Lodge of the Wabash

In the surveyor’s words

From the most serious findings on record at Lodge of the Wabash, in the surveyor’s own words.

• Actual harm, isolatedF689May 31, 2023

  Based on interview and record review, the facility failed to ensure a resident was free of accidents for 1 of 3 residents reviewed for falls. Staff failed to implement the facility's fall protocol following a resident fall that resulted in a hip fracture and another fall the following morning. (Resident B) Finding includes: During a review of state reportable incidents on 5/30/23 at 1:00 P.M., Resident B had been transferred to a hospital on 5/24/23 for complaints of left hip pain following a fall. Resident B had suffered a left hip fracture. During record review on 5/31/23 at 10:06 A.M., Resident B's diagnoses included, but were not limited to; dementia, anxiety disorder, chronic kidney disease, and heart failure. […]

• No harm, potential for more than minimal, widespreadF882Mar 4, 2026

  Based on interview and record review, the facility failed to ensure a qualified Infection Preventionist (IP) working at least part-time at that facility. The Director of Nursing (DON) acted as the IP, but lacked documentation of hours worked as the IP. Finding includes:During an interview on 3/3/26 at 7:04 A.M., Regional Support indicated the DON was the current IP, and the Clinical Nurse Manager was the backup IP, but lacked certification.During an interview on 3/4/26 at 12:20 P.M., the DON indicated she acted as the current IP, DON, and minimum data set (MDS) nurse. […]

• No harm, potential for more than minimal, patternF880Jan 14, 2025

  Based on observation, interview, and record review, the facility failed to ensure infection control practices were followed for 2 of 4 residents during observation of incontinence care and 7 of 16 observations of medication administration. Gloves were not changed and hand hygiene was not performed between dirty and clean tasks during peri care, hand hygiene was not performed prior to administering medications, and staff performed a 2 second hand lather. (Resident B, Resident F, Resident 37, Resident 12, Resident 14, Resident 39, Resident 46, Resident 2, Resident 41). Findings include: 1. On 1/13/25 at 11:04 A.M., Resident B transferred from the wheelchair to the toilet by Certified Nurse Aide (CNA) 37 and CNA 41. […]

• No harm, potential for more than minimal, patternF882Jan 14, 2025

  Based on interview and record review, the facility failed to ensure a qualified Infection Preventionist (IP) worked at least part-time at that facility, and the interim IP lacked an infection control certification. Finding includes: During an interview on 1/13/25 at 1:47 P.M., the Clinical and Quality Consultant indicated the Director of Nursing (DON) is the IP, but she was currently out on leave, and the interim IP was the Assistant Director of Nursing (ADON) . At that time, she indicated the ADON lacked a certification related to infection control. During an interview on 1/14/25 at 9:24 A.M., the Clinical and Quality Consultant indicated the facility lacked documentation on how many hours were dedicated to IP. […]

• No harm, potential for more than minimal, patternF921Jan 14, 2025

  Based on observation and interview, the facility failed to ensure a sanitary and home-like environment for 3 of 3 halls, 1 of 1 shower rooms reviewed for environment, and 19 of 19 resident personal refrigerator temperature logs reviewed. Personal items and linens were not labeled and uncovered, vent fans were caked with dust, toilets were soiled, paint was missing, baseboards were falling off or missing, and a toilet seat riser was uncovered on the floor under the sink in the shower rooms. […]