Waters of Wabash Skilled Nursing Facility West

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Jan 4, 2023

  Based on observation, interview, and record review, the facility failed to ensure the facility kitchen was maintained in a hygienic and sanitary manner. 18 of 18 residents ate food prepared in the facility kitchen. Findings include: During a tour of the facility kitchen, on 1/5/23 at 8:43 a.m., accompanied by the Dietary Manager, the following was observed: The gas stove had dark grime and debris containing oatmeal and egg shells, on and around the burners. Beneath the burners, on a piece of foil, there was a thick amount of yellowed greasy debris containing discarded egg shells, a shriveled bread roll, macaroni noodles, two breaded meat nuggets, and oatmeal. The shelf above the cooktop, holding two open and uncovered packages of pastries, was covered with greasy and sticky grime. […]

• No harm, potential for more than minimal, patternF561Jan 3, 2022

  Based on observation, interview and record review, the facility failed to ensure choices were honored according to their daily morning wake times for 4 of 7 residents reviewed for choices (Resident C, D, F and G). Findings include: During an interview on 1/2/22 at 4:07 a.m., QMA 1 indicated staffing during the night shift was one nurse and one or two aides. She indicated during her shift, there were 7 residents who staff were to get up and ready before first shift arrived to work at 6:00 a.m. They were in the process of getting them up and most of them required a mechanical lift. During an observation and interview on 1/2/22 at 4:50 a.m., Resident F was awake, sitting in his recliner. He indicated sometimes staff wake him up in the morning and other times he was already awake. […]

• No harm, potential for more than minimal, isolatedF550Oct 15, 2025

  Based on interview and record review, the facility failed to promote resident dignity during transportation following a shower in the shower room for 1 of 3 residents reviewed for dignity. (Resident F) Findings include:Resident F's clinical record was reviewed on 10/15/25 at 9:55 a.m. Diagnoses included stroke affecting right non dominant side, mild intellectual disability, weakness, unsteadiness on feet, and cognitive communication deficit. An 8/11/25, admission, Minimum Data Set (MDS) assessment indicated she used a walker and wheelchair. She had upper extremity impairment on one side of her body. […]

• No harm, potential for more than minimal, isolatedF880Aug 7, 2025

  Based on observation and interview, the facility failed to ensure staff performed hand hygiene during 3 of 3 medication administration observations. (Resident 13, Resident 3, and Resident 12)Findings include:During a medication administration observation on 8/6/25 at 11:09 a.m., Qualified Medication Aide (QMA) 4 removed one medication for Resident 13 from the [NAME] Hall medication cart. Prior to removing the medication, the QMA did not perform hand hygiene. She popped one pill from a blister pack into a medication cup and poured water into a plastic drinking cup. QMA 3 entered Resident 13's room and administered the medication. […]

• No harm, potential for more than minimal, isolatedF677Jul 18, 2024

  Based on observation, interview, and record review, the facility failed to provide assistance with eating for 1 of 1 reviewed for ADLs. (Resident B) Finding includes: During a dining observation, beginning on 7/16/24 at 11:57 a.m., Resident B had not eaten any of her lunch as of 12:41 p.m. Her eyes were closed, and she had a utensil in her hand. At 12:45 p.m., QMA 6 picked up the resident's spoon and offered the resident green beans. During an interview following the observation, QMA 6 indicated Resident B was able to feed herself, but had insomnia and fell asleep frequently during the day and required reminders to eat. QMA 6 first prompted her to eat at 12:45 p.m. During an observation, on 7/17/24 at 8:41 a.m., four residents were in the dining room. No staff were present. […]