Warsaw Meadows
WARSAW MEADOWS in WARSAW, IN — inspection on October 1, 2025.
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
attempting to get to her room and Resident B had lunged at her. in a threatening manner Confidential Employee 4 indicated she had not witnessed this action, but Resident D was scared when she went to give Resident D her medication.
Confidential Employee 4 indicated Resident D had her grabber stick under pillow and indicated the grabber being under the pillow gave her security.
During an interview, on 9/30/2025 at 11:21 A.M., the Director of Nursing indicated she was only informed of a verbal altercation between Resident B and D.
She was not informed of Resident B lunging at Resident D and staff intervention to prevent contact.
She indicated one on one supervision was put into place for Resident B after the altercation with Resident D.
During an interview, on 9/30/2025 at 11:35 A.M., the Executive Director indicated there was only a verbal interaction from Resident B to Resident D. He indicated nothing else had happened.
Although Resident B had a known history of angry outburst and physical and verbal altercations and had care plan to address behaviors with interventions to relocate the resident to a quiet, safe place and offer him a snack at the first signs of agitation, staff did not follow the planned interventions which resulted in Resident B physically assaulting Resident C, causing her physical bruising and emotional trauma. In addition, staff did not implement preventative one to one supervision for Resident B to prevent further abuse which resulted in verbal abuse and threatening physical behaviors toward Resident D which resulted in emotional distress and fear.A policy was provided by the Executive Director, on 9/29/205 at 10:20 A.M.
The policy titled, Abuse Policy, indicated, .The resident has the right to be free from abuse, neglect, misappropriation of resident property, and exploitation.Residents should not be subjected to abuse by anyone, including, but not limited to, facility staff, other residents, consultants or volunteers, staff of other agencies serving the resident, family members or legal guardians, friends, or other individuals.Abuse is defined as ‘the willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm, pain or mental anguish.Prevention-Provide staff, residents, and family members information on how to and whom to report concerns, incidents, and grievances without fear of retribution, and provide feedback regarding the concerns; identify, intervene, and correct situations of alleged, suspected, or substantial abuse; supervision of staff, monitoring of resident's with needs and behaviors, communication deficits, and/or those totally dependent on staff.This deficient practice relates to Intake 2625615.3.1-27(a)3.1-27(b)
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