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Deficiency Records for The Waters of Lebanon
A list of the most recent deficiencies for The Waters of Lebanon. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for The Waters of Lebanon. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-09-23 | 2024-10-29 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-09-12 | 2024-10-15 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-09-12 | 2024-10-15 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2024-09-12 | 2024-10-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-09-12 | 2024-10-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-09-12 | 2024-10-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-09-12 | 2024-10-15 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-09-12 | 2024-10-15 | Y |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-09-23 | 2024-10-08 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-03-07 | 2024-03-25 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-08-14 | 2023-08-30 | N |
| 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. | Health | 2023-07-14 | 2023-08-22 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-07-14 | 2023-08-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-14 | 2023-08-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-14 | 2023-08-22 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-07-14 | 2023-08-22 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-07-14 | 2023-08-22 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-07-14 | 2023-08-22 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-07-14 | 2023-08-22 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-07-14 | 2023-08-22 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2023-07-14 | 2023-08-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-14 | 2023-08-22 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-07-14 | 2023-08-22 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-07-14 | 2023-08-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-14 | 2023-05-18 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-04-14 | 2023-05-18 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-05-18 | 2022-05-19 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-03-25 | 2022-04-20 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-03-25 | 2022-04-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-25 | 2022-04-20 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-03-25 | 2022-04-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-25 | 2022-04-20 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-03-25 | 2022-04-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-03-25 | 2022-04-20 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-03-25 | 2022-04-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-03-25 | 2022-04-20 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-03-25 | 2022-04-20 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2022-03-25 | 2022-04-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-25 | 2022-04-20 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-03-25 | 2022-04-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-04-12 | 2022-04-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-04-12 | 2022-04-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-17 | 2022-01-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-12-17 | 2022-01-14 | Y |
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