Waters of Scottsburg, The

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Apr 30, 2026

  Based on observation, interview and record review, the facility failed to ensure adequate supervision was in place when a resident (Resident B) with impaired cognition and risk for elopement was left outside without staff supervision. This deficient practice resulted in an Immediate Jeopardy. The Immediate Jeopardy began on 4/25/26 when Resident B, with cognitive impairment and elopement risk, propelled himself from the facility grounds to a heavily traveled road where the resident fell out of his wheelchair landing on the pavement in the emergency lane which was 0.2 miles from the facility. The resident was sent to the emergency room and treated for an abrasion to his right foot and right hand. […]

• Immediate jeopardy, isolatedF689Dec 12, 2023

  Based on observation, interview and record review, the facility failed to ensure adequate supervision was in place when a resident (Resident G) with impaired cognition and risk for elopement exited the front doors without staff supervision. This deficient practice resulted in an Immediate Jeopardy. The Immediate Jeopardy began on 12/7/23. Resident G is a [AGE] year-old male with severely impaired cognition and risk for elopement that had resided on the dementia unit since 7/12/23. The resident was admitted to a psychiatric hospital on 11/22/23. He readmitted to the facility on [DATE] at 11:30 a.m., off the dementia unit, as a trial for the safety of the other residents on the dementia unit. The resident exited the facility through the front doors on 12/7/23 between 5:20 p.m. and 5:30 p.m. […]

• Immediate jeopardy, isolatedF684Dec 20, 2021

  A. Based on observation, record review, and interview, the facility failed to address and manage unstable blood glucose levels for a resident with Diabetes Mellitus and to follow the physician recommendations for care for 1 of 21 residents reviewed for Quality of Care. (Resident 46) B. Based on observation, record review, and interview, the facility failed to ensure the physician was notified and treatment orders were obtained for a new skin impairment for Resident 54. The facility also failed to ensure physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] . This deficient practice affected 2 of 21 residents reviewed for Quality of Care. […]

• Immediate jeopardy, isolatedF600May 25, 2021

  Based on interview and record review, the facility failed to ensure effective interventions to prevent a delay in staff notification, action, assessment, and medical care for a resident having pain, shortness of breath, and numbness on the left side, resulting in the resident having no pulse, being unresponsive, and death. (Resident B) This deficient practice resulted in an Immediate Jeopardy. The Immediate Jeopardy began on [DATE] when a cognitively intact, male resident, notified the Dietary Manager, he was short of breath and had pain down his left side. The Dietary Manager notified two nursing staff. Neither nurse assessed the resident until he was found face down in the floor. […]

• No harm, potential for more than minimal, widespreadF812Apr 13, 2026

  Based on observation, interviews, and record review, the facility failed to ensure food was stored and prepared in a sanitary manner during 3 of 3 kitchen observations. This deficient practice had the potential to affect 63 or 63 residents. Findings include: During the initial tour of the kitchen, on 4/7/26 at 10:23 a.m., while accompanied by the Dietary Manager, the following concerns were observed:-The left-side metal table near the dishwasher in the dish room had a large accumulation of brown water with egg particles floating in the water.-The outside of three glass coffee decanters sitting on the coffee pot bases were covered with a white sticky film.-The floor had a dried sticky spill in front of the long metal prepping table.-The floor had a dried sticky spill at the entrance to the… […]