Springs Of Richmond, The
Inspection Findings
F-Tag F0558
F 0558 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
During an observation and interview with Resident D, on 1/28/26 at 1:30 p.m., Resident D had a cup of water sitting in front of him. He indicated he just got fresh water about twenty minutes ago for the first time that day.
A plan of care, dated 1/19/26, indicated Resident D was at risk for dehydration. The interventions included, but were not limited to, staff were to offer fluids.
- 3. The clinical record for Resident E was reviewed on 1/29/26 at 1:58 p.m. The resident's diagnoses
included, but were not limited to, severe sepsis with septic shock (body's overwhelming response to infection causes organ dysfunction) and acute respiratory failure with hypoxia (inability of the respiratory system to maintain an adequate blood oxygen level to preserve normal organ function).
The admission Minimum Data Set (MDS) assessment, dated 1/15/26, indicated Resident E was moderately cognitively impaired and was on a controlled carbohydrate diet with a 2 gram sodium restriction.
During an interview and observation with Resident E, on 1/28/26 at 10:55 a.m., the resident had an empty Styrofoam cup with no date on it. The resident indicated she always had to ask for water.
During an interview and observation with Resident E, on 1/28/26 at 1:45 p.m., the resident had a Styrofoam cup with no date on it, it was empty and had ice in it. The resident indicated that was what came on her lunch tray and the facility still had not passed water.
A plan of care, dated 1/12/26, indicated Resident E was at risk for dehydration. The interventions included, but were not limited to, staff were to offer fluids.
During an interview with the Administrator, on 1/29/26 at 3:03 p.m., the Administrator indicated the facility does not have a policy in regards to hydration and his expectation was to keep residents hydrated and the resident's water cups were passed once per shift.
This Federal citation relates to intake 2707905. 3.1-3(v)(1)
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
01/29/2026
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Springs of Richmond, The
400 Industries Road Richmond, IN 47374
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-Tag F0580
F 0580 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Based on interview and record review the facility failed to notify a resident's family of a large bruised area to
the resident's back for 1 of 3 residents reviewed notification of injury. (Resident B) Finding include: During
an interview, on 1/28/26 at 12:48 p.m., Resident B's family member indicated they were not notified of a large bruise on the resident's back. The family member indicated when the resident was admitted to the hospital, on 12/21/25, the bruise was observed. The resident reported to the family member that a week
before she went to the hospital she had a fall during a transfer with staff. The family member was not aware
the resident had a fall or had the bruising. Review of the clinical record of Resident B on 1/28/26 at 10:28 a.m., indicated the resident's diagnosis included, but was not limited to, stroke (lack of oxygen causing brain cells to die, potentially leading cause of long-term disability and death). The resident's record did not indicate the resident had a fall. The admission Minimum Data Set (MDS) assessment for Resident B, dated 9/24/25, indicated the resident was cognitively intact for daily decision making. The resident was consistent and reasonable.The progress note for Resident B, dated 12/21/25 at 2:23 p.m., indicated the dark areas to
the resident's back had worsened and was getting darker. The area increased in size. An event was opened to ensure the wound nurse was aware. The Nurse Practitioner was notified. The documentation did not indicate the resident's family had been notified. During an interview with the Director Of Nursing Services (DNS) on 1/28/26 at 2:06 p.m., the DNS indicated when an event was created in the computer they were turned into incident reports that were an internal document. No further information or documentation was provided by the DNS. The notification policy provided by the DNS on 1/28/26 at 2:25 p.m., indicated the purpose was to ensure the resident's responsible party was notified of a change in condition timely. The responsible party would be notified immediately of a change in condition. This citation relates to Intake
- 2707905. 3.1-5(a)(2)
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
01/29/2026
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Springs of Richmond, The
400 Industries Road Richmond, IN 47374
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-Tag F0684
F 0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Level of Harm - Minimal harm or potential for actual harm
Based on interview and record review the facility failed to complete a thorough and accurate assessment of
a large bruised area to a resident's back for 1 of 3 residents reviewed for Quality of Care. (Resident B) Findings include: The hospital note for Resident B, dated 1/21/26 (no time), indicated the resident had a traumatic wound on admission to the right side of her back measuring 22 centimeters (cm) by 9 cm. The area was purple and red with erythema (superficial reddening of the skin as result of an injury or irritation causing dilation of the blood capillaries). Review of the clinical record of Resident B on 1/28/26 at 10:28 a.m., indicated the resident's diagnosis included, but was not limited to, stroke (lack of oxygen causing brain cells to die, potentially leading to lasting damage, paralysis, or speech impairment, leading cause of long-term disability). The resident's record did not indicated the resident had a fall. The progress note for Resident B, dated 12/21/25 at 2:23 p.m., indicated the dark areas to the resident's back worsened, was getting darker, and increasing in size. An event was opened to ensure wound nurse aware. The Nurse Practitioner was notified. The documentation had no further assessments of the area to the resident's back.
Review of the wound management for Resident B on 1/28/26 at 10:28 a.m., indicated the resident had no bruising assessment for the resident's back or any other assessment of the resident's back. During an
interview with the Director Of Nursing Services (DNS) on 1/28/26 at 2:06 p.m., indicated the when an event was created in the computer they were turned into incident reports that were an internal document. No further documentation or assessments were provided by the DNS during the survey process. During an interview, on 1/28/26 at 12:48 p.m., Resident B's family member indicated they were not notified of a large bruise on the resident's back. The resident indicated she had a fall during a transfer with staff at the facility and hit the side of her bed. The family member was not aware the resident had a fall or had the bruising.
The bruising policy provided by the DNS on 1/28/26 at 2:25 p.m., indicated the procedure was to complete
an bruise incident in the electronic health record along with a template/assessment progress note. This citation relates to Intake 2707905.3.1-37(a)
Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
SPRINGS OF RICHMOND, THE in RICHMOND, 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 RICHMOND, 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 SPRINGS OF RICHMOND, THE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.