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 St Andrews Health Campus during CMS and state inspections, most recent first.
Expired food items were found during a kitchen observation, including thawed sliced turkey deli meat with no thaw date, a plate with visible debris in the plate warmer, and multiple dry storage items past their use-by dates such as quinoa, rice, pasta, beans, split peas, and cooking wine. The DM said inventory was checked twice weekly and the ADON stated all residents received food from the facility kitchen. The facility policy required food to be properly stored, labeled, dated, and rotated so the oldest items were used first.
Medication orders were not followed for two residents when staff administered antihypertensive medications despite blood pressure or pulse readings outside ordered hold parameters, and there was no documentation that the physician was notified or a reason recorded. In addition, a resident with cognitive impairment had a new scab on the right lower leg that was observed more than once, but staff did not timely document it as a skin event or assess it in the record.
A resident with dementia, renal insufficiency, neurogenic bladder, and an indwelling urinary catheter had the catheter tubing and drainage bag observed hanging on a waste basket and later lying on the floor near the resident's feet. The resident also had an active UTI and was ordered Macrobid, while the facility policy stated catheter tubing and the drainage bag should be kept off the floor.
Medication Unavailable for Ordered Enoxaparin Doses: A resident with severe cognitive impairment and multiple diagnoses, including HF, HTN, DM, dementia, malnutrition, and a wound infection, missed ordered enoxaparin injections because the medication was unavailable on multiple occasions. The EMAR showed omitted doses for both the initial and increased enoxaparin orders, and the record did not show that the physician was notified when the medication was not available. The ADON stated that missing medications should be documented and the prescriber notified, and the facility policy required contacting the prescriber when medication delivery would be delayed or unavailable.
Significant anticoagulant transcription error: A severely cognitively impaired resident with multiple diagnoses, including heart failure, diabetes, and dementia, had an enoxaparin order transcribed at 30 mg q12h instead of the ordered 90 mg q12h. The EMAR showed two doses of the incorrect amount were administered before the error was identified, and staff interviews confirmed the admission order transcription and verification process involved a second nurse.
Failure to follow EBP during high-contact care was observed for two residents. One resident with severe cognitive impairment and a Stage 3 pressure ulcer received wound care without a gown and without an EBP sign on the door, while an RN rested an arm on the mattress during the dressing change. Another resident with moderate cognitive impairment and a feeding tube received G-tube medication administration without the RN wearing a gown, despite orders and the care plan requiring EBP with gown and gloves for feeding tube care.
The facility failed to ensure that a QMA/CNA had the required annual dementia training documented in her file. Record review showed no current dementia training for the employee for the year reviewed, and the DON stated the facility could not provide documentation showing completion after a recent change in training management systems. The facility policy stated mandatory trainings are assigned annually based on role to comply with State and Federal regulations.
A resident with Parkinson's disease, anxiety, and macular degeneration did not receive prescribed Brimonidine eye drops due to unavailability, despite procedures to reorder medications. Staff interviews revealed that the medication was not located on the carts, and the facility's policy to ensure medication availability was not followed.
The facility failed to properly label and date food items in the residents' snack refrigerator, as observed during a survey. Unlabeled and undated items included bowls of oats and milk, fast-food bags with french fries and a sandwich, and a Styrofoam cup of milk. The QMA was unsure of when these items were brought in, indicating non-compliance with the facility's food labeling and dating policies.
Expired Food Items Found in Kitchen Storage
Penalty
Summary
The facility failed to store food items for residents appropriately related to expired foods during a kitchen observation. During the initial kitchen tour with the Dietary Manager (DM), two plastic packages of sliced turkey deli meat with an expiration date of November 2025 were observed on the top shelf of a wheeled cart. The DM stated the turkey had been frozen and recently thawed and intended to use it for lunch, but there was no date on the packages showing when they were thawed. The DM discarded both packages in the garbage can. The top white plate in the plate warmer also had a large splatter of off-white debris with green specks on its surface and was placed in the dirty dish area. In the dry storage room, multiple food items were found with use-by dates that had passed, including quinoa, rice, dry pasta, dry beans, split peas, and two one-gallon jugs of cooking wine, one labeled with a use-by date of 10/29/2024 and another with a use-by date of 02/22/2025. The current DM stated inventory was assessed two times a week and that the items in the dry storage room had not been used recently. The ADON stated all residents in the facility received foods from the facility kitchen. The facility policy stated food and supplies shall be properly stored, open packages are to be labeled and dated, and stock is to be rotated so the oldest items are used first.
Medication Hold Parameters Not Followed and New Skin Impairment Not Timely Documented
Penalty
Summary
The facility failed to follow physician’s orders for medication hold parameters for multiple residents. Resident 8 had an order for losartan 25 mg daily with instructions to hold the medication if systolic blood pressure was 120 or less per hospice, but the medication was administered on multiple dates when the resident’s blood pressure was below that threshold, including readings such as 116/69, 111/68, 110/64, 118/66, and 95/55. The progress notes did not show documentation that the physician was notified when the medication was given outside the hold parameters, and no reason was documented for giving the medication. Resident 52 had an order for amlodipine 10 mg daily with instructions to hold the medication if blood pressure was less than or equal to 110/60 or pulse was less than or equal to 60. The EMAR showed the medication was administered on multiple occasions when the pulse was at or below the hold parameter, including pulse readings of 57, 58, 53, 59, 54, 52, 60, and 56. During interview, an RN stated that when a medication had hold parameters, vital signs should be obtained before administration and the medication should be held if the values were not within parameters, with documentation in the EMAR when not given. The facility also failed to identify and document a new skin impairment for Resident 43 in a timely manner. The resident, who was moderately cognitively impaired and had diagnoses including senile degeneration of the brain, heart failure, hypertension, diabetes, non-Alzheimer’s dementia, anxiety, and depression, was observed with a dime-sized dark scab on the right lower leg during two separate observations. An RN stated the resident had reported the scab the day before, but no skin event had been opened and the area was only being watched. The resident’s record lacked documentation related to the skin impairment until the afternoon of the later interview, despite staff statements that new skin impairments should be assessed and documented in the clinical record.
Improper catheter bag placement and infection control lapse
Penalty
Summary
The facility failed to follow infection control guidelines related to an indwelling urinary catheter for a resident who had a UTI. Resident 38 was observed sitting in a recliner with the catheter tubing and drainage bag hanging on the side of a waste basket next to the chair, and later the tubing and drainage bag were observed laying on the floor near the resident's feet. During the observations, the resident was in his room sitting in his recliner, and a CNA later saw the catheter bag and tubing on the floor and picked it up. The resident's record showed diagnoses including dementia, renal insufficiency, and neurogenic bladder, and the resident had an indwelling urinary catheter. The resident's care plan included an active diagnosis of UTI and an intervention to use proper infection control precautions when providing toileting, incontinence care, or catheter care. The physician ordered Macrobid 100 mg twice daily for the UTI, and the facility's urinary catheter care policy stated that catheter tubing and the drainage bag should be kept off the floor.
Medication Unavailable for Ordered Enoxaparin Doses
Penalty
Summary
The facility failed to provide medications needed for one resident, identified in the record as severely cognitively impaired and diagnosed with pressure ulcer, heart failure, hypertension, wound infection, diabetes, non-Alzheimer's dementia, malnutrition, and vascular dementia. The resident had physician's orders for enoxaparin injections, first 30 mg subcutaneously every 12 hours and later 90 mg subcutaneously every 12 hours. The December 2025 EMAR showed that the resident did not receive enoxaparin on 12/09/2025 because the medication was unavailable, and again did not receive doses on 12/22/2025 in both the morning and evening because the medication was not available. The clinical record did not show that the physician was notified that the medication was unavailable. During interview, the ADON stated that nurses used the EMAR resupply button when medications were due, that routine medications arrived weekly, that new orders arrived the next day, and that urgent needs could be called to the pharmacy for delivery in about four hours. The ADON also stated that if a resident was missing a medication, the physician should be notified and the event documented in the EMAR or a progress note, and that syringe medications such as Lovenox should be reordered when five doses remained. The facility policy on Medication Orders stated that the prescriber is contacted when delivery of a medication will be delayed or the medication is not or will not be available.
Significant anticoagulant transcription error
Penalty
Summary
The facility failed to prevent a significant medication error involving enoxaparin for one resident who was severely cognitively impaired and had diagnoses including pressure ulcer, heart failure, hypertension, wound infection, diabetes, non-Alzheimer's dementia, malnutrition, and vascular dementia. A hospital discharge summary indicated the resident was to receive Lovenox 90 mg subcutaneously every 12 hours, but the physician order in the facility record was transcribed as enoxaparin 30 mg every 12 hours. A progress note documented that a transcription error was identified and that the Lovenox order was updated to the correct dose, with the physician and power of attorney notified and no adverse side effects noted at that time. The resident's EMAR showed the resident received enoxaparin 30 mg twice before the error was identified. Interviews with nursing staff confirmed that admission orders were transcribed into the electronic record and then verified by a second nurse, and the ADON stated the resident's Lovenox had been transcribed at 30 mg instead of 90 mg.
Failure to Follow Enhanced Barrier Precautions During Wound and G-Tube Care
Penalty
Summary
The facility failed to follow infection control guidelines related to Enhanced Barrier Precautions during high-contact resident care activities for two residents. One resident had severe cognitive impairment, a history of Alzheimer’s dementia, diabetes, and stroke, and had a Stage 3 pressure ulcer present on admission/re-entry. During wound care, an RN entered the room without a sign on the door indicating Enhanced Barrier Precautions, donned gloves but did not wear a gown, and performed the dressing change while kneeling beside the bed and repeatedly resting her arm/elbow on the mattress. Staff interviews indicated residents with open wounds, feeding tubes, and catheters were to be in Enhanced Barrier Precautions and that gowns and gloves were to be worn during wound treatment and tubing-related care. A second resident had moderate cognitive impairment, a history of stroke and heart failure, and had a feeding tube. The resident’s orders and care plan required Enhanced Barrier Precautions with gown and gloves during high-contact care, including feeding tube care. During medication administration via the G-tube, an RN crushed warfarin, entered the room with supplies, washed her hands, donned gloves, checked tube placement, flushed the tube, administered the medication, and flushed again, but did not wear a gown. The facility’s Enhanced Barrier Precautions policy stated that residents with pressure ulcers or indwelling medical devices, including feeding tubes, were to be on Enhanced Barrier Precautions during high-contact care activities.
Missing Annual Dementia Training Documentation for QMA
Penalty
Summary
The facility failed to ensure that staff met the requirement for annual dementia training for 1 of 10 nurse aide/employee records reviewed. Record review showed that QMA 6, who was hired on 11/12/2021, did not have any current annual dementia training documented in her file for 2025. During interview on 01/15/2026 at 11:23 A.M., the DON stated the corporation had recently changed training management systems, and the facility could not provide documentation showing that QMA 6 completed the required annual dementia training in 2025. The facility’s undated policy, Training (Required/Personal Development), stated that mandatory trainings are assigned annually to employees based on their role in the organization to comply with State and Federal regulations for senior care.
Failure to Provide Prescribed Medications
Penalty
Summary
The facility failed to provide prescribed medications for one resident, identified as Resident 40, who was reviewed for pharmacy services. The resident, who was cognitively intact, had diagnoses including Parkinson's disease, anxiety, and macular degeneration. The physician's orders included Brimonidine eye drops to be administered three times a day. However, the November Electronic Medication Administration Record (EMAR) indicated that the medication was not given and was documented as unavailable on multiple occasions between November 24 and November 29. Interviews with facility staff revealed that there were procedures in place to reorder medications, such as using a reorder button on the EMAR or contacting the pharmacy directly. Despite these procedures, the medication was not available, and the staff could not locate the eye drops on the medication carts. The Assistant Director of Nursing (ADON) mentioned that they could use local pharmacies if there were difficulties obtaining medications from the primary pharmacy. The facility's policy on unavailable medications emphasized the need to ensure medications are available to meet residents' needs, but this was not adhered to in this instance.
Improper Labeling and Dating of Food in Residents' Snack Refrigerator
Penalty
Summary
The facility failed to maintain proper labeling and dating of food items in the residents' snack refrigerator, as observed during a survey. The inspection revealed several unlabeled and undated food items, including three lidded bowls containing oats and milk, a fast-food bag with dried-out french fries and a sandwich, a plastic bag with a half-eaten burrito bowl, and a Styrofoam cup of milk. The Qualified Medication Aide (QMA) present during the observation was unsure of when these items were brought into the facility, indicating a lack of adherence to the facility's policy on food labeling and dating. During an interview, QMA 2 acknowledged that food items brought in by family members should be labeled with the resident's name and the date received. The facility's policies, titled 'Food Brought Into Facility' and 'Food Labeling and Dating Policy,' both emphasize the importance of proper labeling and dating of food items. However, the observed deficiencies indicate that these policies were not followed, leading to the presence of improperly labeled and potentially unsafe food items in the residents' snack refrigerator.
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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) |
|---|---|---|---|---|
| Waters Of Batesville, The | 1 mi | ★★★★★ | 15 | 0 |
| Ripley Crossing | 9.6 mi | ★★★★★ | 12 | 0 |
| Manderley Health Care Center | 12.7 mi | ★★★★★ | 11 | 0 |
| Arbor Grove Village | 14.6 mi | ★★★★★ | 18 | 0 |
| Aspen Place Health Campus | 15 mi | ★★★★★ | 0 | 0 |
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