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 Timbers Of Jasper The during CMS and state inspections, most recent first.
A resident with a right lower leg fracture and substantial ADL assistance needs had a physician order for enoxaparin 30 mg/0.3 mL SQ, but the MAR showed multiple missed doses documented as unavailable or awaiting delivery, with one date left blank and without a note, despite enoxaparin being stocked in the EDK. At discharge, the resident was documented as going home with all medications, but an incident report later showed that medications belonging to another resident were sent home, and the discharge summary carried only one LPN signature instead of the two-nurse verification described by staff.
Fall Care Plan Interventions Not Implemented: A resident with severe cognitive impairment and a history of multiple falls had fall care plan interventions that were not in place. Observations showed the bed was not in the lowest position, no urinal was in the room while the resident was in bed, and a wheelchair remained next to the resident while he was reclined in a common-area chair. An LPN confirmed the fall interventions should have been followed.
A resident's incontinence care was observed with multiple infection control lapses by two CNAs, including failure to sanitize hands before glove use, failure to change gloves between dirty and clean tasks, and handling the bed controls, privacy curtain, call light, and resident items with soiled gloves. The soiled incontinence pad was placed on the fitted sheet, and one CNA removed gloves without performing hand hygiene before touching the resident's shirt and closet items.
The facility failed to store and prepare food safely, with surveyors observing multiple instances of improperly labeled, uncovered, and outdated food items in the kitchen. The Dietary Manager acknowledged the issues, and the facility's Food Storage policy requires proper labeling and covering of food items.
The facility failed to ensure proper medication storage and administration, with missing temperature logs and incorrect temperature recordings in medication storage rooms. Medications were found on the floor in two residents' rooms, indicating non-compliance with administration policies. The facility's policies for medication storage and administration were not followed, leading to deficiencies.
A resident with a history of falls and neurological issues experienced a fall that was not properly documented or reported, leading to severe health complications. The facility failed to implement new fall interventions or monitor the resident's neurological status after a subdural hematoma was identified. This resulted in the resident developing serious symptoms, requiring emergency medical intervention.
A resident with mobility issues fell from a transportation vehicle lift due to improper loading, resulting in a laceration requiring sutures. The incident occurred when the lift unexpectedly lowered, creating a gap that caused the resident's wheelchair to flip backward. The facility's investigation found no mechanical issues with the lift, and the fall was attributed to improper loading by the staff member.
Medication Administration and Discharge Medication Errors Involving Anticoagulant Therapy
Penalty
Summary
The deficiency involves the facility’s failure to ensure medications were administered as ordered and that a discharged resident was sent home with the correct medications. Resident B, admitted with diagnoses including a right lower leg fracture and requiring substantial to maximal assistance with toileting, showering, and transfers, had a physician’s order for enoxaparin 30 mg/0.3 mL subcutaneously from early September until the order was discontinued on 9/19/25. Review of the MAR showed that enoxaparin doses were not given on multiple days, documented as unavailable or awaiting delivery on three dates, and left blank with no explanatory note on another date. An Emergency Drug Kit (EDK) in the facility contained enoxaparin 30 mg/0.3 mL syringes, and staff reported the EDK was kept stocked and could be restocked by the pharmacy within a day if running low. The deficiency also includes an error at discharge in which Resident B was sent home with medications belonging to another resident. An incident form indicated that when Resident B was discharged, medications for a different resident were included among the discharge medications. The discharge progress note documented that the resident was discharged home with all medications and was signed by one LPN. Facility staff reported that the process for discharging residents with medications required two nurses to verify the medications and sign the discharge summary form, but the discharge summary for this resident contained only one nurse’s signature along with the representative’s signature. The facility’s current medication administration competency form stated that medications should be administered as ordered.
Fall Care Plan Interventions Not Implemented
Penalty
Summary
The facility failed to implement the plan of care for a cognitively impaired resident who was at high risk for falls. The resident’s diagnoses included Alzheimer’s disease, dementia without behaviors, and Guillain-Barre syndrome. The most recent quarterly MDS dated 1/21/26 indicated the resident’s cognition was severely impaired, he required partial to moderate assistance for bed mobility and transfers, substantial to maximum assistance for toileting and bathing, and he had experienced two or more falls with no injury and two or more falls with injury since the prior assessment. The current fall care plan, last revised 1/20/26, included interventions to keep the urinal within reach, keep the bed in the lowest position when the resident was in bed, and remove the wheelchair from the common area when the resident was in a recliner. During observations, the resident was seen lying in bed with the bed not in the lowest position and no urinal in the room, and later was seen sitting reclined in a recliner in the common area with a wheelchair next to him on his left side. An LPN stated that fall interventions should be followed, including keeping the urinal within reach in bed and not having the wheelchair in reach in the common area while the resident was in the recliner.
Infection Control Failure During Incontinence Care
Penalty
Summary
The facility failed to ensure a sanitary environment to help prevent the development and transmission of communicable diseases and infections during incontinence care for one resident. During observation of incontinence care, two CNAs performed care without proper hand hygiene and without changing gloves between clean and dirty tasks. One CNA used ABHR and put on gloves, then touched the bed control, privacy curtain, bed foot board, and the resident's call light. The other CNA did not sanitize hands before putting on gloves and also used the bed control and moved the call light. Both CNAs pulled down the resident's bed sheets and blanket while providing care. During the care, one CNA wiped the resident's buttocks, removed the soiled incontinence pad, and placed the soiled brief on the fitted sheet at the foot of the bed. The same CNA then pushed a clean incontinence pad under the resident using soiled gloves, and both CNAs continued care with the same gloves while handling the resident, the bedding, and the call light. One CNA later took off gloves but did not perform hand hygiene, and then handled the resident's shirt and placed it back into the closet. The Infection Preventionist stated staff should sanitize before putting on gloves, sanitize and change gloves before touching the resident after touching items, have all supplies first, and not lay a soiled incontinence pad on resident bedding. The facility's Hand Hygiene Policy and Perineal Care Policy were provided and included hand hygiene and glove use steps.
Improper Food Storage and Labeling in Kitchen
Penalty
Summary
The facility failed to ensure that food was stored and prepared safely in accordance with professional standards during a kitchen observation. Specifically, the surveyors found multiple instances of food items being improperly labeled, stored uncovered, and not disposed of when outdated. In the kitchen freezer, there were five undated, uncovered, and unlabeled bowls of pink ice cream, along with five covered bowls that were also undated and unlabeled. The refrigerator contained a clear container with cheese labeled with a discard date, applesauce with an opened and discard date, an undated and unlabeled clear container of lettuce, three trays of fruit with several uncovered bowls, and a silver container with undated and unlabeled hotdogs and hamburgers. Additionally, there was a silver container with an unknown substance that was undated and unlabeled. The walk-in freezer contained apple roasted pork prepared on a specific date with a discard date. During an interview, the Dietary Manager indicated that staff only labeled one item when there were multiple items of the same food, and acknowledged that all items should be covered and expired items disposed of. The facility's Food Storage policy, provided by the Administrator, stated that leftover prepared foods should be stored in covered containers or wrapped securely, labeled with the name of the product, the date it was prepared, and marked with a date by which it should be consumed or discarded. Frozen foods should also be covered, labeled, and dated when placed in the freezer.
Medication Storage and Administration Deficiencies
Penalty
Summary
The facility failed to ensure medications were stored safely and under proper temperature controls, as evidenced by missing temperature logs and incorrect temperature recordings in medication storage rooms. The 100 Hall Medication Storage Room's refrigerator log was missing temperature entries for several days, and the 300-400 Hall Medication Storage Room had recorded temperatures below the required range of 36-46 degrees Fahrenheit. Despite the policy indicating the correct temperature range, the logs showed temperatures as low as 20 degrees Fahrenheit, which were not addressed by maintenance. Additionally, the facility did not ensure that medications were administered properly to residents, as observed with two residents. An oval peach-colored pill, identified as Namenda 5 mg, was found on the floor next to Resident M's bed. The resident had a history of moderate cognitive impairment and required assistance with daily activities. The care plan noted that Resident M frequently spit out or pocketed medications, yet the medication administration records indicated that the medication had been given as scheduled. Similarly, a small pink round pill, identified as rosuvastatin 10 mg, was found on the floor in Resident D's room. Resident D had no cognitive impairment but required assistance with daily activities. The medication administration record showed that the medication was administered the previous evening. The facility's policies for medication administration and storage were not followed, leading to medications being found on the floor and improper storage conditions. Staff were expected to observe residents taking their medications and discard any dropped pills according to facility policy. However, these procedures were not adhered to, resulting in deficiencies in medication management and storage.
Failure to Assess and Document Fall Leads to Severe Health Complications
Penalty
Summary
The facility failed to thoroughly assess and document a resident's condition following a fall with a head injury, which led to significant health complications. Resident D, who had a history of hemiplegia, hemiparesis, repeated falls, seizures, and weakness, experienced a fall on 6/13/24 while attempting to kick a ball during a walk with a staff member. Despite the fall, the resident continued the walk, and the incident was not properly documented or reported to the physician. The resident's care plan did not reflect the fall, and no new interventions were implemented to prevent further falls. The facility's documentation and monitoring of Resident D's neurological status were inadequate after a subdural hematoma was identified. Although neurological checks were initiated, there was no documentation of physician notification or a comprehensive plan of care related to the hematoma. The resident began experiencing headaches, which worsened over time, but the facility did not effectively monitor the resident's condition or pursue a neurology consultation in a timely manner. This lack of action resulted in the resident developing right-sided shaking, slurred speech, and altered mental status, eventually requiring a craniotomy to address an active brain bleed. Interviews with facility staff revealed that the fall protocol was not followed, including the failure to notify the physician and update the care plan with new interventions. The facility's policies on fall management and comprehensive care planning were not adhered to, contributing to the deficient practice. The facility's failure to document and address the fall and subsequent neurological issues led to a significant decline in the resident's health, necessitating emergency medical intervention.
Resident Safety Compromised During Transportation
Penalty
Summary
The facility failed to ensure the safety of a resident during transportation, resulting in an accident. Resident B, who has diagnoses including morbid obesity, muscle weakness, and unsteadiness on feet, was being transferred from a facility transportation van when the incident occurred. The resident, who uses a wheelchair for mobility and requires partial to moderate assistance, fell off the lift of the transportation vehicle, leading to a laceration on the right shin that required eight sutures. The incident happened when Activity Assistant 3 was unloading Resident B from the van. The assistant had parked the bus, engaged the emergency brake, and lowered the mechanical lift. After unbuckling the resident and removing restraints, the assistant attempted to back the resident onto the lift. However, the lift had lowered unexpectedly, creating a gap between the van and the lift. As a result, the resident's wheelchair went into the gap and flipped backward, causing the resident to fall onto the metal lift platform. The facility's investigation revealed that the lift had no mechanical issues, and the fall was attributed to improper loading of the resident onto the lift. Activity Assistant 3 did not document the pre-trip inspection, and there was no use of a check-off sheet or inspection form. The assistant speculated that the lift control might have been inadvertently pressed, causing the lift to lower unexpectedly. The facility's policies on transportation and fall management were reviewed, but the incident highlighted a failure to ensure resident safety during transportation.
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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 Jasper
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Serenity Spring Senior Living At Northwood | 0.3 mi | ★★★★★ | 2 | 0 |
| St Charles Health Campus | 0.3 mi | ★★★★★ | 0 | 0 |
| Cathedral Health Care Center | 1.5 mi | ★★★★★ | 0 | 0 |
| Brookside Village Inc | 3.1 mi | ★★★★★ | 4 | 0 |
| Waters Of Huntingburg, The | 7.2 mi | ★★★★★ | 19 | 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.