River Terrace Health Campus
Inspection Findings
F-Tag F677
F-F677:
FORM CMS-2567 (02/99) Event ID: Facility ID: If continuation sheet Previous Versions Obsolete Page 8 of 9 155849 Department of Health & Human Services Printed: 08/31/2025 Form Approved OMB Centers for Medicare & Medicaid Services No. 0938-0391
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A. Building 155849 B. Wing 03/28/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
River Terrace Health Campus 120 Presbyterian Ave Madison, IN 47250
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 0725 The facility failed to ensure residents who were dependent on staff for activities of daily living received the care and services needed related to incontinence care. Level of Harm - Minimal harm or potential for actual harm This citation relates to Complaint IN00454644.
Residents Affected - Many 3.1-17(a)
FORM CMS-2567 (02/99) Event ID: Facility ID: If continuation sheet Previous Versions Obsolete Page 9 of 9 155849
F-Tag F697
F-F697:
The facility failed to ensure a resident with complaints of pain received as needed pain medication in a timely manner.
Cross Reference