Southwood Healthcare Center

2222 Margaret Ave · Terre Haute, IN · 47802 · 8122322223

121 certified beds For profit - Corporation Chain: Communicare Health

Why this verdict

  • Carries CMS’s abuse warning icon.
  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Inspection results are getting worse cycle over cycle, not better.
  • No federal fines or payment denials in CMS’s 3-year window.

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Red flags

Special Focus Facility candidate

CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.

CMS abuse warning

CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.

2 immediate-jeopardy citations in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

Score breakdown

Inspection record 30% of score 30
Serious harm & abuse 20% 10
Staffing 20% 49
Federal penalties 15% 100
Trend 10% 36
Context 5% 35

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.043.48 min · 4.1 strong
RN hours / resident-day0.340.55–0.75
Weekend hours / resident-day2.75≈ weekday level
Nursing turnover / year57%median 45%
Fines (3-yr window)none

Inspection citations (49 in the current record)

  • Potential for harm · D April 8, 2026 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected May 8, 2026 · Quality of Life and Care

  • Potential for harm · D February 26, 2026 · found via complaint

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Past Non-Compliance · Nutrition and Dietary

  • Potential for harm · D January 27, 2026

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected February 27, 2026 · Resident Rights

  • Potential for harm · D January 27, 2026

    Reasonably accommodate the needs and preferences of each resident.

    Corrected February 27, 2026 · Resident Rights

  • Potential for harm · D January 27, 2026

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Corrected February 27, 2026 · Resident Rights

  • Potential for harm · D January 27, 2026

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected February 27, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D January 27, 2026

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected February 27, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D January 27, 2026

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected February 27, 2026 · Quality of Life and Care

  • Potential for harm · D January 27, 2026

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected February 27, 2026 · Quality of Life and Care

  • Potential for harm · D January 27, 2026

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected February 27, 2026 · Quality of Life and Care

  • Potential for harm · D January 27, 2026

    Provide or obtain dental services for each resident.

    Corrected February 27, 2026 · Quality of Life and Care

  • Potential for harm · E January 27, 2026

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected February 27, 2026 · Nutrition and Dietary

  • Potential for harm · D January 6, 2026 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected February 6, 2026 · Resident Rights

  • Immediate jeopardy · J October 9, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected November 3, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · J October 9, 2025 · found via complaint

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Corrected November 3, 2025 · Nursing and Physician Services

  • Potential for harm · D September 4, 2025 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected October 3, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D September 4, 2025 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected October 3, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E April 10, 2025 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected May 16, 2025 · Pharmacy Service

  • Potential for harm · D April 10, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected May 16, 2025 · Infection Control

  • Potential for harm · E December 31, 2024 · found via complaint

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Corrected January 31, 2025 · Nursing and Physician Services

  • Potential for harm · E December 31, 2024 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected January 31, 2025 · Pharmacy Service

  • Potential for harm · D December 9, 2024

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Corrected January 17, 2025 · Resident Rights

  • Potential for harm · D December 9, 2024

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected January 17, 2025 · Resident Rights

  • Potential for harm · D December 9, 2024

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Corrected January 17, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D December 9, 2024

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected January 17, 2025 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 155484 · certified since March 15, 1993. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.