Above average — CMS composite of the measures below.
A standard survey is most likely before around November 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 Waters Of Wabash Skilled Nursing Facility West during CMS and state inspections, most recent first.
A resident with significant physical and cognitive impairments was transported down the hallway in a shower chair after a shower, during which a wheel detached, causing the resident to fall and sustain a head laceration requiring emergency care. Staff interviews revealed a lack of awareness and policy regarding the prohibition of transporting residents in shower chairs unless a mechanical lift was needed, contrary to state training guidelines.
Hand hygiene was not performed during 3 of 3 medication pass observations. An QMA removed medications from the cart, prepared doses, and entered the rooms of three residents to administer meds without cleansing hands before the pass or during the observed administrations. The QMA said she forgot to use hand sanitizer, and the DON stated staff should perform hand hygiene before and after giving medications.
A resident with moderate cognitive impairment and a history of swallowing difficulties was frequently left unattended during meals, resulting in inadequate assistance with eating. Despite requiring partial to moderate assistance, the resident was often not prompted or helped to eat, leading to low meal consumption. Facility policy mandates staff presence during mealtimes, which was not consistently followed.
The facility did not post nurse staffing information in a prominent and accessible location. Instead, it was placed outside the DON's office, requiring removal and repositioning to read due to small font size. The Administrator had instructed the DON to move the postings to a more accessible location, but this was not done.
The facility failed to provide palatable and attractive food, as evidenced by resident complaints and observations. A resident reported not eating due to unappealing food, while others noted variability in quality depending on kitchen staff. A test lunch tray revealed inadequacies in food preparation, with warm but flavorless chicken, greasy potatoes, and lumpy pudding. The Administrator acknowledged some complaints but did not encourage staff to taste the food, and no policy on food attractiveness was provided.
The facility failed to provide consistent bedtime snacks, leaving residents without nourishment during a 14.5-hour gap between dinner and breakfast. Residents reported inconsistent snack availability, with only oatmeal pies or no snacks at times. A CNA confirmed the lack of snacks, sometimes purchasing granola bars herself. The administrator claimed snacks were available, but no formal policy was provided.
A facility failed to implement Enhanced Barrier Precautions (EBP) for a resident with a diabetic foot ulcer. The resident's room lacked proper signage and PPE, and during a dressing change, staff did not wear gowns as required by the facility's EBP guidelines. Interviews revealed that staff were unaware of the need for EBP, despite the resident's condition necessitating such precautions.
Failure to Promote Resident Dignity and Safety During Shower Chair Transport
Penalty
Summary
A deficiency occurred when a resident with a history of stroke, mild intellectual disability, weakness, unsteadiness, and cognitive communication deficit was transported down the hallway in a shower chair after receiving a shower. The resident required substantial to maximal staff assistance for showering, dressing, toileting hygiene, and transfers, but did not require a mechanical lift. During transportation, the right front wheel of the shower chair detached after catching on a divot in the floor, causing the resident to fall forward and sustain a laceration above the right eye, which required emergency room evaluation and sutures. Staff interviews confirmed that the resident was not transferred via mechanical lift and that, at the time, some staff transported residents in shower chairs down the hallway, contrary to best practices. The facility did not have a policy regarding the transportation of residents in shower chairs down hallways, and staff were unaware that this practice was inappropriate unless a mechanical lift was required. The Indiana Nurse Aide Training Program Core Curriculum specifically states that residents should never be transported in a shower chair, emphasizing the importance of maintaining resident dignity and safety. The lack of adherence to these guidelines and the absence of a facility policy contributed to the incident and the resulting deficiency.
Hand Hygiene Not Performed During Medication Administration
Penalty
Summary
The facility failed to ensure staff performed hand hygiene during 3 of 3 medication administration observations involving Resident 13, Resident 3, and Resident 12. During the observations on 8/6/25, Qualified Medication Aide (QMA) 4 removed medications from the [NAME] Hall medication cart, popped a pill from a blister pack into a medication cup, poured water into a plastic drinking cup, and entered each resident’s room to administer the medication without performing hand hygiene before the medication pass or during the observation. During an interview on 8/6/25 at 11:27 a.m., QMA 4 stated she forgot to use hand sanitizer before passing medications. During an interview on 8/7/25 at 3:47 p.m., the Director of Nursing stated staff should perform hand hygiene before and after administering medications to residents. A current facility policy titled Medication Administration stated to cleanse hands before beginning and before contact with each resident.
Failure to Assist Resident with Eating
Penalty
Summary
The facility failed to provide necessary assistance with eating for Resident B, who was observed during multiple dining sessions to be left unattended and without adequate support. On one occasion, Resident B was observed with her eyes closed and a utensil in her hand, having not eaten any of her lunch until prompted by QMA 6 at 12:45 p.m. Despite being known to fall asleep frequently due to insomnia, Resident B was not consistently reminded or assisted to eat. On another occasion, Resident B was left alone in the dining room with her breakfast tray still in front of her, and staff were not present to assist or supervise her eating. Resident B's medical record indicated she had moderate cognitive impairment and required partial to moderate assistance with eating. Her care plan noted she was at risk for aspiration and had a history of swallowing difficulties. Despite these needs, Resident B was frequently left unattended during meals, and her meal consumption records showed she often ate less than 50% of her meals. The facility's policy required staff to monitor residents during mealtimes, but this was not adhered to, leading to the deficiency noted in the report.
Failure to Post Nurse Staffing Information Prominently
Penalty
Summary
The facility failed to ensure that nurse staffing information was posted in a prominent and accessible location, as required by regulations. On July 15, 2024, it was observed that staffing information was not available at the main entrance of the facility, which is the primary entry point for residents and visitors. Instead, the information was located outside the Director of Nursing's (DON) office, which was situated in a less accessible area of the facility. The documents containing staffing information were placed in plastic sleeves and hung sideways, requiring removal and repositioning to be read, and were printed in a small font size of approximately 10 or 12, making them difficult to read. During interviews, the Administrator indicated that the posting was outside the DON's door, and the DON believed the location was adequate. However, the Administrator had instructed the DON to move the postings to a more publicly accessible location at the front of the facility. The facility's guidelines, revised on July 24, 2023, specified that staffing data must be posted in a clear, readable format with a font size of 14 or above and in a conspicuous location accessible to residents and visitors.
Deficiency in Food Palatability and Presentation
Penalty
Summary
The facility failed to provide food that was attractive and palatable, as evidenced by multiple resident complaints and observations. Resident 18 reported not eating breakfast due to the unappealing nature of the food, specifically mentioning a lack of protein and excessive carbohydrates. She resorted to eating peanut butter and jelly sandwiches, which she found more tolerable. Resident 5 noted variability in food quality, depending on kitchen staff, while Resident 21 described the food as unappealing and sometimes not hot. Resident 15 echoed these sentiments, indicating inconsistency in food quality. During a Resident Council Meeting, concerns were raised about improperly cooked shrimp and cold eggs and thick oatmeal for breakfast. An observation of dining revealed a resident sending back a cold hamburger, and a test lunch tray showed inadequacies in food preparation. The chicken was warm but lacked Dijon flavor, the potatoes were greasy and mushy, and the green beans were flavorless and mushy. The chocolate pudding was lumpy and not thoroughly mixed. The Administrator acknowledged some complaints but did not encourage kitchen staff to taste the food to avoid cross-contamination. No policy addressing food attractiveness or palatability was provided.
Failure to Provide Consistent Bedtime Snacks
Penalty
Summary
The facility failed to provide a nourishing snack at bedtime when there was more than fourteen hours between the evening meal and breakfast the next day, affecting all 24 residents. During a resident council meeting, residents reported that evening snacks were previously provided but had become inconsistent, with only oatmeal pies available at times and no snacks on other occasions. Residents indicated that they could only obtain snacks if they specifically asked for them, and even then, snacks were often unavailable. A CNA confirmed that while residents could request snacks at bedtime, there were frequently no snacks to distribute, and she had personally purchased granola bars due to the lack of available snacks. The facility's administrator stated that snacks were available in the therapy room refrigerator and were distributed with medications at night, but this was contradicted by the residents' and CNA's accounts. The facility did not provide a policy regarding evening or bedtime snacks. The documented mealtimes showed a 14.5-hour gap between dinner and breakfast, which necessitated the provision of a bedtime snack to meet residents' nutritional needs. The absence of a consistent snack offering and the lack of a formal policy contributed to the deficiency.
Failure to Implement Enhanced Barrier Precautions for Resident with Diabetic Ulcer
Penalty
Summary
The facility failed to implement Enhanced Barrier Precautions (EBP) for a resident with a diabetic foot ulcer. The resident, who had diagnoses including type 2 diabetes mellitus with diabetic neuropathy and morbid obesity, was observed with drainage on her disposable bootie, indicating a lack of proper wound care. Despite having physician orders to monitor the wound for signs of infection and to apply mupirocin ointment with a sterile dressing, the facility did not follow EBP protocols. Observations revealed that the resident's room lacked signage indicating the need for EBP, and there was no personal protective equipment (PPE) available inside or outside the room. During a dressing change, both the wound care nurse and the Director of Nursing (DON) failed to don gowns, only wearing gloves, which is contrary to the facility's guidelines for EBP. Interviews with the corporate nurse consultant and the DON confirmed that EBP should have been implemented for residents with wounds, but they were unaware of the oversight. The facility's policy, which mandates the use of gowns and gloves during high-contact care activities to prevent the spread of multidrug-resistant organisms, was not adhered to, leading to the deficiency.
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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 Wabash
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Waters Of Wabash Skilled Nursing Facility East The | 0.1 mi | ★★★★★ | 5 | 0 |
| Wellbrooke Of Wabash | 0.4 mi | ★★★★★ | 12 | 0 |
| Autumn Ridge Rehabilitation Centre | 1.2 mi | ★★★★★ | 4 | 0 |
| Vernon Health & Rehabilitation | 2.8 mi | ★★★★★ | 6 | 0 |
| Rolling Meadows Health Care Center | 11.2 mi | ★★★★★ | 0 | 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.