Springhill Village
SPRINGHILL VILLAGE in TERRE HAUTE, IN — inspection on February 23, 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
During an interview on 2/20/26 at 9:32 a.m., the Director of Nursing (DON) indicated she was unable to find documentation where staff had notified the hospital of the transfer and condition of Resident 7 prior to her leaving the facility.
The staff should have called report to the hospital staff and documented it in the record.
On 2/20/26 at 10:07 a.m., the DON provided a document with a revised date of 2/19, titled, Hospital Discharge/Transfer, and indicated it was the currently policy being used by the facility.
The policy indicated, .Nursing will complete an Emergency transfer observation and attach copies of the following information form the resident medical record:.Notice of Transfer/Discharge, Bed hold policy.Bed hold policy/transfer notification will be reviewed with the responsible party at the time of notification and documented in the medical record.Nursing will provide a thorough report to receiving hospital nurse that will include: head to toe assessment, current skin condition, current medications, when medications last received, any non-compliance or care issues for the resident, and any other pertinent information that will assist admitting facility in how to care for that resident.
This deficiency reflects State Findings cited in accordance with 410 Indiana Administrative Code (IAC) 16.2-3.1-12(a)(6)(a).
155776 02/23/2026
Springhill Village 1001 E Springhill Dr Terre Haute, IN 47802
According to documented weights the resident has lost 12.5% weight loss in 6 months and 1.14% weight loss in 30 days.
The monthly weight record indicated on 8/6/23 the resident's weight was recorded as 100 pounds (lbs.), on 9/2/25 weight was recorded 102 lbs., on 10/9/25 weight was recorded as 94 lbs. A care plan, dated 8/25/23, indicated the resident was at risk for altered nutritional status due to but not limited to varied intake of diet and dementia.
Interventions included, but were not limited to, regular diet, super cereal at breakfast, ice cream with lunch and dinner, and mighty shake with breakfast lunch and dinner. A physician order, dated 12/12/23, indicated to administer Ensure Plus 237 ml (milliliters) daily. An annual Minimum Data Set assessment (MDS), dated [DATE], indicated the resident was severely cognitively impaired and required extensive assistance from the staff with daily care needs.
The MDS indicated the resident had not had a significant weight loss of more than 10% in 6 months.
Review of the Medication Administration Records (MAR) for January and February 2026 indicated the Ensure amount the resident consumed was not recorded for 18 days. On 2/18/25 at 1:40 p.m., during an interview, Licensed Practical Nurse (LPN) (18) indicated Resident 57 would not keep her dentures in and she often took them out.
She indicated the resident liked to snack and run.
They had difficulty keeping her sitting still long enough for meals and the resident got ensure daily around 2 p.m., but she also got lots of snacks.On 2/20/26 at 1:55 p.m., during an interview Certified Nurse Aide (CNA) (21) indicated the resident ate all day and she liked to snack.
She indicated she was very active and wandered around a lot. On 2/23/26 at 1:00 p.m., during an interview the Director of Nurses indicated the resident's weight had consistently been about the same.
The resident was noted to have a significant weight variance for 4 dates, and she believed the weights were wrong and thus an incorrect weight loss percentage was triggered.
However, a re-weight was not completed at the time to confirm weight loss, and the weight loss had not been addressed until this month. On 2/23/26 at 1:00 p.m., the Director of Nursing provided a document titled, Resident weight monitoring dated 9/2024, and indicated it was the policy currently being used by the facility.
The policy indicated, .3.
Monthly weights will be obtained, verified for accuracy.
This deficiency reflects State Findings cited in accordance with 410 Indiana Administrative Code (IAC) 16.2-3.1-46.
155776 02/23/2026
Springhill Village 1001 E Springhill Dr Terre Haute, IN 47802
During an interview, on 2/19/27 at 1:50 p.m., Licensed Practical Nurse (LPN) 10 indicated CPAP masks and tubing should be cleaned once daily.
The mask should be placed in a clean dated bag when not in use.
- On 2/17/26 at 11:00 a.m., during initial observation noted nebulizer tubing and medication chamber
lying on top of a clear storage bag dated 2/15/26 on a chair in the room of Resident 34.
Observed bilevel positive airway pressure (BiPap, a non-invasive, mask-based ventilation device that helps people breathe by pushing pressurized air into the lungs with two distinct pressures: a higher pressure for inhaling and a lower pressure for exhaling) mask and tubing lying on top of a clear plastic bag on top of the resident's bedside table.
On 2/18/26 at 9:04 a.m., observed nebulizer tubing and medication administration chamber lying on chair in Resident 34's room on top of a plastic storage bag.
Observed the BiPap mask and tubing unbagged on top of bedside table.
The resident indicated she administered nebulizer treatments herself.
On 2/18/26 at 9:10 a.m., during an interview, RN 13 indicated she set up the nebulizer treatment for Resident 34 and stood by while the resident administered her own breathing treatment.
She indicated she cleaned the equipment and hung it up to dry.
On 2/18/26 at 9:23 a.m., during an interview, Licensed Practical Nurse (LPN) 10 indicated the nurse should assess the resident during and after the nebulizer treatment.
Once completed the nurse should rinse out the nebulizer tubing and medication chamber and allow the equipment to air dry then place equipment in a bag.
On 2/19/26 at 8:31 a.m., observed nebulizer tubing and medication administration chamber unbagged laying on top of dated bag in a chair in the resident's room.
Observed BiPap mask and tubing unbagged on top of bedside table.
On 2/23/26 at 12:58 p.m., the ED provided a document with a revised date of 9/23, titled, BIPAP/CPAP and indicated it was the currently policy being used by the facility.
The policy indicated .1.
Verify resident and physician's order 2.
Physician's order should include: a. CPAP or BIPAP pressure b. oxygen therapy with sleep, if indicated. d. size and type of mask/prongs e. back up rate, if indicated.
This deficiency reflects State Findings cited in accordance with 410 Indiana Administrative Code (IAC) 16.2-3.1-47(a)(6).
155776 02/23/2026
Springhill Village 1001 E Springhill Dr Terre Haute, IN 47802
Based on observation and interview, the facility failed to ensure medications were dated when opened
100 hall with Qualified Medication Aide (QMA) 19.
Observed an insulin pen, Basaglar insulin100 units, with instructions to administer 15 units at bedtime for Resident 30.
The insulin pen had been opened, and label was not dated with an opened date.
Observed an insulin pen Lantus insulin 3 milliliter pen with instructions to administer 15 units daily, for Resident 73 opened and not dated with an opened date. On 2/20/26 at 8:50 a.m., during an interview Licensed Practical Nurse (LPN) 18 indicated the insulin pens must be dated when opened and discarded after 30 days. On 2/20/26 at 10:00 a.m., the Director of Nursing provided a document titled, Medication storage and expiration policy, and indicated it was the policy currently being used by the facility.
The policy indicated, .9.
Facility staff should record the date opened on the primary medication container.c. If a multidose vial of an injectable medication has been opened or accessed (e.g., needle punctured), the vial should be dated and discarded within 28 days.
This deficiency reflects State Findings cited in accordance with 410 Indiana Administrative Code (IAC) 16.2-3.1-25(j).
155776 02/23/2026
Springhill Village 1001 E Springhill Dr Terre Haute, IN 47802
standing directly in front of the resident, without any PPE in place. At the same time, the
entering.
8/26 at 8:17 a.m., the ED provided an undated and untitled document, and indicated it was the policy for infections that required droplet precautions currently in use by the facility.
The policy indicated, .Use of Personal Protective Equipment-Mask and face protection in addition to gown and gloves: Anyone who goes into a room should wear a mask/face protection.Remove mask/face protection and dispose of it before leaving room.Perform hand hygiene before leaving the room.Droplet/Contact Precautions.Covid-19 Positive Resident.Use of Personal Protective Equipment: health care personnel (HCP) should wear an N95 or higher-level respirator, eye protection (.that covers the front and sides of the face).when caring for these residents.
This deficiency reflects State Findings cited in accordance with 410 Indiana Administrative Code (IAC) 16.2-3.1-18(b).
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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.