Average — CMS composite of the measures below.
The next survey window likely opens around April 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 Scenic Hills At The Monastery during CMS and state inspections, most recent first.
A resident with a right heel pressure ulcer and severe cognitive impairment had inconsistent wound documentation and treatment orders that were not followed. The chart lacked regular details on wound size, tissue type, drainage, pain, and periwound condition, while weekly skin checks were only marked complete on the MAR/TAR. During observed wound care, an LPN used the wrong dressing material and did not apply ordered collagen, and the MAR/TAR also showed missed wound supplement doses because they were unavailable.
A resident with dementia and malnutrition had significant weight loss, but ordered nutritional supplements and weight monitoring were not consistently provided or documented. Meal, snack, and MedPass records showed multiple entries stating intake was given or consumed when it was not, and observations confirmed the resident did not receive ordered Magic Cup supplements or MedPass at the times documented. The DON stated staff should document only after meals, snacks, and supplements were actually given and eaten, and was unsure why weekly weights were not ordered.
Inaccurate nutrition and wound documentation. A resident with dementia and weight loss had meal, snack, and supplement records entered before food was served, and supplements were documented as given when they were not observed to be provided. Two residents with pressure ulcers also had incomplete wound records, with missing details such as measurements, tissue type, drainage, pain, and periwound condition; one wound had slough and maceration noted during care, and an ordered collagen treatment was charted as completed even though it was not applied.
An LPN and CNA failed to maintain sanitary technique during wound care and incontinence care for multiple residents. Observations showed handwashing with only brief lathers, gloves not changed after touching multiple items, and dirty and clean tasks performed without proper hand hygiene. During incontinence care, a CNA placed a clean pad without changing gloves, touched the wheelchair and resident while continuing care, and left a soiled pad in place after the resident urinated in it.
Improperly Contained Waste and Debris Around Dumpsters: The facility failed to keep dumpster areas sanitary and clear of trash. Observations found full trash bags on the ground and hanging out of dumpsters, with cardboard, soiled gloves, empty cups, and other debris scattered in the grass, along with a worn recliner behind the dumpsters. Interviews identified kitchen staff, the Maintenance Director, and all staff as having responsibility for the dumpster area, and the facility policy required the area to be maintained in sanitary condition and clear of trash.
A facility failed to maintain the dignity and rights of a resident with severe cognitive impairment and hemiplegia/hemiparesis by not providing timely assistance with meals. The resident waited 18-19 minutes for help during two observed meals, despite care plans indicating the need for assistance. Staff prioritized serving all residents before assisting those in need, contrary to the facility's Resident Rights policy.
A resident with Alzheimer's and other conditions had a blister on the left thigh that was not properly assessed or treated according to professional standards. The nurse failed to change gloves after removing a soiled dressing and did not notice an irritated area under the adhesive, which the resident pointed out. The clinical record lacked a specific care plan for the blister, and the irritated area was not addressed in physician orders or progress notes.
A resident with severe cognitive impairment experienced multiple falls due to the facility's failure to implement necessary fall prevention measures. The resident's perimeter mattress was not moved during a room change, and required interventions like a stop sign on the door and Dycem on the wheelchair were not in place. Staff were unaware of these needs, and the facility's policy to follow care plans was not consistently adhered to.
The facility failed to maintain proper infection control practices, including improper use of PPE during resident care, inadequate hand hygiene, and mishandling of medications. A resident with severe cognitive impairment did not receive appropriate care during dressing changes and toileting, and a CNA did not follow droplet precautions for a resident with COVID-19 symptoms. These deficiencies occurred despite existing policies and staff training.
Incomplete Wound Documentation and Missed Pressure Ulcer Treatments
Penalty
Summary
Provide appropriate pressure ulcer care and prevent new ulcers from developing was not met for a resident with a right heel pressure ulcer. The resident had diagnoses including dementia without behaviors and a pressure ulcer on the right heel, used a wheelchair, and required substantial to maximum assistance for sit-to-stand transfers. The resident’s orders included offloading boots to both lower extremities at all times except for transfers, a Darco shoe to the right lower extremity for transfers, and multiple wound treatment orders that changed over time, including betadine, collagen, Santyl, calcium alginate, super absorbent dressings, gauze wraps, and wound-healing supplements. The record showed the wound began as a blackish area on the right heel with redness and firmness, and the wound was identified as a deep tissue pressure injury. However, the clinical record lacked consistent weekly documentation of wound measurements, tissue description, drainage, pain, and periwound description. Weekly skin assessments were documented as completed, but the details of those assessments were not recorded, and the chart only showed check marks on the MAR/TAR. The February 2026 MAR/TAR also showed the dressing was not assessed or treated on one occasion because the resident was unavailable. Treatment orders were not followed as documented during wound care. During observation, an LPN removed an alginate pad that was not the one ordered and did not apply collagen as ordered because she did not have it with her. The MAR/TAR also showed LiquaCel was not given on multiple days because it was not available. Staff interviews indicated the wound should have been documented with measurements, drainage, tissue type, pain, and surrounding tissue characteristics, but the Executive Director stated there was no policy for following orders or accurate documentation, and the DON stated abnormal findings were only entered in a progress note.
Failure to Provide Ordered Supplements and Monitor Weight Loss
Penalty
Summary
The facility failed to ensure a resident with weight loss received ordered nutritional supplements and was monitored for weight loss as planned. The resident had diagnoses including dementia without behaviors and malnutrition, and the most recent MDS indicated severely impaired cognition, set-up assistance for eating, weight loss, and no weight loss regimen. Physician orders included fortified foods, double portions at breakfast, Magic Cup supplements with lunch and dinner, and MedPass 2.0 three times daily, but the clinical record did not contain an order for increased weight monitoring even though the care plan included weighing the resident as ordered. The resident’s weight record showed a 10.08% weight loss from 119.0 lbs on 11/3/25 to 107.0 lbs on 5/4/26, with fluctuations in between. An IDT progress note dated 3/12/26 documented significant weight loss and a new order to increase MedPass to 120 mL TID and monitor weights weekly. However, meal, snack, and supplement documentation from 4/19/26 through 5/20/26 showed multiple instances where meals or bedtime snacks were charted as given or consumed when they were not, and supplements were documented as given when they were not. Observations confirmed the documentation issues. On 5/14/26 and 5/19/26, the resident’s lunch tray did not include the ordered Magic Cup despite the meal ticket indicating it should have been present. On 5/20/26, the resident was weighed on a chair scale, but the reweigh button was not pushed after the resident was settled, and the CNA reported a weight of 108.0 lbs. Later that morning, the resident did not receive MedPass with medications even though it was documented as consumed. Staff interviews indicated the resident was not on a special weight list, bedtime snacks were to be offered by aides and documented after being given and eaten, and the DON was unsure why the resident’s order was not updated to weekly weights.
Inaccurate nutrition and wound documentation
Penalty
Summary
The facility failed to ensure the clinical record contained accurate documentation for resident nutrition and pressure ulcer care. For one resident with dementia, severe cognitive impairment, weight loss, and orders for fortified foods and multiple supplements, the meal, snack, and supplement records showed entries documenting intake before the meals or snacks were actually served, and some supplements were documented as given when they were not observed to be provided. Observations showed the resident asleep or in the room with trays that did not include the ordered Magic Cup, and on another occasion MedPass was documented as consumed even though it was not present and was not given with medications. For one resident with a right heel deep tissue injury and another resident with a stage 4 sacral pressure ulcer, the wound records did not contain complete assessments. The chart lacked consistent weekly documentation of wound measurements, tissue description, drainage, pain, and periwound description. Although weekly skin assessments were marked as completed on the MAR/TAR, the record did not include details of what was assessed. For the resident with the sacral wound, multiple weekly entries were missing complete wound assessment information across several dates. During wound care observation, the sacral wound had macerated edges and slough, and the nurse stated the slough might keep the wound from healing and probably needed debridement. The nurse also stated she would notify the wound nurse about the wound changes, but the clinical record did not document that notification or any related new orders. For the heel wound, the record also showed the ordered collagen treatment was documented as completed but was not actually applied, and the nurse stated she did not use collagen because she did not have one with her.
Failure to Maintain Sanitary Wound and Incontinence Care
Penalty
Summary
The facility failed to provide sanitary care during wound care and incontinence care observations for three residents. During wound care for one resident with a right heel pressure ulcer, an LPN removed the dressing, removed gloves, and washed hands with only a ten-second lather, then put gloves back on to clean the wound, apply skin prep, and take measurements; the LPN again removed gloves and washed hands with only an eight-second lather before completing the care. During wound care for another resident with a sacral pressure ulcer, one LPN washed hands with an eight-second lather and put on gloves, while a second LPN pulled out pillows, pulled down the resident’s blanket, pants, and incontinence pad, then removed gloves and washed hands with an 11-second lather before the wound care continued. During incontinence care for a third resident in the bathroom, a CNA used gloved hands to pull down the resident’s pants and soiled incontinence pad, failed to change gloves before grabbing a clean incontinence pad and placing it on the resident, and touched multiple items including the wheelchair and the resident’s arm while continuing care. The resident stated he was not finished toileting and wanted to try again, after which the CNA removed gloves, performed hand hygiene, and continued care. The CNA then wiped the resident while he urinated into the incontinence pad and failed to wipe him and change the soiled pad before pulling up the pad and pants. The Infection Preventionist stated staff should change gloves and perform hand hygiene after touching items and between dirty and clean tasks, and should remove a soiled incontinence pad if the resident urinates in it.
Improperly Contained Waste and Debris Around Dumpsters
Penalty
Summary
The facility failed to ensure waste was properly contained in dumpsters for 2 of 2 random observations. During an observation on 5/21/26, a full bag of trash was seen on the ground next to the dumpsters, another full bag was hanging out of a dumpster, and cardboard, multiple soiled gloves, empty clear cups, and other debris were scattered throughout the grass by the dumpsters; a worn brown recliner with the foot rest opened was also observed behind the dumpsters. During a second observation on 5/22/26, a full bag of trash was again observed hanging out of a dumpster, with multiple soiled gloves, empty clear cups, and other debris scattered throughout the grass by the dumpsters, and the same worn brown recliner behind the dumpsters. Interviews indicated kitchen staff was in charge of the dumpsters, the Administrator identified the Maintenance Director as responsible for the dumpsters, and the Maintenance Director stated the dumpsters were emptied before 9:00 A.M., all staff were responsible for picking up trash around the dumpsters and ensuring bags were in the dumpster, and the recliner needed to be hauled off by facility staff. The facility's Garbage and Refuse policy, revised 7/9/25, stated the dumpster area would be maintained in sanitary condition and clear of trash.
Failure to Assist Resident with Eating in a Timely Manner
Penalty
Summary
The facility failed to maintain resident dignity and protect the rights of a dependent resident, identified as Resident 42, who required assistance with eating due to severe cognitive impairment and hemiplegia/hemiparesis following a stroke. During two separate meal observations, Resident 42 was left waiting for assistance to eat for 19 and 18 minutes, respectively, after meals were placed in front of them. Despite being aware of the resident's need for assistance, staff prioritized serving all residents before assisting those who required help, leading to delays in providing necessary support to Resident 42. The resident's care plans, which were last revised in February 2025, indicated the need for assistance with eating and highlighted risks for malnourishment and significant weight loss. However, staff, including a CNA and an LPN, did not adhere to these care plans during meal times. The facility's Resident Rights policy emphasized the importance of treating residents with dignity and respect, yet the observed actions during meal service did not align with this policy, resulting in a deficiency in maintaining resident dignity and rights.
Failure to Meet Professional Standards in Wound Care
Penalty
Summary
The facility failed to ensure that services provided met professional standards of quality for a resident with skin conditions. A blister on the resident's left thigh was not assessed when initially identified, and the nurse was unaware of the correct timing for the treatment. The clinical record lacked a care plan specific to the blister, and there was no assessment or measurement of the area when it was first identified. Additionally, the nurse did not change gloves after removing the soiled dressing before cleaning the wound, which is against the facility's policy. The resident, who has Alzheimer's, malnutrition, and depression, required substantial to maximum assistance with daily activities. The nurse failed to notice an irritated area under the adhesive of the dressing, which the resident had to point out. The nurse documented the presence of small blisters in the area of the adhesive but did not cover them with a new dressing. The irritated area was not addressed in the physician orders, care plans, wound management, or progress notes, indicating a lack of comprehensive care and documentation for the resident's condition.
Failure to Implement Fall Prevention Measures
Penalty
Summary
The facility failed to ensure adequate supervision and assistance devices to prevent accidents for a resident reviewed for falls. The resident, who had severe cognitive impairment and required substantial assistance with daily activities, experienced multiple falls due to inadequate interventions. The resident's mattress, which was a perimeter mattress designed to prevent falls, was not moved with the resident during a room change, leading to a fall. Additionally, several fall interventions, such as the placement of a stop sign on the room door and Dycem to the wheelchair, were not in place as required by the care plan. Observations revealed that the resident's wheelchair lacked foot pedals and Dycem, and the call don't fall sign was not visible from the bed. Staff members were unaware of the need for these interventions, and there was no written policy for following care plans, although it was the facility's policy to adhere to them. The facility's Fall Management policy emphasized maintaining a hazard-free environment and implementing care plan interventions, but these were not consistently followed, contributing to the resident's falls.
Infection Control Deficiencies in Resident Care and Medication Handling
Penalty
Summary
The facility failed to maintain a safe and sanitary environment, leading to deficiencies in infection prevention and control. One resident with severe cognitive impairment and multiple diagnoses, including Alzheimer's, was not provided with proper care during dressing changes and toileting. Staff did not adhere to enhanced barrier precautions, such as changing gloves between tasks and ensuring clean briefs did not come into contact with contaminated surfaces. Additionally, handwashing was not performed according to the required standards, compromising infection control. In another instance, a Licensed Practical Nurse (LPN) improperly handled medication by picking up a dropped pill with bare hands and administering it to a resident. This action violated the facility's medication administration policy, which requires medications to be handled with care and not touched with bare hands. The Infection Preventionist confirmed that the pill should have been discarded and replaced, and handwashing should have been performed for at least 20 seconds. Furthermore, a Certified Nurse Aide (CNA) did not follow proper droplet precautions when exiting a resident's room who was on isolation for COVID-19 symptoms. The CNA failed to change the surgical mask after leaving the room and did not adhere to the facility's policy on droplet precautions, which requires the use of an N95 mask without a surgical mask underneath. These lapses in infection control practices were observed despite the facility's policies and training provided to staff.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 62 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
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Ferdinand
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Willowdale Village | 7.9 mi | ★★★★★ | 1 | 0 |
| Waters Of Huntingburg, The | 7.9 mi | ★★★★★ | 19 | 0 |
| Core Of Dale | 8.4 mi | — | 21 | 0 |
| Brookside Village Inc | 10.7 mi | ★★★★★ | 4 | 0 |
| Cathedral Health Care Center | 12.2 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Scenic Hills At The Monastery.
100% money-back within 48 hours.
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.