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Health Inspection

Waters Of Muncie, The

March 31, 2025 · Muncie, IN · 2400 Chateau Dr
Citations 2
CMS Rating 2/5
Beds 72
Provider ID 155443
Healthcare Facility
Waters Of Muncie, The
Muncie, IN  ·  View full profile →
Inspection Summary

WATERS OF MUNCIE, THE in MUNCIE, IN — inspection on March 31, 2025.

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

FF602
Minimal harm or 42685 Few ordered for 1 of 1 resident reviewed for oxygen. (Resident F) affected

During an observation on 3/25/25 at 3:10 p.m., the resident was seated in a wheelchair with her oxygen on via nasal cannula and attached to an oxygen concentrator.

The oxygen was on at 5 lpm and the humidification bottle was empty.

During an observation on 3/26/25 at 11:18 a.m., the resident was in bed asleep with the oxygen on at 5 lpm via nasal cannula.

The humidification bottle was empty and dated 3/21/25.

Resident F's clinical record was reviewed on 3/26/25 at 3:56 p.m.

Diagnoses included chronic obstructive pulmonary disease, solitary pulmonary nodule, and weakness.

A current physician order, dated 7/22/24, included oxygen at three liters per minute via nasal cannula.

A current physician order, dated 7/22/24, included a humidification bottle change once weekly and as needed for humidity.

A quarterly Minimum Data Set (MDS) assessment, dated 3/1/25, indicated the resident had moderate cognitive impairment.

The resident had a chronic condition that may result in a life expectancy of less than six months.

Special services included oxygen therapy.

A current care plan, dated 8/11/24, indicated the resident was at risk for respiratory distress related to a left lung pulmonary nodule/lung cancer.

Interventions included monitoring respiratory status frequently (8/11/24) and oxygen as ordered per the physician (9/11/24).

During an interview on 3/26/25 at 4:56 p.m., LPN 7 indicated the resident's oxygen was on via nasal cannula at 5 lpm.

The humidity canister was empty.

She indicated the resident typically required 2-3 lpm. LPN 7 had not been informed of any changes nor had hospice left any notes.

During an interview on 3/26/25 at 5:00 p.m., LPN 7 indicated the resident's hospice binder did not have any notes regarding a change in the orders for oxygen.

The resident's oxygen was ordered at 3 lpm.

The physician orders should have been followed and the humidity should not have been empty.

During an interview on 3/28/25 at 11:46 a.m., the CNA 5 indicated the resident was very cooperative with care.

She had never known the resident to change her own oxygen settings, as her vision was impaired.

She required staff assistance with her oxygen needs.

155443

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 155443 B.

Wing 03/31/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Waters of Muncie, The 2400 Chateau Dr Muncie, IN 47303

F-F755.

3.1-52(b)(2)

155443

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 MUNCIE, 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 MUNCIE, THE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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