Above 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 Wood-lawn Heights during CMS and state inspections, most recent first.
Meals were not served according to the written menu during one observed supper meal. CNAs used a #8 scoop equal to 1/2 cup to serve shepherd's pie to residents on regular, mechanical soft, and pureed diets instead of the menu-specified portions, and pureed bread was not served to residents on pureed diets. One CNA stated the pureed dinner rolls were not served because the temperature was above 41 degrees Fahrenheit, and the DON said it should have been sent back to the kitchen to be reheated.
Food items were left uncovered or unsealed in the refrigerator, freezer, and dry storage areas, and expired items were still present, including meat, tuna salad, and lemonade. A DA also contaminated her hand after sanitizing blender equipment and then handled clean blender parts without washing her hands, despite facility handwashing policy requiring hand hygiene after any activity that may contaminate the hands.
The facility failed to develop, implement, and update comprehensive care plans for several residents, leading to inadequate fall prevention and management. Observations and staff interviews revealed inconsistencies and vague interventions in care plans, with necessary fall prevention measures often missing or not documented.
The facility failed to investigate falls and implement effective interventions for two residents, resulting in multiple injuries. Documentation and communication regarding fall interventions were inconsistent and incomplete, leading to repeated falls and injuries.
The facility failed to notify residents and their representatives in writing of hospital transfers and did not ensure that the transfer notices contained all required information. Staff generally contacted representatives by phone but did not send out the required transfer letters, and the letters that were completed lacked necessary information.
The facility failed to ensure PRN orders for psychotropic drugs were limited to 14 days for two residents, increasing the risk of unnecessary medication administration and adverse reactions. Both residents had PRN psychotropic medication orders without specified durations, despite recommendations from a consultant pharmacist to review the necessity of continued use.
The facility failed to ensure the MDS assessment accurately reflected a resident's status. A Quarterly MDS assessment incorrectly indicated the presence of an ostomy, which the resident did not have. Interviews with an LPN and the RN MDS Coordinator confirmed the error. The facility's policy requires accurate assessments, which was not followed in this instance.
The facility failed to document blood pressures before administering a blood pressure-lowering medication to a resident with essential hypertension and other health issues. Despite the care plan and facility policies requiring blood pressure checks, the medication was administered without the necessary documentation, as confirmed by interviews with staff.
Meals Served in Portions Different From Written Menu
Penalty
Summary
The facility failed to ensure meals were prepared and served according to the planned written menu for one observed supper meal. During observation, CNA #5 served regular and mechanical soft shepherd's pie using a #8 scoop equal to 1/2 cup instead of the 3/4 cup portion listed on the menu, and she confirmed that a 6-ounce scoop equal to 3/4 cup should have been used. In the same meal service, CNA #5 also served pureed shepherd's pie to residents on pureed diets using a #8 scoop equal to 1/2 cup instead of two #10 scoops totaling 2/3 cup, and she stated that she should have served two #10 scoops. Later in the meal service, CNA #6 again used a #8 scoop equal to 1/2 cup for regular and mechanical soft shepherd's pie instead of the 3/4 cup portion specified on the menu. CNA #3 also served pureed shepherd's pie with a #8 scoop equal to 1/2 cup instead of two #10 scoops totaling 2/3 cup, and no pureed bread was served to residents on pureed diets. When asked about the missing dinner rolls for the pureed diet, CNA #6 stated the temperature was above 41 degrees Fahrenheit and she did not serve it because it was a cold food item; she said the DON told her it should have been sent back to the kitchen to be reheated. The Dietary Manager stated each unit had a menu specifying each food item and the scoop size to use when serving meals.
Food Storage and Hand Hygiene Deficiencies
Penalty
Summary
The facility failed to ensure food items stored in the refrigerator, freezer, and dry storage area were covered or sealed, and it failed to remove expired food items from storage. During observation, an opened and unsealed bag of burritos was found in the walk-in refrigerator, along with a box of 10 packages of bologna that had an expiration date of 07/10/2025 and two containers of tuna salad with an expiration date of 08/09/2025. In the walk-in freezer, an opened box of biscuits was observed on a shelf without being covered or sealed. In the storage area above the food preparation counter, an opened and uncovered container of salt, an opened and uncovered container of sugar cane, and an opened and unsealed bag of brown sugar were observed. In the storage room, an opened and unsealed box of breadcrumbs and a box containing a 3-gallon bag of lemonade with an expiration date of 03/09/2025 were also observed. The facility also failed to ensure dietary staff washed hands before handling clean equipment or food items. After sanitizing blender equipment in the three-compartment sink, Dietary Aide #4 turned off the faucet with a bare hand, contaminating her hand, and then picked up a clean blade and attached it to the blender base without washing her hands. When asked what should have been done after touching dirty objects and before handling clean equipment, the aide stated she should have washed her hands. The facility policy titled, Handwashing Guidelines for Dietary Employees, indicated dietary employees should wash their hands after engaging in any activity that may contaminate the hands.
Failure to Implement Comprehensive Care Plans for Fall Prevention
Penalty
Summary
The facility failed to develop, implement, and update comprehensive person-centered care plans for several residents, specifically in relation to fall prevention and management. Resident #85, who had severe cognitive impairment and multiple falls, did not have appropriate fall interventions consistently documented or implemented. Observations revealed that the resident was often without necessary fall prevention devices such as wheelchair alarms and lap buddies, and the care plan contained vague or inappropriate interventions. Interviews with staff indicated a lack of clarity and consistency in updating and following the care plan, with interventions often only documented in Incident and Accident (I&A) reports, which were not part of the resident's medical record. Resident #90, also with severe cognitive impairment, experienced multiple falls, including one that resulted in a fractured back. The care plan for this resident included vague interventions such as 'acute illness' and 'family education' without context. Staff interviews revealed that fall interventions were not clearly documented in the care plan and were often only found in I&A reports. There was a lack of communication and documentation regarding the specific interventions needed to prevent further falls. Resident #81, who had severe cognitive impairment and was at risk for skin tears and bruising, did not have any interventions in place to protect their skin despite having multiple discolorations on their arms and hands. Observations confirmed the absence of protective measures, and staff interviews indicated that the care plan did not include necessary interventions. Similarly, Resident #31 had multiple falls, and the care plan included 'acute illness' as an intervention, which was acknowledged by the DON as inappropriate. The facility had not updated the care plan to remove this intervention despite recent training indicating it should not be used.
Failure to Investigate Falls and Implement Effective Interventions
Penalty
Summary
The facility failed to investigate the causative factors of falls and develop effective interventions to prevent further falls for two residents. Resident #85 experienced multiple falls, resulting in a laceration to the head and bruising to the eyes. The facility's documentation and communication regarding fall interventions were inconsistent and incomplete. Observations revealed that the resident did not have the necessary fall prevention measures in place, such as a wheelchair alarm or lap buddy, despite these being listed in the care plan. Interviews with staff indicated a lack of awareness and access to current fall interventions, with some staff relying on outdated or incomplete information from the Incident and Accident (I&A) reports rather than the resident's care plan. The facility's process for updating care plans and communicating fall interventions to direct care staff was inadequate, leading to repeated falls and injuries for Resident #85. Resident #90 also experienced multiple falls, resulting in a fractured back and a hematoma to the forehead. Similar to Resident #85, the facility's documentation and communication regarding fall interventions were insufficient. The resident's care plan included vague and incomplete interventions, such as
Failure to Provide Complete Transfer Notices
Penalty
Summary
The facility failed to notify residents and their representatives in writing of hospital transfers and did not ensure that the transfer notices contained all required information. This deficiency was identified for four residents who were transferred to the hospital multiple times. The facility's policy required that transfer notices include specific reasons for the transfer, the effective date, the location to which the resident was transferred, an explanation of the right to appeal, and contact information for the State Agency and Ombudsman. However, the transfer letters reviewed lacked this information and were not consistently mailed to the residents' representatives. Interviews with various staff members, including LPNs, RNs, the MDS Coordinator, the DON, and the Administrator, revealed a lack of understanding and adherence to the facility's policy. Staff members generally contacted the residents' representatives by phone but did not send out the required transfer letters. The MDS Coordinator and nursing staff were unaware of their responsibilities regarding mailing the transfer letters, and the transfer letters that were completed did not include all the necessary information. Specific cases highlighted in the report include Resident #85, who was sent to the hospital three times without proper notification to the family member, and Resident #90, who had five hospital transfers with incomplete transfer letters. Resident #31 and Resident #26 also experienced similar issues, with transfer notices missing critical information such as the resident's appeal rights and contact details for the Ombudsman. The Administrator acknowledged the deficiencies and the lack of proper communication and documentation during the surveyor's interviews.
Failure to Limit PRN Psychotropic Medication Orders to 14 Days
Penalty
Summary
The facility failed to ensure PRN orders for psychotropic drugs were limited to 14 days for two residents reviewed for psychotropic medications. Specifically, the facility did not include a duration for an as-needed (PRN) psychotropic medication, which increased the risk of unnecessary medication administration, adverse reactions, and unwanted side effects. Resident #9, a female with dementia and anxiety disorder, had an order for Ativan 0.5 mg every four hours as needed for anxiety, but the order did not specify a duration. Despite a consultant pharmacist's recommendation to review the necessity of the PRN Ativan, the physician's response did not include a duration for continued use of the medication. Observations revealed Resident #9 was often in bed and unresponsive to questions, indicating impaired cognitive function as confirmed by her BIMS score of 3 on the MDS assessment. The care plan for Resident #9 included administering anti-anxiety medications as ordered by the physician, but it lacked a specified duration for the PRN Ativan order. The facility's failure to include a duration for the PRN Ativan order for Resident #9 was a significant oversight in medication management. Resident #70, a male with major depressive disorder and receiving hospice care, had an order for Buspirone 10 mg every six hours as needed for anxiety, but the order also did not specify a duration. The consultant pharmacist recommended reviewing the necessity of the PRN Buspirone, but the physician's response did not include a duration for continued use of the medication. Observations revealed Resident #70 was often resting in bed with his eyes closed, and his care plan included the use of psychotropic medications for anxiety. The facility's failure to include a duration for the PRN Buspirone order for Resident #70 was another significant oversight in medication management. During an interview, the DON acknowledged that all PRN psychotropic medications should be discontinued after 14 days, but noted that Resident #70's PRN Buspirone was a hospice order. The facility's policy on pharmacy services emphasized compliance with state and federal requirements and current standards of practice, but the lack of specified durations for PRN psychotropic medications for Residents #9 and #70 indicated a failure to adhere to these guidelines.
Inaccurate MDS Assessment for Resident
Penalty
Summary
The facility failed to ensure the Minimum Data Set (MDS) assessment accurately reflected the resident's status for one resident. Specifically, the Quarterly MDS assessment for a resident indicated the presence of an ostomy, which the resident did not have. The resident, a [AGE] year-old female with diagnoses including dementia, constipation, and essential hypertension, was admitted to the facility on a previous date. An Annual MDS Assessment indicated no ostomy, but a subsequent Quarterly MDS Assessment incorrectly indicated an ostomy. Interviews with an LPN and the RN MDS Coordinator confirmed that the resident did not have an ostomy. The facility's policy requires comprehensive, accurate, and standardized assessments of each resident's functional capacity, which was not adhered to in this case.
Failure to Document Blood Pressure Before Administering Medication
Penalty
Summary
The facility failed to ensure that Resident #6 received treatment and care in accordance with the comprehensive person-centered care plan. Specifically, the facility did not document blood pressures before administering a blood pressure-lowering medication, Losartan Potassium, which had hold parameters for systolic blood pressure less than 110 and diastolic blood pressure less than 50. This failure was observed from 05/01/2024 through 05/21/2024, during which the medication was administered without the required blood pressure documentation. Interviews with the LPN and the Director of Nursing confirmed that the blood pressures were not documented in the electronic medical record, and the expectation was that staff should follow physician's orders, including assessing blood pressure when parameters are specified. Resident #6 had a history of essential hypertension, transient ischemic attack, muscle weakness, and unsteadiness on feet. The resident's care plan, initiated on 05/10/2023 and last revised on 10/20/2023, included interventions to obtain blood pressure readings as ordered and notify the medical doctor of significant readings. The facility's policies on medication administration and pharmacy services also required obtaining and recording vital signs when applicable or per physician orders. Despite these policies, the facility did not adhere to the prescribed procedures, leading to the deficiency noted in the report.
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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.
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Nursing homes near Batesville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Springs Batesville | 1.4 mi | ★★★★★ | 8 | 0 |
| Mountain Meadows Health And Rehabilitation | 4.3 mi | ★★★★★ | 2 | 0 |
| Cave City Nursing Home Inc | 12.8 mi | ★★★★★ | 0 | 0 |
| The Blossoms At White River Rehab & Nursing Center | 22.7 mi | ★★★★★ | 0 | 0 |
| The Blossoms At Newport Rehab & Nursing Center | 23.5 mi | ★★★★★ | 5 | 0 |
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