Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Wabash Senior Living & Rehab during CMS and state inspections, most recent first.
A resident with full-code status and significant cardiopulmonary conditions was found unresponsive, and an LPN initiated CPR while another LPN retrieved the crash cart and attempted to use the AED. The AED repeatedly announced a low battery and no pads could be found on the crash cart, so the AED could not be applied while staff continued manual compressions until EMS arrived. Interviews revealed that only one crash cart was available, the ADON was responsible for monthly checks, and the crash cart checklist did not include the AED. Staff reported the AED had been announcing a low battery for several months, the last set of pads had been used in a prior code and not replaced, and leadership, including the administrator and owner, were aware of the low battery but had not ensured timely ordering of a replacement battery and pads. The AED manufacturer’s manual required regular status checks and battery replacement when low, and facility policies required the emergency cart to be inventoried after each use, checked at least monthly with documentation, and to maintain CPR/BLS equipment at all times, while multiple residents in the facility had active CPR orders.
Two residents with multiple medical conditions did not have their required MDS discharge assessments transmitted by the mandated deadlines. The MDS Coordinator confirmed that the assessments were overdue, and validation reports showed that both were completed and submitted several months late, well beyond the required timeframe.
Two residents with severe cognitive impairment were given each other's medications when an RN, distracted during a med pass, mixed up unlabeled medication cups. One received donepezil in error, while the other received acetaminophen, valproate, and apixaban not intended for them. The incident was documented and reported per facility policy.
A resident with severe cognitive impairment and multiple medical conditions was improperly transferred by two CNAs without using the required mechanical lift, resulting in a large bruise on her forearm. The CNAs, unfamiliar with the resident's care needs, lifted her under the arms instead of using the lift, contrary to facility policy. The incident was reported to administration, and the resident's physician and POA were notified.
A resident experienced a significant medication error when Zaroxolyn was administered for ten days instead of the prescribed five days due to an incorrect order entry in the EMR system. This led to dizziness, abnormal lab values, and an Acute Kidney Injury, requiring hospital admission for treatment.
Failure to Maintain AED and Crash Cart Supplies for CPR
Penalty
Summary
The deficiency involves the facility’s failure to maintain essential emergency equipment on the crash cart, specifically the automated external defibrillator (AED), while it was present and expected to be available for use during cardiopulmonary resuscitation (CPR). One resident with multiple serious cardiopulmonary and systemic diagnoses, including acute and chronic respiratory failure with hypercapnia and hypoxia, pulmonary hypertension, obstructive sleep apnea, and chronic kidney disease, had a POLST form indicating full code status with orders to attempt CPR and use all indicated life-sustaining treatments, including intubation and mechanical ventilation. The resident was cognitively intact per a BIMS score of 15 and dependent on staff for activities of daily living. On the day of the event, a physical therapist notified an LPN that the resident was unresponsive. The LPN entered the room, found the resident not breathing and without a pulse, and initiated CPR while 911 was called. Another LPN retrieved the crash cart, provided an Ambu bag to staff, and attempted to use the AED. When she opened the crash cart and the AED, she could not locate any AED pads on the cart and the AED repeatedly announced “low battery.” She reported that she ultimately closed the AED because there were no pads and the device was indicating a low battery, and she felt she had wasted time searching for pads and trying to hook up the AED. EMS arrived and the resident was later pronounced dead. Interviews and record review showed that the facility had only one crash cart, and the ADON stated she was responsible for checking it monthly. The crash cart checklist did not include the AED, and there was no documentation that the AED was being checked as part of the crash cart inventory. The ADON stated that for approximately four months the AED had repeatedly given a “low battery” voice prompt when opened, and that she had informed the facility owner, who stated they did not need a new battery at that time. Staff reported that the last set of AED pads had been used during a prior code and that this had been reported to the ADON, but no replacement pads were available when the resident coded. The administrator acknowledged he had known about the low battery for some time and that ordering a battery and pads required an approval process, and invoices and supplier confirmations showed that the battery and pads were not ordered until after the later code event. Additional interviews revealed that the regional director of operations was unaware an AED was in the facility and did not see a problem because he believed an AED was not required by regulation until a future year. The DON confirmed awareness that the AED on the crash cart had a low battery for at least a couple of months and that the last set of pads had been used in a prior code, leaving no adult pads available for the subsequent code. The facility owner stated he was aware of the low battery and asserted that the AED was still functioning, and he also stated that the nurses did not need to use the AED on the last code. Observation of the AED with the administrator present showed the device flashing red lights and repeatedly announcing “low battery” when opened. The AED manufacturer’s manual specified daily and monthly maintenance, including checking that the status indicator is green and replacing the battery when the indicator is red and flashing. Facility policies required that the emergency cart be inventoried and restocked after each use, checked at least monthly with documentation, and that equipment and supplies necessary for CPR/BLS be maintained in the facility at all times. At the time of the survey, 32 residents in the facility had active orders to attempt resuscitation/CPR.
Failure to Timely Transmit MDS Discharge Assessments
Penalty
Summary
The facility failed to timely transmit Minimum Data Set (MDS) assessments for two residents who were reviewed for timely MDS submission. One resident, with diagnoses including Chronic Obstructive Pulmonary Disease, anxiety, and depression, had an admission MDS assessment completed but did not have a required discharge assessment transmitted by the due date. Similarly, another resident with a history of repeated falls, anemia, type 2 diabetes, and muscle weakness also had only an admission MDS assessment completed, with the discharge assessment not transmitted by the required deadline. The MDS Coordinator acknowledged that the quarterly assessments for both residents were overdue and confirmed that discharge assessments should have been completed and transmitted by their respective due dates. Validation reports confirmed that both discharge assessments were transmitted several months after their target dates, with completion dates more than 14 days past the assessment reference dates.
Medication Administration Error Involving Two Residents
Penalty
Summary
Two residents with severe cognitive impairment were involved in a significant medication error when a registered nurse, while administering medications, became distracted by a conflict in the hallway. The nurse accidentally mixed up unlabeled medication cups and administered the wrong medications to each resident. One resident, with diagnoses including unspecified dementia, psychotic disturbance, anxiety disorder, and atrial fibrillation, received another resident's medications, which included donepezil. The other resident, also with severe cognitive impairment and diagnoses of dementia, psychotic disturbance, altered mental status, and muscle weakness, received medications intended for the first resident, including acetaminophen, valproate, and apixaban. The incident was documented in the residents' progress notes, with the nurse acknowledging the error and specifying the medications that were incorrectly administered. The facility's policy defines a medication error as the preparation or administration of drugs not in accordance with physician's orders, manufacturer specifications, or accepted professional standards. The error was identified and reported to facility leadership, and the event was investigated as a significant medication error involving two residents during a medication pass.
Improper Transfer of Resident Without Mechanical Lift
Penalty
Summary
The facility failed to ensure the safe transfer of a resident, leading to an accident hazard. The resident, who has severe cognitive impairment and multiple medical conditions including cerebral aneurysm, contractures, and atrial fibrillation, was dependent on staff for transfers and required the use of a mechanical lift with two-person assistance. Despite these documented needs, two CNAs transferred the resident without using the mechanical lift, lifting her under the arms instead. The incident occurred when the CNAs, who were not familiar with the resident's care requirements, transferred her to the shower without consulting the kardex or being aware of the need for a mechanical lift. The resident sustained a large bruise on her right forearm, which was noticed the following day. The CNAs reported that the resident did not scream or indicate distress during the transfer, and they were unaware of the need for a mechanical lift. The facility's policy on safe lifting and movement of residents mandates the use of mechanical lifting devices for residents requiring such assistance. However, the CNAs did not adhere to this policy, resulting in the resident being transferred improperly. The incident was reported to the administration, and the resident's physician and power of attorney were notified. The resident expressed dissatisfaction with the CNAs involved and refused to allow them to assist her again.
Significant Medication Error Due to Incorrect Order Entry
Penalty
Summary
The facility failed to ensure medications were administered as ordered for one resident, resulting in a significant medication error. The resident, who had diagnoses including Alzheimer's Disease, Essential Hypertension, and Dementia, was prescribed Zaroxolyn for five days. However, due to an error in the Electronic Medical Record (EMR) system, the medication was administered for ten days instead of the prescribed five days. This error led to the resident experiencing dizziness, abnormal lab values, and eventually an Acute Kidney Injury, necessitating hospital admission for treatment with intravenous fluids and supplemental potassium medication. The error was discovered when the resident began showing symptoms of dizziness and decreased urination. Upon review, it was found that the order for Zaroxolyn had been entered into the EMR system with an indefinite end date, causing the medication to be administered beyond the intended period. The resident's condition deteriorated, showing high blood urea nitrogen (BUN) and creatinine levels, low sodium and potassium levels, and a low glomerular filtration rate (GFR). Despite attempts to manage the resident's condition with intravenous fluids and adjusted medication dosages, the resident continued to remove the IV line, complicating treatment. The incident was reported to the Director of Nursing (DON) and the attending physician, who confirmed that the extended administration of Zaroxolyn was a medication error. The error was attributed to the Licensed Practical Nurse (LPN) who entered the order without specifying an end date. The facility's policy on administering medications was not followed, leading to the resident's hospitalization and subsequent treatment for Acute Kidney Injury. The deficiency highlights a critical lapse in medication administration and order entry protocols within the facility.
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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 Carmi
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| White County Rehab And Nursing | 0.3 mi | — | 0 | 0 |
| Premier Healthcare Of New Harmony | 14.2 mi | — | 28 | 0 |
| The Haven On The River | 15.2 mi | — | 11 | 1 |
| Mount Vernon Nursing And Rehabilitation | 17.6 mi | — | 3 | 0 |
| Mcleansboro Rehab & Hlth C Ctr | 20.1 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 August 2026) and official state health department websites.