Avalon Springs Health Campus

In the surveyor’s words

From the most serious findings on record at Avalon Springs Health Campus, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF880Jan 14, 2026

  Based on observation, record review and interview, the facility failed to ensure infection control measures were in place and implemented related to appropriate signage posted during a respiratory outbreak, lack of monitoring for a resident that was COVID-19 positive and lack of COVID-19 testing for a symptomatic resident for 2 of 3 residents reviewed for infection control and random infection control observations. (Residents 19 and 44)Findings include:1.On 1/8/26 at 8:35 a.m., the entrance to the facility was observed. There was no signage posted that indicated there was currently a respiratory outbreak in the facility and listed current precautions such as masking was optional or available. […]

• No harm, potential for more than minimal, patternF880Dec 19, 2022

  Based on observation, record review, and interview, the facility failed to ensure infection control guidelines were in place and implemented, including those to prevent and/or contain COVID-19, related to not wearing personal protective equipment (PPE) correctly when entering a transmission based precaution (TBP) isolation room, not completing hand hygiene prior to donning PPE, not removing PPE correctly after exiting a TBP isolation room, and not completing hand hygiene after doffing PPE for random observations of infection control. (Rooms 114, 113, 115, and 110) Findings include: 1. During a random observation on 12/13/22 at 9:41 a.m., RN 2 was observed preparing to pass medications to the resident in room [ROOM NUMBER]. […]

• No harm, potential for more than minimal, isolatedF609Jan 14, 2026

  Based on record review and interview, the facility failed to ensure complete and accurate information was included in Indiana Department of Health (IDOH) Reportable Incidents related to abuse allegations for 2 of 3 IDOH Reportable Incidents reviewed. (Residents 11 and 42)Findings include:1.During an interview on 1/9/26 at 11:07 a.m., Resident 11 indicated a staff member had been rude and mean to her. She indicated she did not recall who the staff member was but that she had reported it to another staff member. The resident's record was reviewed on 1/9/26 at 1:20 p.m. Diagnoses included, but were not limited to, hemiplegia (one-sided paralysis) and hemiparesis (one-sided weakness) following a cerebral infarction and dysphagia. […]

• No harm, potential for more than minimal, isolatedF689Jan 14, 2026

  Based on observation, record review and interview, the facility failed to ensure fall interventions were in place for a resident with a history of falls for 1 of 1 residents reviewed for accidents. (Resident 6)Finding includes:On 1/9//26 at 9:40 a.m., Resident 6's room was observed. There was a standard size bed placed in the middle of the room with the headboard against the wall. On the right side of the bed, there was an oxygen concentrator between the bed and the wall. The resident was seated in a Broda chair near the nurse's station.The resident's record was reviewed on 1/9/26 at 9:26 a.m. […]

• No harm, potential for more than minimal, isolatedF694Jan 14, 2026

  Based on record review and interview, the facility failed to ensure a peripherally inserted central catheter (PICC) intravenous (IV) access site was assessed and monitored accurately as ordered for 1 of 3 residents reviewed for parenteral/IV fluids. (Resident 41)Finding includes: Resident 41's record was reviewed on 1/14/26 at 12:36 a.m. Diagnoses included, but were not limited to, osteomyelitis (infection of the bone) and cellulitis of the right and left lower limbs (skin infection). The admission Minimum Data Set (MDS) assessment, dated 12/17/25, indicated the resident was moderately cognitively impaired. He required intermittent oxygen therapy, received intravenous (IV) antibiotic medications, and had a central IV access site. […]