Waters of Huntingburg, The

In the surveyor’s words

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

• Actual harm, isolatedF684May 13, 2026

  Based on interview and record review, the facility failed to ensure a resident's lab and vital signs were monitored following an increase in medication (digoxin) dosage per physician orders and the resident's plan of care that resulted in a hospitalization for 1 of 3 residents reviewed for hospitalizations (Resident D). Resident D was admitted to the hospital with a diagnosis of digoxin poisoning and life-threatening hyperkalemia (elevated potassium).Finding includes:Record review on 5/12/26 at 12:30 P.M., indicated Resident D's diagnoses included, but were not limited to, heart failure, atrial fibrillation (A-fib) and atrial flutter, hypokalemia, and hypertension. […]

• Actual harm, isolatedF689May 26, 2022

  Based on interview and record review, the facility failed to provide supervision for a resident at risk for falls, and failed to develop and implement appropriate interventions to prevent falls, resulting in multiple right foot fractures and neck sprain, for 1 of 3 residents reviewed for accidents. (Resident B) Findings include: The closed clinical record of Resident B was reviewed on 5/25/22 at 11:45 A.M. The resident was admitted to the facility on [DATE] with diagnoses including, but not limited to, dementia, [CONDITION(S)], and weakness. A Physician's order, dated 4/25/22, indicated, Up ad lib [as desired] with assistance. Nurses notes included the following notations: 4/25/22 at 12:32 P.M.: Resident arrived to facility via family transport. […]

• Actual harm, isolatedF689Jan 10, 2022

  Based on observation, interview, and record review, the facility failed to prevent falls for 3 of 4 residents reviewed for accidents. Fall interventions were ineffective, interventions were not in place, and immediate assessments were not conducted by qualified staff following multiple falls. Residents experienced multiple falls resulting in a resident receiving an occipital calvarial fracture (skull fracture), a resident receiving a pelvic fracture, and a resident receiving rib fractures. (Resident C, Resident F, Resident J) Findings include: 1. During record review on 1/7/22 at 12:00 P.M., Resident C's diagnoses included, but were not limited to, dementia, amnesia, wandering, history of falling, dizziness, difficulty in walking, muscle weakness, and lack of coordination. […]

• Actual harm, isolatedF690May 7, 2021

  Based on interview and record review, the facility failed to notify the physician and obtain an order to catheterize a resident, based on the recommendations from the psychiatric team who had previously treated the resident, resulting in increased agitation, physical aggression, sleeplessness, pacing, and exit seeking. The resident was transferred to the hospital, while in the emergency room the resident received an antipsychotic medication by intramuscular injection, received an antianxiety medication, the resident received a urinary catheterization and 500 cc of urine was returned. This affected 1 of 3 residents reviewed for bladder function, in a sample of 5. (Resident B) Findings include: The closed clinical record of Resident B was reviewed on 5/6/21 at 12:15 P.M. […]

• No harm, potential for more than minimal, widespreadF882Jul 13, 2023

  Based on interview and record review, the facility failed to designate one or more individual(s) as the Infection Preventionist with qualifying training or certification. The facility did not have a current certified Infection Preventionist for 5 of 5 days of the survey. Finding includes: On 7/10/23 at 8:15 A.M., the Administrator indicated the ADON (Assistant Director of Nursing) was the Infection Preventionist and provided a certificate that indicated the ADON had successfully completed CDC (Centers for Diesease Control and Prevention) Train Module 1 Infection Prevention and Control Program from the Nursing Home Infection Preventionist Training Course, dated 3/28/23. […]