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Deficiency Records for The Waters of Rockport Skilled Nursing Facility
A list of the most recent deficiencies for The Waters of Rockport Skilled Nursing Facility. 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 Rockport Skilled Nursing Facility. 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? |
|---|---|---|---|---|
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2024-04-05 | 2024-06-13 | 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 | 2024-04-05 | 2024-06-13 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-04-05 | 2024-05-30 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-04-05 | 2024-05-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-04-05 | 2024-05-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-05 | 2024-05-30 | N |
| Post nurse staffing information every day. | Health | 2024-04-05 | 2024-05-30 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2024-04-05 | 2024-05-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-04-05 | 2024-05-30 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-04-05 | 2024-05-30 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-04-05 | 2024-05-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-05 | 2024-05-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-05 | 2024-05-30 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-04-05 | 2024-05-30 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-04-05 | 2024-05-30 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-04-05 | 2024-05-30 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2024-04-05 | 2024-05-30 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-04-29 | 2024-05-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-04-29 | 2024-05-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-04-29 | 2024-05-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-04-29 | 2024-05-27 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2023-03-01 | 2023-03-17 | 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 | 2023-01-18 | 2023-02-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-01-18 | 2023-02-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-18 | 2023-02-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-01-18 | 2023-02-06 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-01-09 | 2023-02-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-09 | 2023-02-02 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-01-09 | 2023-02-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-01-09 | 2023-02-02 | N |
| Post nurse staffing information every day. | Health | 2023-01-09 | 2023-02-02 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-01-09 | 2023-02-02 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-01-09 | 2023-02-02 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-01-09 | 2023-02-02 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2023-01-09 | 2023-02-02 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-01-09 | 2023-02-02 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-07-17 | 2019-08-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-07-17 | 2019-08-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-07-17 | 2019-08-19 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-07-17 | 2019-08-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-17 | 2019-08-19 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-06-14 | 2019-07-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-14 | 2019-07-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-14 | 2019-07-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-06-14 | 2019-07-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-14 | 2019-07-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-14 | 2019-07-05 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-06-14 | 2019-07-05 | N |
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