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Complaint Investigation

Waldron Rehabilitation And Healthcare Center

Inspection Date: August 19, 2025
Total Violations 1
Facility ID 155704
Location WALDRON, IN
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Inspection Findings

F-Tag F0690

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0690 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Based on interview and record review, the facility failed to properly ensure treatment of a urinary tract infection was completed for 1 of 3 residents reviewed for identification and treatments of urinary tract infections. (Resident D)Findings include:The clinical record for Resident D was reviewed on 8/19/2025 at 1:45 p.m. The medical diagnoses included stroke and urinary tract infection.A Quarterly Minimum Data Set assessment, dated 7/20/2025, indicated Resident D was cognitively impaired, always incontinent with bladder, and needed substantial to maximal assistance with toileting hygiene.An activity of daily living care plan, revised 5/21/2025, indicated Resident D had issues with continence status with interventions were to assist with toileting and personal hygiene.Hospital discharge documentation, dated 8/6/2025, indicated Resident D was being treated for a urinary tract infection with Bactrim DS (an antibiotic) by mouth every 12 hours for the next five days. Later in that document, a new prescription was listed as Bactrim DS by mouth every 12 hours with a quantity of ten. A hospital after visit summary, dated 8/6/2025, indicated Resident D was diagnosed with a urinary tract infection, received two doses of intravenous antibiotics, and needed to take .this medication [antibiotic] for the next 5 days.Review of the Medication Administration Record for August 2025 indicated Resident D received eight doses of Bactrim DS over four days.During an interview

on 8/19/2025 at 2:30 p.m., the Director of Nursing indicated Resident D had only received four days of antibiotics.A policy entitled, Physician Servers and Orders, was provided by the Administrator on 8/19/2025 at 3:00 p.m. The policy indicated . All physician orders will be followed as prescribed.This citation relates to Complaint 2581246.3.1-41(a)(2)

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 REPRESENTATIVE'S SIGNATURE

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(X6) DATE

FORM CMS-2567 (02/99) Previous Versions Obsolete

Facility ID:

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📋 Inspection Summary

WALDRON REHABILITATION AND HEALTHCARE CENTER in WALDRON, IN inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

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 WALDRON, 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 WALDRON REHABILITATION AND HEALTHCARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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