Above average — CMS composite of the measures below.
The next survey window likely opens around December 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 Serenity Spring Senior Living At Jasonville during CMS and state inspections, most recent first.
A facility failed to obtain informed consent before increasing psychotropic meds for two residents. One resident with MDD, GAD, and Alzheimer’s disease had Zoloft increased, and another resident with schizophrenia, vascular dementia, and bipolar disorder had Clozaril increased. The clinical records lacked documentation that the residents and/or their representatives were informed of the treatment options, risks, and benefits before the dose increases, and the DON confirmed consent had not been obtained.
The facility failed to implement GDR recommendations for two residents receiving psychotropic medications and failed to limit a PRN antianxiety medication to 14 days for one resident. One resident with depression and anxiety was receiving mirtazapine and PRN lorazepam, but the record lacked documentation of GDR refusal and the lorazepam order did not include the required 14-day stop date. Another resident with schizophrenia was receiving clozapine and risperidone; the record showed a GDR discussion and an attempt to reduce risperidone, but there was no documentation that the GDR was implemented or that the family was notified.
Late Completion of MDS Assessments: The facility failed to complete MDS assessments within required timeframes for two residents. One resident with depression and alcoholic cirrhosis had an admission MDS completed after the 14-day window, and another resident with Alzheimer's disease, pain, and GAD had an Annual MDS completed well after the ARD. The MDS nurse and DON stated the assessments were not completed within the required 14 calendar days and that the facility did not have a resident assessment policy.
A facility failed to complete accurate MDS assessments for two residents. One resident’s annual MDS incorrectly indicated anticonvulsant use even though Depakote had been discontinued and was not current during the look-back period. Another resident’s quarterly MDS incorrectly marked active diagnoses as no despite current orders and psych notes showing bipolar disorder, schizophrenia, and vascular dementia; the MDS Coordinator and DON confirmed the entries should have been marked yes.
The facility failed to ensure an open vial of tuberculin PPD in the med room refrigerator was labeled with an open date and discard date. The DON observed the vial without dates and stated open multidose vials should be labeled with an open date and a discard date 28 days after opening. The facility policy also required medications to be properly labeled in accordance with current state and federal guidelines and regulations.
A resident with a urinary catheter for neurogenic bladder, along with dx including UTI, neuromuscular dysfunction of the bladder, and CKD, was observed multiple times with the catheter tubing and drainage bag lying on the floor while in the room, hallway, and chapel. The DON stated the tubing and drainage bag should not touch the floor, and the facility policy directed staff to keep them off the floor to help prevent catheter-associated complications, including UTIs.
The facility failed to store food in a sanitary manner, as observed during a kitchen tour. A refrigerator contained a pitcher of red liquid without a date, and the walk-in refrigerator had expired sour cream and buttermilk. The Dietary Manager acknowledged these items should have been dated and discarded, despite daily checks for expired food. The facility's policy requires all refrigerated foods to be labeled, dated, and monitored for use-by dates.
The facility failed to ensure accurate MDS assessments for two residents. One resident's quarterly MDS assessment did not document antibiotic use for a UTI, despite clinical records indicating its administration. Another resident's Significant Change MDS assessment lacked documentation of a UTI diagnosis, even though it was present in the clinical record. The MDS nurse confirmed these omissions, and the facility lacked a specific MDS coding policy, relying instead on the RAI manual.
A facility failed to provide appropriate respiratory care for a resident by not labeling or documenting the change of oxygen tubing. The resident, with a history of COPD and respiratory failure, was observed multiple times with undated oxygen tubing. Interviews confirmed the lack of documentation, and the physician's orders did not specify tubing changes.
Failure to Obtain Informed Consent for Psychotropic Medication Increases
Penalty
Summary
The facility failed to ensure informed consent was obtained before increasing psychotropic medications for two residents reviewed for unnecessary medications. One resident had diagnoses including major depressive disorder, generalized anxiety, and Alzheimer's disease. The physician's orders showed sertraline (Zoloft) was increased to 200 mg daily by the psychiatry NP, but the clinical record did not contain documentation that the resident and/or resident representative was informed of the treatment options, risks, and benefits of the psychotropic medication before the increase. A second resident had diagnoses including schizophrenia, vascular dementia, and bipolar disorder. The physician's orders showed Clozaril was increased from 50 mg twice daily to 75 mg twice daily by adding a 25 mg twice-daily order, but the record lacked documentation that informed consent was provided to the resident and/or resident representative before the increase. The DON confirmed during interview that informed consent had not been obtained prior to the psychotropic medication increases. The facility policy stated residents, families, and/or representatives are involved in psychotropic medication management and that staff and the physician review the risks of not taking the medication and appropriate alternatives with the resident/representative.
Failure to implement GDRs and PRN psychotropic limits
Penalty
Summary
The facility failed to implement a gradual dose reduction recommendation and failed to limit a PRN antianxiety medication to 14 days for one resident. One resident with diagnoses including atrial fibrillation, major depressive disorder, generalized anxiety disorder, and shortness of breath was receiving mirtazapine 15 mg at bedtime and lorazepam 0.5 mg every 12 hours as needed for anxiety. The record showed the mirtazapine was discussed at a GDR/behavior meeting, with a recommendation to discontinue it, and the psychiatry note also indicated discontinuation due to weight gain. However, the clinical record lacked documentation that the resident declined the GDR, and the record also lacked the required 14-day stop date for the PRN lorazepam order. The physician visit note documented complaints of shortness of breath on exertion with minimal activity, and the stop date entered for lorazepam was 3 months. The facility also failed to implement a gradual dose reduction for another resident who had diagnoses including schizophrenia, generalized anxiety disorder, and major depressive disorder. That resident was receiving clozapine 150 mg daily, clozapine 200 mg daily, and risperidone 2 mg twice daily. The record showed the medications were discussed at a GDR/behavior meeting, with a recommendation to start Zoloft 50 mg and decrease risperidone to 1.5 mg twice daily, and the psychiatry note indicated an attempt to gradual dose reduce risperidone. However, the clinical record lacked documentation that the GDR was implemented, lacked documentation of discussion with the resident's family, and the DON stated the GDR was not implemented. The resident was on two antipsychotic medications, and the care plan addressed psychopharmacological medication use with consultation for dosage reduction when clinically appropriate.
Late Completion of MDS Assessments
Penalty
Summary
The facility failed to ensure MDS assessments were completed within the required timeframes for 2 of 6 residents reviewed. For Resident 3, the clinical record showed diagnoses including depression and alcoholic cirrhosis of the liver. The admission MDS assessment dated 10/19/25 was not completed or signed until 11/5/25. During interview, the MDS nurse and DON stated the admission MDS assessment was not completed within 14 calendar days of the admission date, and the DON said the facility did not have a resident assessment policy and used the RAI tool criteria for timeframe of completion. For Resident 34, the clinical record showed diagnoses including Alzheimer's disease, pain, and generalized anxiety disorder. The Annual MDS assessment with an ARD of 10/30/25 was not completed or signed until 1/2/26. During interview, the MDS nurse and DON stated the Annual MDS assessment was not completed within 14 calendar days of the ARD, and the DON again stated the facility did not have a resident assessment policy and used the RAI tool criteria for timeframe of completion.
Inaccurate MDS Assessments for Medication Use and Active Diagnoses
Penalty
Summary
The facility failed to ensure accurate MDS assessments for 2 residents reviewed for unnecessary medications. For one resident with major depressive disorder, generalized anxiety, and Alzheimer’s disease, the Annual MDS dated 10/30/25 indicated the resident was taking an anticonvulsant in section N0415K1, even though the record showed Depakote Sprinkles had been discontinued on 5/29/25 and was not a current medication during the 7-day observation period. The MDS Coordinator and DON confirmed the resident was not receiving an anticonvulsant during that assessment period and stated the section should have been marked no. For another resident with schizophrenia, vascular dementia, and bipolar disorder, the Quarterly MDS dated 11/20/25 marked Non-Alzheimer’s Dementia, Bipolar Disorder, and Schizophrenia as no in Section I: Active Diagnoses. The physician orders showed ongoing treatment with Depakote ER for bipolar disorder, Clozaril for bipolar disorder and schizophrenia, Trazodone for schizophrenia, and Namenda for vascular dementia, and a psychiatry note dated 10/9/25 documented active diagnoses of schizophrenia, vascular dementia, and bipolar disorder. The MDS Coordinator and DON stated these diagnoses were active during the assessment period and that Section I should have been marked yes.
Improper Labeling of Open Medication Vial
Penalty
Summary
The facility failed to ensure a medication was labeled properly with an open date and discard date in 1 of 1 medication rooms observed. During an observation on 1/23/26 at 1:30 p.m., the medication room refrigerator contained a vial of tuberculin PPD without an open date or discard date. The DON stated there were no dates written on the open vial and indicated that all open multidose medication vials should be labeled with an open date and a discard date 28 days after opening. On 1/28/26 at 3:20 p.m., the DON provided the facility policy, "Labeling of Medication Containers," dated April 2019 and identified as current, which stated that all medications maintained in the facility are properly labeled in accordance with current state and federal guidelines and regulations and that stock medication labels include necessary information, including the expiration date when applicable.
Urinary Catheter Tubing and Drainage Bag Left on Floor
Penalty
Summary
Infection control practices were not implemented for a resident with a urinary catheter. Resident 5 had diagnoses including urinary tract infection, neuromuscular dysfunction of the bladder, and chronic kidney disease, and had a physician's order dated 1/8/26 for a urinary catheter for neurogenic bladder. The resident's urinary catheter tubing and drainage bag were observed lying on the floor on 1/21/26 in the resident's room, on 1/22/26 while the resident was propelling in a wheelchair in the hallway, and on 1/23/26 while the resident was propelling in a wheelchair into the chapel. During interview, the DON stated the catheter tubing and drainage bag should not be touching the floor. The facility policy, Catheter Care, Urinary, dated August 2022, indicated the purpose was to prevent urinary catheter-associated complications, including UTIs, and directed staff to keep the catheter tubing and drainage bag off the floor.
Deficiency in Food Storage Practices
Penalty
Summary
The facility failed to ensure food was stored in a sanitary manner during a kitchen observation. During the initial tour of the kitchen with the Dietary Manager (DM), a refrigerator by the serving line contained a pitcher of red liquid that was not dated. The DM acknowledged the pitcher should have been dated and removed it. Additionally, the walk-in refrigerator contained two cartons of sour cream and seven half gallons of buttermilk, all of which were expired. The DM confirmed these items were expired and should have been discarded, despite indicating that staff checked for expired food every day. The facility's policy on Food Receiving and Storage, provided by the Director of Nursing (DON), stated that all foods stored in the refrigerator or freezer should be covered, labeled, and dated, and that refrigerated foods should be monitored to ensure they are used by their use-by date, frozen, or discarded.
Inaccurate MDS Assessments for Two Residents
Penalty
Summary
The facility failed to ensure the accuracy of the Minimum Data Set (MDS) assessments for two residents. For Resident 4, the clinical record indicated a diagnosis of urinary tract infection (UTI) and the use of the antibiotic Macrobid. However, the quarterly MDS assessment did not document the antibiotic use, which was confirmed as an oversight by the MDS nurse during an interview. This discrepancy highlights a failure in accurately coding the resident's medication use in the MDS assessment. Similarly, for Resident 21, the clinical record showed a diagnosis of UTI and the administration of the antibiotic Cefdinir following a hospital visit. Despite this, the Significant Change MDS assessment did not document the UTI diagnosis. The MDS nurse acknowledged that the UTI should have been coded according to the Resident Assessment Instrument (RAI) tool criteria, which allows for a 30-day look-back period for active diseases. The facility did not have a specific MDS assessment coding policy and relied on the RAI manual for guidance.
Failure to Document and Change Oxygen Tubing for Resident
Penalty
Summary
The facility failed to provide appropriate respiratory care for a resident receiving oxygen therapy. Observations on multiple occasions revealed that the oxygen nasal cannula (NC) tubing used by the resident was not labeled with a date, indicating when it was last changed. Specifically, on three separate days, the resident was observed with oxygen being administered via NC, but the tubing lacked any date marking. Interviews with the LPN and the Director of Nursing (DON) confirmed the absence of a date on the tubing, and the DON stated that tubing changes should be documented on the Treatment Administration Record (TAR). The resident in question had a clinical history that included Chronic Obstructive Pulmonary Disease (COPD), respiratory failure with hypoxia, and dementia. The resident's care plan and physician's orders indicated the need for continuous oxygen therapy at 2 liters per minute via nasal cannula. However, the physician's orders did not include instructions for changing the oxygen tubing, and the clinical record lacked documentation of any tubing changes. This oversight in documentation and procedure led to the deficiency noted by the surveyors.
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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 Jasonville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Health Center At Glenburn Home | 8.4 mi | ★★★★★ | 4 | 0 |
| Envive Of Sullivan | 12.4 mi | ★★★★★ | 3 | 0 |
| Waters Of Sullivan Nursing Facility, The | 13 mi | ★★★★★ | 10 | 0 |
| Cobblestone Crossings Health Campus | 18.4 mi | ★★★★★ | 10 | 0 |
| Springhill Village | 20.6 mi | ★★★★★ | 5 | 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 July 2026) and official state health department websites.