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Health Inspection

Waters Of Middletown Skilled Nursing Facility, The

January 29, 2026 · Middletown, IN · 981 Beechwood Ave
Citations 2
CMS Rating 4/5
Beds 60
Provider ID 155573
Healthcare Facility
Waters Of Middletown Skilled Nursing Facility, The
Middletown, IN  ·  View full profile →
Inspection Summary

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.

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Inspection Findings

FF0656
Resident Assessment and Care Planning Deficiencies

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)

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 MIDDLETOWN, 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 WATERS OF MIDDLETOWN SKILLED NURSING FACILITY, THE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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