Hamilton Pointe Health And Rehab
Inspection Findings
F-Tag F0658
F 0658
Ensure services provided by the nursing facility meet professional standards of quality.
Level of Harm - Minimal harm or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observation, interview, and record review, the facility failed to ensure Enhanced Barrier Precautions (EBP) were used for a resident with a wound, orders were in place for care of an ostomy, for 1 of 2 residents observed for incontinence care, and 1 of 1 residents reviewed for ostomy care. (Resident C, Resident D)Findings include:During an observation on 9/4/25 at 11:10 P.M., Qualified Medication Aide (QMA) 1 and QMA 2 provided incontinence care on Resident C. QMA 1 and QMA 2 began care and failed to don EBP supplies. During care, QMA 2 left the room and brought back the Wound Nurse to provide care to Resident C's wound on her buttocks. The Wound Nurse failed to don EBP supplies.On 9/4/25 at 9:25 A.M., Resident C's clinical record was reviewed. Diagnoses included, but were not limited to, unstageable pressure ulcer.The most recent admission Minimum Data Set (MDS) assessment, dated 8/20/25 indicated Resident C had moderate cognitive impairment and was dependent on staff for toileting.Current Physician's Orders included, but were not limited to, Enhanced Barrier Precautions until the wound was healed, revised 8/15/25.Resident C's clinical record lacked a care plan related to EBP.During an interview on 9/4/25 at 11:49 A.M., the Assistant Director of Nursing (ADON) indicated she would expect staff to wear EBP when incontinence care and wound care were provided on Resident C.2. On 9/4/25 at 10:32 am Resident D's clinical record was reviewed. Diagnoses included but were not limited to, gastroesophageal reflux disease without esophagitis, colostomy status. A Minimum Data Set (MDS) assessment dated [DATE REDACTED], indicated cognition was intact, bowel always incontinent, ostomy (including urostomy, ileostomy, and colostomy ) was marked yes. Care plans were reviewed and included, but were not limited to:I have a colostomy as of 8/19/24 d/t (due to) bowel obstruction, initiated 9/23/25. Interventions included but were not limited to: my colostomy care will be completed as needed, initiated 9/3/25, revision on 8/16/25.September 2025 physician orders were reviewed and no order was in place for the care of the colostomy. The TAR ( Treatment Administration Record) and EMAR (Electronic Medication Administration Record ) for August and September was reviewed and no order was in place for the care of the colostomy.On 9/4/25 at 1:16 p.m., RN 2 indicated normally orders are in place for the care of a colostomy, nursing documents when changing the ostomy bag and providing care. On 9/4/25 at 1:18 P.M., the ADON provided a current Enhanced Barrier Precautions policy, revised 2/5/25 that indicated, .An order for enhanced barrier precautions will be obtained for residents with.chronic wounds such as pressure ulcers.On 9/4/25 at 1:37 p.m., the ADON (Assistant Director Of Nursing ) provided the current policy on pouch changes, colostomy, urostomy, and ileostomy with a revised date of 12/3/24. The policy included but was not limited to: .1.
Ostomy care will be provided by the licensed nurses under the orders of the attending physician. The order should include the type of ostomy, frequency of pouch change, and type of equipment .This citation relates to Intake 2597338.3.1-35(g)(1)
Residents Affected - Few
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 REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
HAMILTON POINTE HEALTH AND REHAB in NEWBURGH, IN inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 NEWBURGH, 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 HAMILTON POINTE HEALTH AND REHAB or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.