Waters of Rushville Skilled Nursing Facility, The

In the surveyor’s words

From the most serious findings on record at Waters of Rushville Skilled Nursing Facility, The, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF727Jun 27, 2025

  Based on interview and record review, the facility failed to have a Registered Nurse (RN) on duty at the facility for 5 of 30 days reviewed for RN coverage. This had the potential to affect 43 of 43 residents that reside in the facility. Findings include: Review of the schedules provided by the Director of Nursing (DON), on 6/25/25 at 12:44 p.m., indicated the facility did not have RN coverage, 8 hours a day, on 1/7/25, 1/21/25, 1/22/25, 1/25/25, and 1/26/25. During an interview with the DON on 6/25/25 at 12:44 p.m., she indicated the facility did not have RN coverage on 1/7/25, 1/21/25, 1/22/25, 1/25/25 and 1/26/25. The DON indicated there was no resident care and/or assessments not completed due to no RN in the building on those dates. […]

• No harm, potential for more than minimal, widespreadF727Mar 28, 2024

  Based on interview and record review, the facility failed to ensure eight hours of consecutive RN coverage for 9 of 91 days reviewed. This deficient practice had the potential to affect 34 residents. Findings include: The PBJ (Payroll Based Journal) Staffing Data Report CASPER Report 1705D FY (Fiscal Year) Quarter 1 2024 (October 1 - December 31) reviewed on 3/25/2024 at 1:45 p.m. indicated that nine days were noted without eight hours of consecutive RN coverage. An interview on 3/26/24 at 1:34 p.m. with Corporate Payroll indicated that he did not report any RN coverage for those aforementioned nine days due to no RN being on the skilled nursing facility. An interview with Regional Nurse Consultant on 3/27/2024 at 1:20 p.m. […]

• No harm, potential for more than minimal, isolatedF655Aug 10, 2026

  Based on interview and record review, the facility failed to develop and implement a pain control care plan for 1 of 3 new admission reviewed. (Resident F) Findings include: The clinical record for Resident F was reviewed on 8/10/2026 at 1:02 PM. The medical diagnoses included, but were not limited to, depression and displaced comminuted fracture of the left tibia with routine healing.No baseline care plans including, but were not limited to pain, were indicated for Resident F.Physician's orders, dated 8/7/2026, indicated Resident F to use oxycodone every 8 hours as needed for pain. […]

• No harm, potential for more than minimal, isolatedF684Aug 10, 2026

  Based on interview and record review, the facility failed to administer vancomycin, as ordered, and to complete daily skilled nursing charting, including vital signs, for 2 of 2 residents reviewed for hospitalization. (Residents 43 and D)Findings include: 1. The clinical record for Resident 43 was reviewed on 8/4/26 at 11:54 a.m. Resident 43's diagnoses included, but were not limited to, C.Diff (Clostridioides difficile- a bacterium that causes severe colon inflammation and watery diarrhea. It typically happens after taking antibiotics, which kill helpful gut bacteria and let C.Diff overgrow. […]

• No harm, potential for more than minimal, isolatedF686Aug 10, 2026

  Based upon interview and record review, the facility failed to completely and accurately document the assessment of a pressure area and initiate treatment of a pressure area for 1 of 1 resident reviewed for pressure areas. (Resident D) Findings include:The clinical record for Resident D was reviewed on 8/7/2026 at 11:05 AM. The medical diagnoses included, but were not limited to, falls and age-related debility. The admission MDS for Resident D, dated 4/27/2026, indicated that Resident 57 was cognitively intact and did not refuse care.A skin care plan, dated and initiated 4/27/2026, indicated Resident D was at risk for skin impairments. […]