Above average — CMS composite of the measures below.
The next survey window likely opens around January 2027
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Covered Bridge Health Campus during CMS and state inspections, most recent first.
Failure to Notify Ombudsman of Resident Discharges: The DON and SSD failed to include 3 discharged residents on the monthly Ombudsman discharge report. One resident was sent to the ED after a change in condition and later hospitalized, one resident declined with a worsening respiratory infection and expired, and one resident was discharged to an ALF. The SSD stated she had not been including residents discharged and not expected to return or residents who expired.
Improper Priming of Insulin Pen: A QMA prepared and administered lispro (Humalog) insulin for a resident’s sliding-scale dose, but primed the insulin pen while holding it parallel to the floor instead of following the manufacturer’s instructions to hold the pen with the needle pointing up. The QMA stated she was not trained on how to hold the pen when priming it, and the Humalog package insert specified the correct priming steps.
A resident with a recent hip replacement and DVT did not receive ordered Lovenox after hospital discharge. The eMAR showed the medication was held and then discontinued, and the record lacked documentation that the physician was notified or that the order was clarified. RN and DON statements showed the order was transcribed from the hospital record, while the NP stated the facility should have followed the discharge orders and given the Lovenox.
Loose Pills Found in Medication Cart: The facility failed to appropriately store medications in the 100 Hall medication cart. During observation, a small white pill and a half of a small green pill were found loose in the cart drawers with dust and paper debris. An RN stated she did not know what the pills were or who they belonged to and that pills should not be loose in the medication cart.
Failure to transcribe an admission Coumadin order: A resident with intact cognition and diagnoses including hip and knee replacement, HTN, osteoporosis, and malnutrition had a hospital discharge order for Coumadin 3 mg on Sunday, Monday, Wednesday, and Friday, but the facility transcribed the order as Monday, Wednesday, and Friday. RN 2 described the admission process as receiving report, entering the resident into the system, assessing the resident, obtaining VS, transcribing orders, and having a second nurse verify meds; the DON confirmed the order should have been transcribed from the hospital discharge record.
A facility failed to follow physician's orders for treating a resident's Stage 4 pressure ulcer. The observed treatment did not include the use of Anasept spray for cleansing or the application of Skin Prep to the wound's edges, as prescribed. The resident, with dementia and malnutrition, had a history of a severe pressure ulcer that had worsened post-hospitalization. The facility's policy requires nurses to understand and execute medication orders correctly, which was not adhered to in this case.
A resident with moderate cognitive impairment and a history of falls did not have the prescribed highlighter tape applied to their wheelchair brakes, as required by their care plan. This oversight occurred despite previous falls related to unlocked wheelchair brakes. Observations confirmed the absence of the tape, and the DON acknowledged the lapse in implementing the fall prevention measure.
A resident received medications incorrectly when an RN failed to administer Buprenorphine sublingually and did not wait the required time between eye drop applications. This resulted in a medication error rate exceeding the acceptable threshold, as per facility policies.
The facility failed to follow infection control guidelines for urinary catheter care for two residents. One resident's catheter bag was observed on the floor multiple times, and staff did not change gloves appropriately during care. Another resident's catheter care was also compromised by improper glove use. Both residents had indwelling catheters, with one being severely cognitively impaired and the other having a suprapubic catheter due to retention issues.
Failure to Notify Ombudsman of Resident Discharges
Penalty
Summary
The facility failed to notify the Office of the State Long-Term Care Ombudsman of the discharge of 3 of 3 discharged residents whose records were reviewed. Resident 63 was admitted to the facility, experienced a change in condition, and was sent to the local hospital emergency department for evaluation; later progress notes indicated the resident was admitted to the hospital, and the EHR census section showed the resident was discharged from the facility and not anticipated to return. Resident 64 was admitted to the facility, was receiving treatment for a worsening respiratory infection, and later had a progress note indicating the resident’s health had been declining and he passed away that afternoon; the EHR census section showed the resident expired. Resident 65 was admitted with plans to return to the community, and a progress note indicated the resident’s family arrived to take him to an Assisted Living Facility; the EHR census section showed the resident was discharged and not anticipated to return. The Social Services Director stated she sent a monthly report to the Ombudsman listing residents who discharged from the facility, including residents expected to return, residents at the hospital, residents who left against medical advice, and residents who had received a 30-day involuntary discharge notice. She also stated she had not been including residents who were discharged and not expected to return to the facility or residents who expired on the report sent to the Ombudsman each month. The discharge report provided to the Ombudsman for the month reviewed did not include Residents 63, 64, or 65. The facility policy titled Ombudsman Notification stated the Director of Social Services, or designee, would send a copy of the discharge census report to the Ombudsman monthly or at least 30 days prior to issuing an involuntary discharge notice, and would inform the Ombudsman within 24 hours for certain immediate transfers or discharges.
Improper Priming of Insulin Pen
Penalty
Summary
The facility failed to follow the manufacturer’s instructions for priming an insulin pen for Resident 55 during medication administration. During observation on 02/11/2026 at 11:03 A.M., QMA 5 prepared lispro (Humalog) insulin for a sliding-scale dose of 3 units by removing the insulin pen from the medication cart, checking the label, removing the pen cap, cleaning the end of the pen with an alcohol wipe, applying the needle, and removing the needle cap. The QMA turned the dose selector to 2 units and primed the pen while holding the pen tip parallel to the floor, then turned the dose selector to 3 units and administered the insulin into the resident’s abdomen. Immediately after the procedure, the QMA stated she was not trained on how to hold the pen when priming it. The package insert provided by the ADON stated that when priming Humalog Pen, the pen should be held with the needle pointing up and the cartridge holder tapped gently to collect air bubbles at the top before pressing the dose button until the dose counter shows 0 and a drop of insulin is seen at the needle tip.
Failure to Follow Anticoagulant Order for a Post-Surgical Resident
Penalty
Summary
The facility failed to follow a physician’s order related to anticoagulant therapy for a resident who was cognitively intact and had diagnoses including hip and knee replacement and deep vein thrombosis. After a total right hip replacement, the hospital discharge summary ordered Lovenox 40 mg once daily until the resident’s INR was greater than 2.0, with the next INR to be drawn on 01/05/2026. The resident’s January 2026 eMAR showed Lovenox was not given on 01/04/2026 because it was on hold and was not given on 01/05/2026 because it was discontinued. The clinical record lacked documentation that the physician was notified when the Lovenox was held on 01/04/2026, and it also lacked documentation that the order was clarified with the physician before 01/05/2026. RN 2 stated that admission orders were transcribed from the hospital discharge records and verified by a second nurse, and the DON stated staff should transcribe orders per the hospital discharge records. The DON later stated the resident did not receive Lovenox because staff believed the INR from the hospital record made it unsafe, even though that INR had been obtained before surgery. The NP stated the facility should have followed the hospital discharge orders and that Lovenox should have been given when the resident first came from the hospital.
Loose Pills Found in Medication Cart
Penalty
Summary
The facility failed to appropriately store medications for 1 of 3 medication carts reviewed, the 100 Hall Medication Cart. During observation on 02/09/2026 at 10:57 A.M. with RN 4, a small round white pill was found lying loose in the bottom of the second drawer of the cart along with dust and paper debris, and a half of a small oval green pill was found lying loose in the bottom of the third drawer along with dust and paper debris. During interview at 10:58 A.M., RN 4 stated she did not know what the pills were or who they belonged to and said pills should not be loose in the medication cart. The facility policy titled Medication Storage, dated 11/01/2022, stated that medications must be stored under proper conditions to protect against degradation.
Failure to Transcribe Admission Coumadin Order
Penalty
Summary
The facility failed to transcribe a physician order on admission for one resident whose clinical record was reviewed. The resident’s admission MDS, dated 01/09/2026, indicated the resident was cognitively intact, and the resident’s diagnoses included hip and knee replacement, hypertension, osteoporosis, and malnutrition. A hospital discharge record dated 01/27/2026 indicated the resident was to receive Coumadin 3 mg on Sunday, Monday, Wednesday, and Friday, and a physician’s order with a start date of 01/27/2026 indicated Coumadin 3 mg once a day on Monday, Wednesday, and Friday. During interviews, RN 2 stated that when a resident was admitted from the hospital, she would receive report, enter the resident into the facility computer system, assess the resident, obtain vital signs, transcribe the orders into the system, and have a second nurse verify the medications. The DON stated that facility staff should transcribe orders per the resident’s hospital discharge records. The DON later stated that when the resident returned from the hospital, the physician’s order should have been transcribed for Coumadin to be given on Sunday, Monday, Wednesday, and Friday, and not Monday, Wednesday, and Friday, and that the physician changed the order on 01/30/2026. The facility policy titled, Guidelines for Medication Orders, stated medication orders should specify the type, route, dosage, frequency, and strength of the medication.
Failure to Follow Physician's Orders for Pressure Ulcer Treatment
Penalty
Summary
The facility failed to adhere to the physician's orders for the treatment of a pressure ulcer for a resident identified as having a Stage 4 pressure ulcer on the right upper buttock. During an observation, the Assistant Director of Nursing (ADON) and the Minimum Data Set (MDS) Coordinator were seen performing a dressing change on the resident. The treatment observed involved cleansing the wound with a wound cleanser, applying collagen powder, Anasept gel, and covering it with a border dressing. However, the physician's order specified the use of Anasept spray for cleansing, followed by the application of Skin Prep to the outside edge of the wound, which was not done during the observed procedure. The resident, who was moderately cognitively impaired and diagnosed with dementia and malnutrition, had been admitted over a year ago with a significant Stage 4 pressure ulcer. The wound had initially been severe, with visible bone, and had worsened after a hospital stay, though it was noted to be improving. The ADON acknowledged the omission of Skin Prep, which was intended to prevent maceration of the skin surrounding the wound. The facility's policy on medication administration emphasized the necessity for nurses to fully understand medication orders before execution, highlighting a lapse in following established treatment protocols for pressure ulcer care.
Failure to Implement Fall Prevention Measures
Penalty
Summary
The facility failed to ensure that fall preventative device interventions were in place as ordered for a resident who was moderately cognitively impaired and had a history of falls. The resident's care plan included an intervention to apply highlighter tape to the wheelchair brakes, which was intended to prevent falls by making the brake handles more visible. However, during multiple observations, it was noted that the highlighter tape was not present on the resident's wheelchair brakes, despite the care plan requirement. The resident had experienced previous falls, including one incident where the wheelchair brake was not locked, and another where the resident forgot to lock the brakes, causing the wheelchair to roll away. These incidents highlight the importance of the intervention that was not implemented. The Director of Nursing confirmed that the resident should have had highlighter tape on the wheelchair brakes as per the care plan, but it was not applied, indicating a lapse in following the prescribed fall prevention measures.
Medication Administration Errors Observed
Penalty
Summary
The facility failed to maintain a medication error rate of less than 5% during a survey observation. Specifically, an RN administered medications to a resident incorrectly. The resident, who was cognitively intact, was prescribed 14 different morning medications, including Buprenorphine, which was to be administered sublingually. However, the RN placed all medications in one cup, and the resident ingested them with a drink, contrary to the prescribed sublingual administration for Buprenorphine. Additionally, the RN administered two types of eye drops consecutively without the required wait time between applications. The facility's policies on medication administration and eye drop administration were not followed. The General Guidelines for Administration of Medications policy required verification of the right route of administration, which was not adhered to in this case. The Eye Drop Administration policy specified a 10-minute wait between administering different eye drops, which was also ignored. These actions led to a medication error rate exceeding the acceptable threshold, as observed during the survey.
Infection Control Deficiencies in Urinary Catheter Care
Penalty
Summary
The facility failed to adhere to infection control guidelines concerning urinary catheter care for two residents. For Resident 10, the urinary catheter drainage bag was repeatedly observed resting on the floor, which is against the facility's policy to keep the bag off the floor to prevent infection. Additionally, during catheter care, CNA 3 did not change gloves after touching various items in the room before providing perineal and catheter care, which is a breach of infection control practices. The resident was severely cognitively impaired with a history of stroke, malnutrition, and neurogenic bladder, and had an indwelling urinary catheter. For Resident 15, the CNA also failed to change gloves after touching items in the room before starting the catheter care procedure. The resident had a suprapubic catheter due to bladder retention issues and was on prophylactic antibiotics following a recent stent placement. The facility's urinary catheter care policy, which was reviewed recently, clearly outlines the steps to prevent infection, including keeping the catheter bag off the floor and changing gloves appropriately, which were not followed in these instances.
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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 Seymour
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Lutheran Community Home | 1.6 mi | ★★★★★ | 15 | 0 |
| Seymour Crossing | 2.6 mi | ★★★★★ | 10 | 0 |
| Hoosier Health & Living Community | 8.4 mi | ★★★★★ | 3 | 0 |
| Majestic Care Of North Vernon | 15.5 mi | ★★★★★ | 5 | 0 |
| Hampton Oaks Health Campus | 17.8 mi | ★★★★★ | 1 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.