Waters of Batesville, The

In the surveyor’s words

From the most serious findings on record at Waters of Batesville, The, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Feb 28, 2022

  Based on interview and record review, the facility failed to ensure a resident (Resident F) received the ordered PICC (large central vein access near the heart used to administer medications) line needed for the resident to receive IV (intravenous) antibiotics for pneumonia, and a resident (Resident B) underwent an unnecessary medical procedure to place a PICC line that was not ordered by their physician for 2 of 7 residents reviewed for quality of care. This deficient practice resulted in an Immediate Jeopardy. The Immediate Jeopardy began on 12/30/21 when the facility failed to ensure the appropriate resident received a PICC line. […]

• Actual harm, isolatedF686Nov 17, 2022

  Based on observation, interview, and record review, the facility failed to prevent residents from acquiring in house pressure ulcers and weekly assessments of a pressure ulcers for 4 of 6 residents reviewed for pressure ulcers. This deficient practice resulted in one resident's pressure ulcer being identified at a Stag 3 and two residents' wounds identified with deep tissue injuries. (Residents 15, 36, 13, and 70) Findings include: 1. During an observation on 11/16/22 at 2:53 P.M., the Wound Nurse and QMA (Qualified Medication Aide) 9 entered Resident 15's room and explained they were going to change the dressing on her buttocks. They each washed their hands and donned gloves. QMA 9 assisted the resident in turning onto her right side. […]

• No harm, potential for more than minimal, widespreadF812Mar 19, 2026

  Based on observation, interview, and record review, the facility failed to store and prepare foods under sanitary conditions for 3 of 3 kitchen observations and label residents' food items appropriately in the Resident Snack Refrigerator for 1 of 1 Resident Snack Refrigerators. Findings include:1.During the initial kitchen observation, on 03/15/2026 at 9:25 A.M., [NAME] 4 was identified as the staff member in charge. The [NAME] did not know if the dishwasher was a high temperature sanitizing dishwasher or a chemical sanitizing dishwasher. The [NAME] indicated they had worked at the facility for only a few weeks. During the observation of the kitchen with Dietary Aide (DA) 6, on 03/15/2026 at 9:26: A.M., the DA indicated she had worked at the facility since October. […]

• No harm, potential for more than minimal, patternF804Mar 19, 2026

  Based on interview, observation, and record review, the facility failed to ensure residents' food was palatable, attractive, and served at the proper temperature for 2 of 3 meal observations. Findings include:1.During an interview with kitchen staff, on 03/15/2026 at 9:25 A.M., [NAME] 4 indicated lunch was to be served starting at 10:50 A.M. Both [NAME] 4 and Dietary Aide (DA) 6 indicated they were unaware of needing to check the temperature of the foods on the steam table prior to serving the meal. They indicated they were the only ones working on the weekend. During an interview, on 03/16/2026 at 10:49 A.M., Resident 46 indicated the food in the facility was not appealing. He usually ate in his room, and his meal was usually cold when he received it. […]

• No harm, potential for more than minimal, patternF684Feb 10, 2025

  Based on observation, interview, and record review, the facility failed to prime an insulin pen appropriately prior to administration, monitor blood glucose appropriately, and follow physician's orders related to medication hold parameters for 4 of 21 residents reviewed for Quality of Care. (Residents 37, 29, 22, and 43) Findings include: 1. During a medication administration observation and interview, on 02/06/25 at 10:54 A.M., Licensed Practical Nurse (LPN) 4 removed a Fiasp insulin pen from the 39 Back Medication Cart. LPN 4 indicated the pen had been opened and was for Resident 37 because they were the only resident who used that type of insulin and proceeded to write the resident's name on the pen. […]