F 0678 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few

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

appropriate until Emergency Medical Services (EMS) arrived to take over.During an interview on [DATE REDACTED] at 1:36 p.m. LPN 5 indicated, in an emergency, she would first make sure the resident was alright. If the resident was not breathing, the code status would be confirmed. If they were a full code, someone would call 911 while CPR was initiated. They would never stop CPR until the EMS could take over. The medical provider should not be contacted via text message, but should be called on the telephone.Review of LPN 1's CPR certification on [DATE REDACTED] at 8:36 a.m., from the American Heart Association Basic Life Support (CPR and AED) program was dated [DATE REDACTED], with an expiration date of [DATE REDACTED]. A new Certificate of Completion for Standard - CPR/AED, dated [DATE REDACTED], lacked a hands-on component consistent with American Heart Association guidance.Review of QMA 2's CPR certification on [DATE REDACTED] at 8:36 a.m., dated [DATE REDACTED], lacked a hands-on component consistent with American Heart Association guidance.A current facility policy, dated [DATE REDACTED] and titled Medical Emergencies That Require Immediate Response/Assessment was provided by

the Corporate Clinical Consultant on [DATE REDACTED] at 2:47 p.m. and indicated the following: . These symptoms must be reported immediately to the nurse in charge for evaluation and assessment. The nurse responds immediately and will determine if the resident requires further evaluation and treatment in an acute care setting. The nurse will notify the doctor and the resident's responsible party of the onset of these medical conditions for direction. If there is an emergent situation, the nurse will call 911 for EMS transport unless clearly defined by order and responsible party's direction not to do so --- such as in an actively dying resident.Review of American Heart Association's Resuscitation Education Science guidance, retrieved from https://cpr.heart.org/en/resuscitation-science/cpr-and-ecc-guidelines/executive-summary indicated the following: .Part 12 of the 2025 Guidelines, Resuscitation Education Science, includes recommendations about various instructional design features in resuscitation training, including CPR feedback devices, rapid-cycle deliberate practice, scripted debriefing, gamified learning, spaced learning and booster training, teamwork and leadership training, manikin fidelity, virtual and augmented reality, and the use of cognitive aids. Recommendations for these instructional design elements have been split into those for health care professionals and those for lay rescuers. The immediate jeopardy that began on [DATE REDACTED] was removed on [DATE REDACTED] when the facility completed education with nursing staff regarding emergency response protocols and policies, but the noncompliance remained at the lower scope and severity level of no actual harm with potential for more than minimal harm that is not immediate jeopardy because LPN 1 and QMA 2 remained without current CPR certification according to professional standards. This citation relates to Intake

1. 2671519. Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

11/24/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Waters of Huntington Skilled Nursing Facility, The

1500 Grant St Huntington, IN 46750

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0726 Level of Harm - Actual harm Residents Affected - Few

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

judgment, technical skills, or inappropriate interpersonal behaviors in providing nursing care. (2) Performing any nursing technique or procedure for which the nurse is unprepared by education or experience. (11) Diverting prescription drugs for own or another person's use.Review of the current Indiana QMA Scope of Practice, retrieved from https://www.in.gov/health/ltc/aide-training-and-certification/qma/ indicated the following: .The following tasks shall NOT be included in the QMA scope of practice:. (2) Administer medication used for intermittent positive pressure breathing (IPPD) treatments or any form of medication inhalation treatments, such as nebulizers. A current facility policy, dated [DATE REDACTED] and titled Medical Emergencies That Require Immediate Response/Assessment, provided by the Corporate Clinical Consultant on [DATE REDACTED] at 2:47 p.m., indicated the following: . These symptoms must be reported immediately to the nurse in charge for evaluation and assessment. The nurse respond immediately and will determine if

the resident requires further evaluation and treatment in an acute care setting. The nurse will notify the doctor and the resident's responsible party of the onset of these medical conditions for direction. If there is

an emergent situation, the nurse will call 911 for EMS transport unless clearly defined by order and responsible party's direction not to do so --- such as in an actively dying resident.This citation relates to Intake 2671519.3.1-14(i)

Event ID:

Facility ID:

If continuation sheet