Waters Of Middletown Skilled Nursing Facility, The
WATERS OF MIDDLETOWN SKILLED NURSING FACILITY, THE in MIDDLETOWN, IN — inspection on January 29, 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
During an observation, on 01/28/2026 at 8:45 AM, Resident 26 was sitting in a Broda chair in the common area with a pillow under her right side. Resident 26's chin and face were tucked into her right shoulder. Resident 26's record review began on 1/27/26 at 9:10AM.
There was no documentation of decreased range of motion in her care plan. A discharge therapy note and evaluation, dated 3/25/25, indicated Resident 26 could straighten her neck to midline with assistance but was resistant. In an interview, on 01/27/2026 at 11:55AM, the Director of Nursing (DON) indicated the limited range of motion should have been in the care plan and the MDS coordinator would be contacted to address it. A current policy and procedure titled, Baseline Care Plan Assessment/Comprehensive Care Plans undated was provided by DON on 1/28/26 at 2:18PM.
The policy indicated.the comprehensive Care Plan will further expand on the resident's risks, goals and interventions using the person-centered Plan of Care approach for each resident that includes measurable objectives and timelines to meet the resident's medical, nursing, physical functioning, mental, and psychosocial needs.the Comprehensive Care Plan will include any specialized services or specialized rehab Services recommended to be provided. 3.1-35(a) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
155573 01/29/2026
Waters of Middletown Skilled Nursing Facility, The 981 Beechwood Ave Middletown, IN 47356
or the Assistant Director of Nursing (ADON).
The SSD indicated she would upload the form into the
She indicated she did not know why the behavior forms were not fully completed.
She indicated
interventions.
The SSD indicated all paper and electronic records should contain consistent and matching information.A current policy, titled Guidelines for Behavior Management Meetings, undated, provided by the Administrator on 1/28/2026 at 2:01 PM indicated behavior management forms should be completed by nursing staff.
The policy indicated the facility should use behavior documentation to determine the root cause of behaviors and provide appropriate interventions, The policy indicated nursing, social services, and mental health providers should participate in care plan development.A current policy, titled Guidelines for Behavior Management Meetings, undated, provided by the Administrator on 1/28/2026 at 2:01 PM indicated behavior management forms should be completed by nursing staff.
The policy indicated the facility should use behavior documentation to determine the root cause of behaviors and provide appropriate interventions.
The policy indicated nursing, social services and mental health providers should participate in care plan development.
This citation is related to Intake 2721458.3.1-43(a)(1)