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Complaint Investigation

Southwood Healthcare Center

October 9, 2025 · Terre Haute, IN · 2222 Margaret Ave
Citations 2
CMS Rating 1/5
Beds 121
Provider ID 155484
Healthcare Facility
Southwood Healthcare Center
Terre Haute, IN  ·  View full profile →
Inspection Summary

SOUTHWOOD HEALTHCARE CENTER in TERRE HAUTE, IN — inspection on October 9, 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

FF0600
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Immediate Jeopardy

jeopardy to resident health or safety

policy indicated, .Policy: .CNA's.provide patient centered care by monitoring patient care needs and safety on a routine basis throughout the day.Procedure: 1. CNA's will routinely monitor residents.for routine care needs and safety.referred to as rounding.2.

Rounding will be completed by CNA to safely transfer care between on-coming and off-going shifts.3.

Nurses will monitor that rounding schedule is adequate and complete for meeting resident needs. On [DATE] at 10:50 a.m., the RDCO provided an undated document titled, Abuse & Neglect & Misappropriation of Property, and indicated it was the policy currently being used by the facility.

The policy indicated, .Neglect: In Indiana, neglect is defined as failure to provide goods and services as necessary to avoid physical harm, mental anguish, or mental illness (Deprivation of services).

Examples: An action or lack of action that actually harms a resident such as.7) An action or lack of action that places one or more residents in a life-threatening situation, such as.c) Staff failing to identify, assess, monitor, and respond to residents suffering an acute condition.II.

Training: 1.

Provide education and training upon hire, annually and as needed for re-training to include but not limited to.e.

Observations that may identify abuse or neglect.III.

Prevention.3.

Staffing is established based on census, acuity level, needs, and is posted daily in a conspicuous area for residents, family and visitors.

The immediate jeopardy that began on [DATE] was removed on [DATE], when the facility ensured a systemic plan to include education and monitoring of staff to ensure staff provided supervision and required care to all residents residing at the facility.

The noncompliance remained at the lower scope and severity level of no actual harm with the potential for more than minimal harm that is not immediate jeopardy because of the facility's need for continued monitoring.

This citation relates to Intakes 2635111 and 2635242. 3.1-27(a)(3)

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

10/09/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Southwood Healthcare Center

2222 Margaret Ave Terre Haute, IN 47802

SUMMARY STATEMENT OF DEFICIENCIES

During an interview, on [DATE] at 8:55 a.m., the Administrator indicated the daily staffing calls were with their corporate office.

They discuss the census and the staffing numbers.

Corporate would suggest that they may require more staff, so they would advertise and offer different incentives.

The QAPI had begun performing staffing audits after she started her position as the Administrator.

During an interview, on [DATE] at 10:40 a.m., Resident N indicated the same nurse aide usually worked the unit on night shift.

When Resident N requested Tylenol, the nurse aide had to let the nurse know so it could be administered.

Resident N had to wait a long time sometimes to get the Tylenol after she requested it.

She heard the staff say there was only one nurse covering three units, but she was not sure.

She knew they did not have very many staff who worked the night shift, and it was not enough.

Resident N indicated she turned her call light on this morning before 6:00 a.m. to request Tylenol, and it took the nurse aide approximately half an hour to answer the call light.

The nurse aide told the resident she would let the nurse know she wanted Tylenol.

The nurse gave her the Tylenol at 7:00 a.m. with her other morning medications.

She thought this type of thing happened because they did not have enough staff and could not get to the residents more quickly.

During an interview, on [DATE] at 10:55 a.m., Resident P indicated it took a long time for him to get his pain medication. He had to request medication and waited as long as nine hours after his request until he received it.

There was no nurse specifically assigned to his unit, so he had to wait for one to come to the unit and give him the pain medication after he asked for it.

During an interview, on 10/9/

Facility ID:

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 TERRE HAUTE, 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 SOUTHWOOD HEALTHCARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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