Inspection Reports for
Waters of Hartford City Skilled Nursing Facility
0548 S 100 W, HARTFORD CITY, IN, 47348
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
1 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
76% better than Indiana average
Indiana average: 4.2 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
60% occupied
Based on a February 2025 inspection.
Occupancy over time
Inspection Report
Census: 39
Capacity: 65
Deficiencies: 0
Date: Feb 13, 2025
Visit Reason
An Emergency Preparedness Survey and a Life Safety Code Recertification and State Licensure Survey were conducted by the Indiana Department of Health in accordance with 42 CFR 483.73 and 42 CFR 483.90(a) respectively.
Findings
The facility was found in compliance with Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers, 42 CFR 483.73, and with Requirements for Participation in Medicare/Medicaid, 42 CFR Subpart 483.90(a), Life Safety from Fire and the 2012 edition of the Life Safety Code.
Report Facts
Facility capacity: 65
Census: 39
Inspection Report
Annual Inspection
Census: 40
Deficiencies: 0
Date: Jan 31, 2025
Visit Reason
This visit was for a Recertification and State Licensure Survey, which included the Investigation of Complaints IN00451692 and IN00451250.
Complaint Details
Complaint IN00451692 and Complaint IN00451250 were investigated with no deficiencies related to the allegations cited.
Findings
The facility was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1 regarding the Recertification and State Licensure Survey and the Investigation of Complaints. No deficiencies related to the complaints were cited.
Report Facts
Census Bed Type: 40
Census Payor Type: 40
Medicare residents: 7
Medicaid residents: 31
Private residents: 2
SNF/NF beds: 39
SNF beds: 1
Inspection Report
Complaint Investigation
Census: 41
Capacity: 41
Deficiencies: 0
Date: Nov 14, 2024
Visit Reason
This visit was conducted for the investigation of Complaint IN00444885 at Waters of Hartford City Skilled Nursing Facility.
Complaint Details
Investigation of Complaint IN00444885 found no deficiencies related to the allegations.
Findings
No deficiencies related to the complaint allegations were cited. The facility was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1.
Report Facts
Census: 41
Total Capacity: 41
Medicare Residents: 4
Medicaid Residents: 33
Other Payor Residents: 4
Inspection Report
Complaint Investigation
Census: 39
Deficiencies: 0
Date: Jul 25, 2024
Visit Reason
This visit was conducted for the investigation of Complaint IN00438685 at the Waters of Hartford City Skilled Nursing Facility.
Complaint Details
Complaint IN00438685 was investigated and found to have no deficiencies related to the allegations.
Findings
No deficiencies related to the complaint allegations were cited. The facility was found to be in compliance with applicable federal and state regulations.
Report Facts
Census: 39
Census Bed Type: 39
Census Payor Type: 39
Inspection Report
Complaint Investigation
Census: 37
Capacity: 37
Deficiencies: 0
Date: May 6, 2024
Visit Reason
This visit was conducted for the investigation of Complaint IN00428336 at Waters of Hartford City Skilled Nursing Facility.
Complaint Details
Complaint IN00428336 was investigated and found to have no deficiencies related to the allegations.
Findings
No deficiencies related to the complaint allegations were cited. The facility was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1.
Report Facts
Census: 37
Total Capacity: 37
Medicare Residents: 4
Medicaid Residents: 30
Other Residents: 3
Inspection Report
Life Safety
Census: 33
Capacity: 65
Deficiencies: 0
Date: Feb 27, 2024
Visit Reason
An Emergency Preparedness Survey and a Life Safety Code Recertification and State Licensure Survey were conducted by the Indiana Department of Health in accordance with 42 CFR 483.73 and 42 CFR 483.90(a) respectively.
Findings
The facility was found in compliance with Emergency Preparedness Requirements and Life Safety Code requirements, including full sprinklering and fire alarm systems throughout areas accessible to residents.
Report Facts
Facility capacity: 65
Census: 33
Inspection Report
Renewal
Census: 32
Deficiencies: 2
Date: Feb 9, 2024
Visit Reason
This visit was for a Recertification and State Licensure Survey conducted from February 5 to February 9, 2024.
Findings
The facility was found deficient in completing timely PASARR screenings for one resident and in implementing individualized interventions to prevent pressure injuries for another resident. Plans of correction were submitted with compliance dates set for March 1, 2024.
Deficiencies (2)
Failed to ensure a preadmission screening and resident review (PASRR) was completed when the initial authorization for placement expired for 1 of 4 residents reviewed for PASRR (Resident 12).
Failed to implement and review individualized interventions to prevent the development of a pressure injury for 1 of 3 residents reviewed for pressure injuries (Resident 32).
Report Facts
Census: 32
PASARR expiration date: Dec 13, 2023
PASARR resubmission date: Jan 10, 2024
Pressure injury wound measurements: 0.1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Max Richardson | Administrator | Signed plan of correction and correspondence with Indiana State Department of Health |
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Feb 9, 2024
Visit Reason
Paper compliance review for the Annual Recertification and State Licensure survey.
Findings
The Waters of Hartford City Skilled Nursing Facility was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1 based on the paper review for the Recertification and State Licensure survey.
Inspection Report
Complaint Investigation
Census: 37
Deficiencies: 0
Date: Dec 6, 2023
Visit Reason
This visit was conducted for the investigation of Complaint IN00422051 at Waters of Hartford City Skilled Nursing Facility.
Complaint Details
Complaint IN00422051 was investigated and found to have no deficiencies related to the allegations.
Findings
No deficiencies related to the complaint allegations were cited. The facility was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1.
Report Facts
Census: 37
Census Bed Type: 37
Census Payor Type - Medicare: 6
Census Payor Type - Medicaid: 28
Census Payor Type - Other: 3
Inspection Report
Complaint Investigation
Census: 38
Capacity: 38
Deficiencies: 0
Date: Nov 1, 2023
Visit Reason
This visit was conducted for the investigation of Complaint IN00420350 at Waters of Hartford City Skilled Nursing Facility.
Complaint Details
Investigation of Complaint IN00420350 found no deficiencies related to the allegations.
Findings
No deficiencies related to the allegations in Complaint IN00420350 were cited. The facility was found to be in compliance with applicable regulations.
Report Facts
Census SNF/NF: 38
Census Payor Type Medicare: 8
Census Payor Type Medicaid: 26
Census Payor Type Other: 4
Inspection Report
Re-Inspection
Census: 40
Capacity: 65
Deficiencies: 0
Date: May 25, 2023
Visit Reason
A Post Survey Revisit (PSR) to the Life Safety Code Recertification and State Licensure Survey conducted on 04/26/23 by the Indiana Department of Health.
Findings
The Waters of Hartford City Skilled Nursing Facility was found in compliance with the Requirements for Medicare and Medicaid Participating Providers and Suppliers, 42 CFR 483.90(a).
Inspection Report
Annual Inspection
Deficiencies: 0
Date: May 11, 2023
Visit Reason
Paper compliance review to the Annual Recertification and State Licensure survey conducted on April 14, 2023.
Findings
Waters of Hartford City Skilled Nursing Facility was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1 based on the paper review for the Recertification and State Licensure survey.
Inspection Report
Life Safety
Census: 38
Capacity: 65
Deficiencies: 1
Date: Apr 26, 2023
Visit Reason
A Life Safety Code Recertification and State Licensure Survey was conducted by the Indiana Department of Health in accordance with 42 CFR 483.90(a) to assess compliance with fire safety and life safety code requirements.
Findings
The facility was found not in compliance due to failure to ensure that one flexible cord power strip in a patient care vicinity met the required UL rating of 1363A or 60601-1, affecting two residents. The power strip was removed and corrective actions were implemented.
Deficiencies (1)
Failed to ensure 1 of 1 flexible cord power strip in patient care vicinity met the required UL rating of 1363A or 60601-1.
Report Facts
Facility capacity: 65
Census: 38
Deficiencies cited: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Max Richardson | Administrator | Named in relation to the exit conference and plan of correction |
Inspection Report
Renewal
Census: 36
Deficiencies: 1
Date: Apr 14, 2023
Visit Reason
This visit was for a Recertification and State Licensure Survey conducted from April 10 to April 14, 2023.
Findings
The facility was found deficient in preventing the development of a pressure injury for one resident (Resident 31). The resident developed a stage three pressure injury on the left heel despite physician orders and care plans. The facility submitted a plan of correction addressing prevention, staff education, and ongoing monitoring.
Deficiencies (1)
Failure to prevent the development of a pressure injury for 1 of 3 residents reviewed for pressure ulcers (Resident 31).
Report Facts
Census Bed Type - SNF: 1
Census Bed Type - NF: 35
Total Census: 36
Census Payor Type - Medicare: 4
Census Payor Type - Medicaid: 28
Census Payor Type - Other: 4
Pressure injury measurements: 4
Pressure injury measurements: 3
Pressure injury measurements: 2
Pressure injury measurements: 1.5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Max Richardson | Administrator | Named in plan of correction submission and signature |
Inspection Report
Complaint Investigation
Census: 37
Deficiencies: 0
Date: Nov 9, 2022
Visit Reason
This visit was conducted for the investigation of Complaint IN00393736.
Complaint Details
Complaint IN00393736 was investigated and determined to be unsubstantiated due to lack of evidence.
Findings
The complaint IN00393736 was found to be unsubstantiated due to lack of evidence. The facility was found to be in compliance with relevant regulations.
Report Facts
Census: 37
Medicare residents: 2
Medicaid residents: 28
Other payor residents: 7
Inspection Report
Complaint Investigation
Census: 39
Deficiencies: 0
Date: Oct 21, 2022
Visit Reason
This visit was conducted for the investigation of Complaint IN00391692.
Complaint Details
Complaint IN00391692 was substantiated, but no deficiencies related to the allegations were cited.
Findings
The complaint was substantiated; however, no deficiencies related to the allegations were cited. The facility was found to be in compliance with applicable regulations.
Report Facts
Census Bed Type Total: 39
Census Payor Type Medicare: 5
Census Payor Type Medicaid: 28
Census Payor Type Other: 6
Inspection Report
Complaint Investigation
Census: 39
Deficiencies: 0
Date: Sep 22, 2022
Visit Reason
This visit was for the investigation of Complaint IN00389964.
Complaint Details
Complaint IN00389964 - Substantiated. No deficiencies related to the allegations were cited.
Findings
Complaint IN00389964 was substantiated; however, no deficiencies related to the allegations were cited. The facility was found to be in compliance with applicable regulations.
Report Facts
Census: 39
Medicare residents: 3
Medicaid residents: 29
Other residents: 7
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