Average — CMS composite of the measures below.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at The Springs Batesville during CMS and state inspections, most recent first.
Meal portions were not served according to the written menu. A dietary staff member used a #8 scoop, which was 4 oz, to serve ham, potato and cheese casserole for both regular and mechanical soft diets instead of the 8 oz portion listed on the menu. The staff member stated she thought the scoop was 8 oz.
Unsafe food handling and sanitation practices were observed in the kitchen. A dietary staff member and a dietary aide both contaminated their gloved hands by touching non-food items or food packaging and then handled resident food without changing gloves or washing hands. The ice machine and ice scoop holder had visible residue, expired nectar thickened water was stored on a shelf, and hamburger patties on the steam table were measured at 103 degrees Fahrenheit and served without reheating.
A resident with dementia and a history of falls was found on the floor with a head injury due to the absence of a fall mat, which was part of their care plan. The DON confirmed that the mat should have been in place, as per the facility's policy on comprehensive care plans.
A resident with paraplegia was improperly transferred using a mechanical lift, resulting in the resident sliding out of the sling onto the floor. Despite the resident's attempt to alert the CNAs, the incident was not documented or properly reported, and no in-service training was conducted afterward. The facility's policy on investigating and reporting incidents was not followed, highlighting a deficiency in ensuring a safe environment.
The facility failed to ensure proper food safety and hygiene practices, including not discarding expired food items, improper storage of food, and staff not wearing appropriate hair coverings. Additionally, staff were observed handling dishes in a manner that could lead to cross-contamination.
The facility failed to ensure that residents were free from physical restraints not required for medical treatment. A resident was observed with half side rails up, contrary to their care plan and without a physician's order. Staff interviews revealed a lack of awareness and adherence to the facility's restraint policy.
The facility failed to update the care plans for two residents after they experienced falls. One resident had multiple falls, including one with significant injuries, and the use of half side rails was not documented. Another resident's fall in the shower room was also not included in their care plan. Staff confirmed the incidents and the use of side rails but were unaware of the reasons for the omissions.
A resident with paraplegia, venous insufficiency, and type 2 diabetes did not receive necessary foot care, resulting in severely neglected toenails and feet. Observations showed thick, yellow toenails with dry skin buildup and sores. Staff interviews revealed a lack of awareness and action regarding the resident's foot care needs, despite the care plan indicating substantial assistance was required.
A resident with a left-hand contracture was observed multiple times without any interventions in place, causing pain and discomfort. Staff interviews revealed inconsistency in the use of interventions, and the facility's policy on resident mobility and range of motion was not adhered to.
The facility failed to ensure resident safety by improperly using half side rails and inadequate padding for a resident with a seizure disorder, and by locking both brakes on a wheelchair for a resident with severe involuntary movements. These actions were not in accordance with care plans and posed potential hazards for the residents.
The facility failed to perform bed rail assessments before using bed rails for a resident with a seizure disorder. Despite the resident's MDS indicating no bed rail use, both side rails were observed up on multiple occasions. The required assessment, due in March, was not completed until May, and it was not conducted at the bedside as mandated by facility policy. Interviews with staff confirmed these oversights and the lack of a completed entrapment report.
The facility failed to ensure controlled medications were stored in a permanently affixed container in the medication room. A Surveyor observed that the refrigerator used to store medications was not locked, and a narcotics box inside was not permanently affixed, contrary to facility policy.
The facility failed to provide properly prepared pureed meals to residents with a physician's order for a pureed diet. Observations and interviews revealed that the pureed food items contained unprocessed bits, were watery, and did not hold their form, contrary to the required smooth, lump-free consistency.
A resident with lactose intolerance was observed drinking whole milk during lunch, despite clear dietary orders and meal tickets indicating no milk or cheese. The CNA was unaware of the resident's dietary restrictions, and the Dietary Manager emphasized the importance of following these guidelines to prevent harm.
The facility failed to ensure timely and accurate side rail assessments for a resident, leading to discrepancies between the care plan and actual side rail usage. Staff confirmed the presence of half side rails, contrary to the care plan, and the required quarterly assessment was delayed and inaccurately completed.
The facility failed to complete an accurate MDS for a resident. The resident was observed with bilateral half side rails up, but the MDS indicated no bed rails were used. Staff confirmed the use of side rails, revealing an inaccuracy in the resident's assessment.
Meal Portions Not Served Per Written Menu
Penalty
Summary
Meals were not served according to the planned written menu to meet residents’ nutritional needs for one observed meal. During an observation and interview on 08/25/2025 at 12:14 PM, Dietary [NAME] (DC) #1 used a #8 scoop, which was 4 ounces, to serve a single portion of regular ham, potato and cheese casserole instead of an eight-ounce ladle equal to one cup as listed on the menu. During a second observation and interview on 08/25/2025 at 12:30 PM, DC #1 again used a #8 scoop to serve a single portion of mechanical soft ham, potato and cheese casserole instead of the 8-ounce ladle required by the menu. DC #1 stated she thought the #8 scoop was 8 ounces. Review of the Noon Meal Menu showed that residents on regular, mechanical soft, and pureed diets were to receive one cup, or 8 ounces, of ham, potatoes and cheese casserole.
Unsafe Food Handling, Dirty Ice Equipment, Expired Supplies, and Improper Hot Food Temperature
Penalty
Summary
Food was not handled and stored in a sanitary manner during kitchen observations. One dietary staff member wore gloves, picked up a box of plastic wrap from under the food preparation counter, and then used the same contaminated gloves to place grilled cheese sandwiches into a pan for residents without changing gloves or washing hands. Another dietary aide wore gloves, removed a clear bag of sliced cheese from the refrigerator, and then used the same contaminated gloved hand to remove slices of cheese and place them into a bowl for residents without changing gloves or washing hands. Facility policy stated that hands should be washed before working with food, utensils, or equipment and as often as needed during food preparation and when changing tasks. The ice machine and ice scoop holder were observed with wet black residue under the panel where ice touches in the collector and wet brownish residue at the bottom of the scoop holder, while the scoop rested on the dirty holder. The assistant dietary manager confirmed both areas were dirty and stated the ice was used for resident water pitchers and beverages. In addition, nineteen 24-ounce boxes of nectar thickened water were found on a storage shelf with an expiration date of 08/05/2025, and the assistant dietary manager stated they were expired. During meal service, hamburger patties on the steam table were checked at 103 degrees Fahrenheit and were served to residents without being reheated.
Failure to Follow Fall Prevention Care Plan
Penalty
Summary
The facility failed to ensure that staff followed the care plan for a resident at risk for falls. The resident, who was admitted with diagnoses including dementia with behavioral disturbances, restlessness, agitation, atrial fibrillation, hypertension, and a history of falling, was identified as having a severe impairment in daily decision-making. The care plan, initiated shortly after admission, included an intervention to place a fall mat next to the resident's bed to prevent injury due to falls. However, during an incident, it was discovered that the fall mat was not in place, resulting in the resident being found with their upper torso on the floor and a red mark on their forehead. The Director of Nursing confirmed that if a resident is care planned for a fall mat, it should be present beside the bed. Despite this, the fall mat was missing at the time of the incident, which was contrary to the facility's policy on comprehensive, person-centered care plans. The policy requires that care plans include measurable objectives and timeframes and describe the services to be furnished to maintain the resident's highest practicable well-being. The absence of the fall mat, as required by the care plan, led to the resident's fall and subsequent injury.
Failure to Properly Transfer Resident Using Mechanical Lift
Penalty
Summary
The facility failed to properly transfer a resident using a mechanical lift, which led to a deficiency in ensuring a safe environment free from accident hazards. Resident #2, who has a diagnosis of paraplegia and is cognitively intact, was being transferred from a wheelchair to a bed using a mechanical lift. During the transfer, the resident began to slide out of the lift sling. Despite the resident's attempt to alert the two CNAs conducting the transfer, they continued, resulting in the resident sliding out of the sling onto the floor, with the sling under their arms holding their upper body up. The incident was not documented in the resident's electronic medical record, and no injuries were reported by the resident. Interviews with staff revealed a lack of proper reporting and investigation following the incident. CNA #1 confirmed that no in-service training or witness statements were taken after the event. LPN #2 and LPN #3 were not informed of the incident until the following day, and LPN #3 reported the incident to the treatment nurse, who then informed the DON and ADON. However, there was no formal in-service training initiated, although LPN #3 provided some education to her CNAs on proper lift transfer techniques. CNA #7, who assisted in repositioning the resident, confirmed the resident's lower body had slid out of the lift pad. The facility's policy on accidents and incidents requires all such events to be investigated and reported to the Administrator, with documentation of the investigation and actions taken. However, this protocol was not followed in this case. The DON and ADON were unaware of the incident until later, and the DON confirmed that new hires are trained on mechanical lift usage during orientation, with annual retraining. Despite this, there was no evidence of an in-service following the incident, indicating a lapse in adherence to the facility's policies and procedures for ensuring resident safety during transfers.
Food Safety and Hygiene Deficiencies
Penalty
Summary
The facility failed to ensure proper food safety and hygiene practices in the kitchen and nourishment areas. Observations revealed that food items were not discarded by their use-by dates, with expired tortillas, diced onions, cottage cheese, and marshmallows found in various storage areas. Additionally, a 50-pound bag of rice and a 50-pound bag of cake mix were left unsealed and exposed to air and contaminants. The nourishment refrigerator contained undated and unlabeled food items, including half sandwiches and a bottle of water, which were identified as belonging to staff members rather than residents. Hygiene practices were also found to be lacking, with multiple instances of staff not wearing appropriate hair coverings. Dietary Aide #5 and the Maintenance Director were observed with uncovered facial hair while in the kitchen. Dietary Aide #6 was seen walking through the kitchen without a hair covering before putting one on. Furthermore, Dietary Aide #3 was observed handling plates and bowls in a manner that could lead to cross-contamination, with fingers and thumbs placed inside the dishes. The Dietary Manager confirmed that these practices were against the facility's policies, which require hair coverings to be worn at all times in the kitchen and for food items to be properly labeled, covered, and stored.
Inappropriate Use of Physical Restraints
Penalty
Summary
The facility failed to ensure that residents were free from any physical restraints imposed for purposes of discipline or convenience and that were not required to treat the resident's medical symptoms. This was observed in the case of one resident who was found lying in bed with both half side rails up, one of which was padded with a black foam pool noodle. The resident's care plan indicated the use of quarter side rails to promote independence, but the side rail assessment did not support the use of half side rails. Additionally, there was no physician's order for the use of half side rails, and the resident's quarterly Minimum Data Set (MDS) indicated that bed rails were not used as physical restraints. The surveyor observed the resident multiple times over several days, each time noting the presence of the half side rails. Interviews with staff, including a CNA, LPN, and the Director of Nursing (DON), revealed that the staff were either unaware of the reason for the use of the half side rails or confirmed that they were not in accordance with the resident's care plan. The CNA admitted to not being educated on the facility's restraint policy, while the LPN and DON acknowledged that the half side rails were considered restraints and were not supposed to be in use without proper assessment and documentation. The facility's policies on the use of side rails and restraints were reviewed, revealing that side rails are considered restraints when they limit a resident's freedom of movement and should only be used to treat medical symptoms or assist with mobility. The policies also emphasized the need for proper assessment, documentation, and consent for the use of restraints. Despite these guidelines, the facility failed to adhere to its own policies, resulting in the inappropriate use of half side rails as restraints for the resident in question.
Failure to Update Care Plans for Residents After Falls
Penalty
Summary
The facility failed to ensure that the individualized care plans for two residents were revised to reflect their current needs and conditions. Resident #06 experienced multiple falls, including one that resulted in significant injuries such as a maxillary sinus fracture and lip lacerations. Despite these incidents, the care plan for Resident #06 did not document the falls or the use of half side rails, which were observed in use during the survey. Additionally, the care plan did not reflect the resident's seizure disorder or epilepsy diagnosis accurately. Staff members, including a CNA, LPN, and the DON, confirmed the use of half side rails and the history of falls but were unaware of the reasons for the side rails being up or the falls not being documented in the care plan. Another resident, Resident #31, experienced a fall in the shower room with no injuries. This incident was documented in the progress notes and an incident and accident report, but it was not included in the resident's care plan. The MDS Coordinator and the DON confirmed that the fall was not documented in the care plan, despite the facility's policy requiring care plans to be revised when there is a significant change in the resident's condition or when an incident occurs. The facility's policy on comprehensive person-centered care plans states that assessments of residents are ongoing and care plans should be revised as information about the residents and their conditions change. The interdisciplinary team is responsible for reviewing and updating the care plan when there has been a significant change in the resident's condition, when the desired outcome is not met, when the resident has been readmitted from a hospital stay, and at least quarterly. However, the facility failed to adhere to this policy, resulting in care plans that did not accurately reflect the residents' current needs and conditions.
Failure to Provide Adequate Foot Care for Diabetic Resident
Penalty
Summary
The facility failed to ensure that a resident requiring assistance with foot care received the necessary care to maintain good hygiene and grooming. The resident, who has diagnoses of paraplegia, venous insufficiency, and type 2 diabetes, was observed with severely neglected toenails and feet. The resident's care plan indicated the need for substantial assistance with nail care, including regular checks, cleaning, trimming, and filing on shower days and as needed. However, observations revealed that the resident's toenails were thick, yellow, and had dry skin buildup, with some toenails curving and causing sores. The resident's feet were dry, with skin peeling off and scabbed sores present, indicating a lack of proper foot care. Interviews with staff revealed a lack of awareness and action regarding the resident's foot care needs. A CNA was unsure if the resident was diabetic and stated that the process for reporting toenail issues involved notifying the nurse to make a podiatry appointment. An LPN acknowledged the severity of the resident's condition, noting the risk of losing toes and the need for immediate interventions. Despite the resident's compliance with heel protectors, there was no evidence of nail or wound care being completed. The facility's policy on fingernail and toenail care emphasized the importance of monitoring and reporting changes, but this was not effectively implemented for the resident in question.
Failure to Prevent Worsening of Contractures
Penalty
Summary
The facility failed to ensure interventions were utilized to prevent worsening of contractures in a resident with a left-hand contracture. The resident, who has diagnoses of bipolar disorder, osteoarthritis, and a left-hand contracture, was observed multiple times without any interventions in place for the contracture. The resident expressed that the contracture caused pain and discomfort, and preferred a hand cone with a strap to help manage the condition. Despite this, no such intervention was provided, and the resident's hand was observed to be in a contracted state with fingers digging into the palm, causing pain and a foul odor due to lack of proper care. Staff interviews revealed inconsistency in the use of interventions for the resident's contracture. A CNA mentioned that the resident had a brace that was inconsistently available, and acknowledged that the lack of intervention could lead to worsening of the contracture. An LPN also confirmed that the resident sometimes had interventions and sometimes did not, and recognized that the absence of interventions could result in further contraction. The facility's policy on resident mobility and range of motion was not adhered to, as the resident did not receive the appropriate services and equipment to maintain or improve mobility.
Failure to Ensure Resident Safety with Side Rails and Wheelchair Use
Penalty
Summary
The facility failed to ensure residents were free from potential accidents related to the improper use of half side rails and inadequate padding for a resident with a seizure disorder. Resident #06 was observed multiple times with both half side rails up, with the right side rail padded with a black foam pool noodle. The resident's care plan did not document the use of half side rails or seizure precautions, despite the resident having a history of falls and a diagnosis of seizure disorder. The Director of Nursing (DON) confirmed that the use of half side rails was not in accordance with the resident's care plan and acknowledged the risks associated with their use. Additionally, the Maintenance Director confirmed that quarterly assessments for entrapment were not completed for Resident #06, and the Assistant Director of Nursing (ADON) confirmed that the bed was not adequately padded to prevent injury in the event of a seizure. The facility also failed to ensure a wheelchair was left unlocked to prevent injury for Resident #294, who had severe involuntary movements due to Huntington's disease. The resident's care plan included interventions such as anti-tippers for the wheelchair, but observations revealed that both brakes were locked while the resident was in the wheelchair, causing it to move back and forth due to the involuntary movements. Certified Nursing Assistants (CNAs) and a Licensed Practical Nurse (LPN) confirmed that locking both brakes could cause the resident to go backward and that the resident needed to be reassessed for a different chair. The LPN also noted that the resident needed more padding to prevent injury from the involuntary movements. The deficiencies highlight the facility's failure to adhere to care plans and properly assess and mitigate risks associated with the use of side rails and wheelchairs. These failures resulted in potential hazards for the residents, including the risk of falls and injuries. The observations and interviews with staff members confirmed that the facility did not take appropriate measures to ensure the safety and well-being of the residents involved.
Failure to Perform Bed Rail Assessments
Penalty
Summary
The facility failed to ensure bed rail assessments were performed before the use of bed rails for one resident reviewed for accidents. Resident #06, who has an active diagnosis of seizure disorder or epilepsy, was observed multiple times with both side rails up on the bed, despite the resident's quarterly Minimum Data Set (MDS) indicating that bed rails were not used. The facility's policy requires an assessment to determine the resident's symptoms, risk of entrapment, and reason for using side rails, but this was not completed for Resident #06. The side rail assessment, which was due on 03/11/2024, was not completed until 05/22/2024, and it was confirmed that the assessment should be conducted at the bedside for accuracy, which was not done in this case. Additionally, the Maintenance Director confirmed that he did not install the side rails and that they had been in place since his employment started two months prior, without a completed entrapment report for Resident #06. The observations and interviews with the Certified Nursing Assistant (CNA), Licensed Practical Nurse (LPN), Director of Nursing (DON), and Minimum Data Set (MDS) Coordinator revealed that the facility did not follow its own policy regarding the proper use of side rails. The DON and MDS Coordinator confirmed that the side rail assessment was not completed timely and was not conducted at the bedside as required. The Maintenance Director also confirmed that the necessary quarterly entrapment report was not completed for Resident #06. This series of inactions and oversights led to the deficiency in ensuring the safety and proper assessment of bed rail use for Resident #06.
Failure to Properly Store Controlled Medications
Penalty
Summary
The facility failed to ensure controlled medications were stored in a permanently affixed container in the medication room. During a tour of the medication room, the Surveyor observed that the refrigerator used to store medications was not locked. Inside the refrigerator, a black safe-style box with a combination lock, containing narcotics, was found sitting on a glass shelf and was not permanently affixed. The Assistant Director of Nursing (ADON) confirmed that the narcotics box should be permanently affixed to prevent it from being carried off. The Administrator also acknowledged that the box must be permanently affixed because it contains controlled substances. The facility's policy on the storage of medications specifies that Schedule II-V controlled medications must be stored in separately locked, permanently affixed compartments.
Improper Preparation of Pureed Diets
Penalty
Summary
The facility failed to ensure that five sampled residents with a physician's order for a pureed diet received food with a smooth, lump-free consistency. On 05/21/2024, observations revealed that the pureed baked ham served to residents contained bits of unprocessed ham, and water was escaping from the ham, forming puddles around other food items like cornbread and peas. The cornbread and black-eyed peas did not hold their form, and similar issues were observed with a second pureed lunch meal. The Dietary Manager (DM) was observed preparing additional servings of ham, which also contained small ham bits and lacked a smooth consistency. The DM acknowledged that the pureed food items did not meet the required consistency and that the facility lacked the appropriate equipment to produce a smooth meat mixture. Interviews with the DM and Certified Nursing Assistants (CNAs) confirmed the observations. The DM described the ham mixture as grainy and watery, and the cornbread as not holding its form. The CNAs described the ham mixture as lumpy and chunky, with unprocessed meat particles, and the cornbread as runny and floating in water. The facility's policy on therapeutic diets, provided by the Administrator, indicated that a therapeutic diet, such as a pureed diet, is ordered by the physician to support the treatment plan of care. However, the facility failed to adhere to this policy, resulting in the provision of improperly prepared pureed meals to residents with chewing or swallowing problems.
Failure to Implement Dietary Preferences and Allergies
Penalty
Summary
The facility failed to ensure a resident's dietary preferences and allergies were properly implemented. Resident #79, who has diagnoses of dementia, functional intestinal disorder, and lactose intolerance, was observed drinking whole milk during lunch. The resident's meal ticket clearly indicated lactose intolerance and specified no milk or cheese, yet the resident consumed 50% of the milk provided. Certified Nursing Assistant (CNA) #11 admitted to not being aware of the resident's lactose intolerance and confirmed that the resident had received milk for lunch on several occasions. This oversight could lead to gastrointestinal issues such as diarrhea, as noted by the CNA. The Dietary Manager acknowledged the importance of adhering to dietary restrictions to prevent harm to residents. The facility's policy on food allergies and intolerances emphasizes the need to offer appropriate substitutions for foods residents cannot consume. Despite these guidelines, the facility did not follow the prescribed dietary orders for Resident #79, resulting in the resident consuming a food item they are intolerant to. This failure highlights a significant lapse in communication and adherence to dietary protocols within the facility.
Failure to Conduct Timely and Accurate Side Rail Assessments
Penalty
Summary
The facility failed to ensure a comprehensive, accurate assessment of a resident's side rail use was completed quarterly. Resident #06 was observed with both half side rails up, contrary to the care plan which indicated the use of quarter side rails to promote independence. The resident's side rail usage assessment inaccurately documented that side rails were not in use, despite observations to the contrary. Additionally, the quarterly Minimum Data Set (MDS) assessment inaccurately reported that bed rails were not used, and the resident had an active diagnosis of seizure disorder or epilepsy. Staff, including a CNA, LPN, and the Director of Nursing (DON), confirmed the presence of the half side rails but were unaware of the reason for their use, indicating a lack of proper communication and documentation regarding the resident's care plan and assessments. The MDS Coordinator confirmed that the side rail assessment for Resident #06, due on 03/11/2024, was not completed until 05/22/2024, and was not conducted at the bedside as required for accuracy. The DON also confirmed the delay in the assessment and acknowledged that the resident's ability to sit up unassisted and ambulate independently was not accurately reflected in the assessment. The facility's policies on the proper use of side rails and restraints were not followed, as the necessary assessments, documentation, and consents were not properly completed or updated in a timely manner.
Inaccurate MDS Assessment for Resident
Penalty
Summary
The facility failed to complete an accurate Minimum Data Set (MDS) for one resident. On multiple occasions, the surveyor observed the resident lying in bed with bilateral half side rails up, with the right side rail padded. However, the resident's Quarterly MDS, with an Assessment Reference Date (ARD) of 03/13/2024, indicated that bed rails were not used. This discrepancy was confirmed by the Certified Nursing Assistant (CNA), Licensed Practical Nurse (LPN), and the Director of Nursing (DON), all of whom acknowledged the presence of the side rails and were familiar with the resident's care. The MDS Coordinator also confirmed that the Quarterly MDS was inaccurately coded to indicate that the resident did not use a side rail restraint, despite the consistent use of half side rails. The observations and interviews with the staff revealed that the side rails had been in use since at least early May 2024, contradicting the information recorded in the MDS. This inaccuracy in the resident's assessment constitutes a failure to ensure that each resident receives an accurate assessment.
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Illustrative
What surveyors actually found near you
We read the 11 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Batesville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Wood-lawn Heights | 1.4 mi | ★★★★★ | 2 | 0 |
| Mountain Meadows Health And Rehabilitation | 5.7 mi | ★★★★★ | 2 | 0 |
| Cave City Nursing Home Inc | 11.5 mi | ★★★★★ | 0 | 0 |
| The Blossoms At White River Rehab & Nursing Center | 23.3 mi | ★★★★★ | 0 | 0 |
| Pioneer Therapy And Living | 23.7 mi | ★★★★★ | 2 | 0 |
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