Southwood Healthcare Center
SOUTHWOOD HEALTHCARE CENTER in TERRE HAUTE, IN — inspection on February 26, 2026.
Found 1 citation. 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
During an interview 2/25/26 at 1:36 p.m., CNA 1 indicated on 1/19/26 at approximately 12:00 p.m., the staff was passing the lunch trays.
She looked around the dining room and noticed Resident B was shoving food into her mouth and pocketing food in her cheeks.
She would normally feed herself and was a slow eater, so this was unusual.
She went over to Resident B and sat next to her to assist her to slow down her eating.
She was not chewing the food, just shoving into her mouth. CNA 1 moved her plate out of reach, in an attempt to get her to slow down and address the food in her mouth.
Her lips were turning bluish in color.
Resident B continued to reach for her plate to get more food. CNA 1 noted her bluish lip color and felt the resident was choking and performed the Heimlich Maneuver using two thrusts, positioning her clasped hands below her sternum with the resident seated. A whole Brussel sprout was expelled. LPN 2 arrived and took over care of Resident B. A lunch tray ticket, dated 2/19/26, Thursday lunch, for Resident B, indicated regular dysphagia advance diet.
Roasted Brussels Sprouts, Chop was listed on the resident's menu. A Preliminary Autopsy Report, provided by the coroner's office, completed 2/21/26, indicated the cause of death as acute pulmonary thromboembolism (blood clot in the lungs).
During an interview on 2/25/26 at 11:47 a.m., the Corporate Risk Management Nurse (CRMN) indicated the resident had been served whole Brussel sprouts, but according to her ordered diet, should have been served chopped Brussel sprouts. A current facility policy, undated, titled, Textures, provided by the Administrator on 2/26/26 at 10:24 a.m., included the following: .2.
Dysphagia advanced .Listed as dys adv on the meal ticket .Foods allowed: .Vegetables: soft, well-cooked.
This deficient practice was corrected by 2/20/26 prior to the start of the survey and was therefore Past Noncompliance.
The facility implemented a systemic plan that included monitoring meal tray/diet accuracy and staff education regarding accurate modified diet service, and ongoing monitoring by Quality Assurance and Performance Improvement (QAPI).
This citation relates to Intake 2748939.
These deficiencies reflect State Findings cited in accordance with 410 Indiana Administrative Code (IAC) 16.2-3.1-20(a).
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
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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.