Waters Of Scottsburg, The
WATERS OF SCOTTSBURG, THE in SCOTTSBURG, IN — inspection on April 30, 2026.
Found 5 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
Review of the requested State reportable incidents lacked documentation of Resident B's elopement from the facility.
During an interview, on 4/28/26 at 11:25 a.m., the Administrator indicated she had spoken with the corporate team.
She was advised to do a re-assessment of Resident B's BIMS score, which was 12 (impaired cognition).
Since it was a 12, she was told not to report the incident.
During an interview, on 4/29/26 at 8:32 a.m., the Regional Director of Operations indicated the facility follows the State guidance on reporting incidents. On 4/29/26 at 8:49 a.m., the Regional Director of Operations provided a copy of the Indiana Department of Health Policies and Procedures titled Long-Term Care Abuse and Incident Reporting. It included, but was not limited to, Purpose .To facilitate compliance with state and federal law and regulation, as applicable, related to reporting of .incidents in licensed long-term care facilities in Indiana .Elopement .Elopement occurs when a resident without decision making capacity leaves the premises or a safe area without authorization .and/or any necessary supervision to do so OR a resident with decision making capacity leaves the premises or a safe area, without facility knowledge This Citation relates to Intake 2996030 410 IAC (Indiana Authorization Code) 16.2-3.1-28(c) 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
155494 04/30/2026
Waters of Scottsburg, The 1350 N Todd Dr Scottsburg, IN 47170
During an interview on 4/29/26 at 1:18 p.m., Speech Therapist 8 indicated she had left the facility at around 8:00 p.m. on 4/25/26.
When she had gotten up to the main road, she planned to turn right.
She looked to the left and then turned right onto the road, however, she turned around in a parking lot on the left side of the road because she had seen a person lying on the side of the road.
She pulled up and had gotten out of her car where she saw two middle-aged men and a woman.
The two men had gotten the male up off of the ground and into his wheelchair.
She spoke to one of the gentlemen who reported that he had called 911.
She asked the gentleman if she could speak with the male to make sure it was not a resident from where she worked.
She asked the male if she could take a picture of him and he shook his head yes.
She took the picture and sent it to her manager and asked if the resident belonged to their facility.
Her manager sent her a text back and told her he was a resident of the facility. EMS and the police had arrived by then.
Not long after that, multiple staff members from the facility had gotten to the scene.
During an interview, on 4/29/26 at 3:29 p.m., Activity Aide 7 indicated on 4/25/26, she had been sitting outside waiting for a ride and there were residents outside.
When she left at 6:00 p.m., Resident B was still sitting outside.
Activity Aide 7 was unaware that Resident B was an elopement risk. On 4/28/26 at 1:18 p.m., the Administrator provided a current, undated copy of the document titled Policy and Procedure Regarding Missing Residents and Elopement. It included, but was not limited to, Policy Statement.It is the policy of this facility that all residents are provided adequate supervision to meet each resident's nursing and personal care needs.
The past non-compliance Immediate Jeopardy that began on 4/25/26.
The Immediate Jeopardy was removed and corrected by 4/26/26 after the facility implemented a systemic plan that included the following actions: All staff were educated on the elopement policy and procedure with emphasis an elopement prevention (4/25/26); Elopement assessments were completed on all residents residing in the facility and care plans updated as needed (4/25/26); Elopement binders were updated and current (4/25/26); Implementation of weekly reviews of elopement risk assessments for four weeks, then monthly for five months to ensure any resident with high risk scores have appropriate safety precautions in place (4/26/26).
This Citation relates to Intake 2996030 410 IAC (Indiana Administrative Code) 3.1-45(a)(2)
155494 04/30/2026
Waters of Scottsburg, The 1350 N Todd Dr Scottsburg, IN 47170
During an interview, during the survey period, Staff Member 13 indicated indwelling urinary catheter care should be provided every shift and documented. On 4/30/26 at 4:00 p.m., the Regional Director of Operations provided a current copy of the document titled Guidelines for Indwelling Foley Catheter Care dated 10/16/24. It included, but was not limited to, Purpose.The main purpose of proper indwelling foley catheter care is to prevent catheter associated urinary tract infections.
Trained clinical staff.will conduct indwelling foley catheter care.
This Citation relates to Intake 2996274 410 IAC (Indiana Authorization Code) 16.2-3.1-41(2)
155494 04/30/2026
Waters of Scottsburg, The 1350 N Todd Dr Scottsburg, IN 47170
During an observation, on 4/29/26 at 8:50 a.m., Resident C was observed with a PICC (peripherally inserted central catheter) line to the right upper extremity.
The physician's order, dated 4/8/26, indicated the resident was to receive Vancomycin (A powerful antibiotic used to treat serious infections) HCl (hydrochloride) 1.25 grams, intravenously two times a day at 8:00 a.m. and 8:00 p.m. for osteomyelitis.
The April 2026 medication administration record lacked documentation of the administration of the antibiotic at 8:00 a.m. on 4/23/26 and 4/27/26.
The physician's order, dated 4/20/26, indicated the resident was to receive Cefazolin Sodium (antibiotic used for bone/joint infections) 2 grams, intravenously, every 8 hours at 6:00 a.m., 2:00 p.m. and 10:00 p.m. for osteomyelitis.
The April 2026 medication administration record lacked documentation of the administration of the antibiotic on 4/23/26 at 2:00 p.m.
During the survey period, Staff Member 14 indicated the medication administration record should be signed off by the nurse administering the medication. On 4/30/26 at 4:00 p.m., the Regional Director of Operations provided a current, undated copy of the document titled Medication Administration Guidelines. It included, but was not limited to, The Right Documentation.Sign MAR immediately after administering the medications.
This Citation relates to Intake 2996274 410 IAC (Indiana Authorization Code) 16.2-3.1-47(a)
155494 04/30/2026
Waters of Scottsburg, The 1350 N Todd Dr Scottsburg, IN 47170
During the survey period, Staff Member 17 indicated the resident had exit-seeking behaviors prior to the day he had eloped.
During an interview, on 4/30/26 at 12:16 p.m., the Social Services indicated Resident B should have behavior monitoring in place for exit-seeking behaviors. On 4/30/26 at 12:41 p.m., the Regional Director of Operations provided a current copy of the document titled Behavior Management Program dated 5/20/24. It included, but was not limited to, Purpose.Each resident of the facility identified as exhibiting problematic behavior will be observed in a manner to identify the casual factor, if possible, of the behavior as well as seek approaches/interventions appropriate for the same.Policy.It is the policy of this facility to assess those residents exhibiting problematic behavior.Initiation of Behavior Management Logbook.The record should list behaviors and interventions specific to the resident.Procedure.Each resident who exhibits problematic behaviors will have a form for monitoring his/her status.
This Citation relates to Intake 2996030 410 IAC (Indiana Authorization Code) 16.2-3.1-37
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.