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Deficiency Records for The Waters of New Castle
A list of the most recent deficiencies for The Waters of New Castle. 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 New Castle. 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 each resident receives an accurate assessment. | Health | 2024-05-01 | 2024-05-13 | Y |
| Meet other general requirements. | Fire Safety | 2023-10-23 | 2023-11-06 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2023-10-23 | 2023-11-06 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-10-23 | 2023-11-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-23 | 2023-11-06 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-10-23 | 2023-11-06 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-10-23 | 2023-11-06 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-09-29 | 2023-10-16 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-09-29 | 2023-10-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-09-29 | 2023-10-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-29 | 2023-10-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-29 | 2023-10-16 | N |
| Develop a communication plan. | Fire Safety | 2022-09-29 | 2022-10-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-09-29 | 2022-10-14 | N |
| 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 | 2022-09-29 | 2022-10-14 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-09-29 | 2022-10-14 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-09-29 | 2022-10-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-29 | 2022-10-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-09-29 | 2022-10-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-09-29 | 2022-10-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-09-29 | 2022-10-14 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2022-09-29 | 2022-10-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-08-24 | 2022-09-11 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-08-24 | 2022-09-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-24 | 2022-09-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-24 | 2022-09-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-24 | 2022-09-11 | 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 | 2022-08-24 | 2022-09-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-08-24 | 2022-09-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-24 | 2022-09-11 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-01-13 | 2022-02-04 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-01-13 | 2022-02-04 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-01-13 | 2022-02-04 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-01-13 | 2022-02-04 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-01-13 | 2022-02-04 | Y |
| 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 | 2022-01-13 | 2022-02-04 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-07-07 | 2021-08-06 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2021-07-07 | 2021-08-06 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2021-07-07 | 2021-08-06 | N |
| Develop a communication plan. | Fire Safety | 2021-07-07 | 2021-08-06 | N |
| Establish methods for sharing information. | Fire Safety | 2021-07-07 | 2021-08-06 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2021-07-07 | 2021-08-06 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-07-07 | 2021-08-06 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-07-07 | 2021-08-06 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-07-07 | 2021-08-06 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-07-07 | 2021-08-06 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-07-07 | 2021-08-06 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-07-07 | 2021-08-06 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-07-07 | 2021-08-06 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2021-07-07 | 2021-08-06 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-07-07 | 2021-08-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-07 | 2021-08-06 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-07-07 | 2021-08-06 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-07-07 | 2021-08-06 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-07-07 | 2021-08-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-07-07 | 2021-08-06 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-07-07 | 2021-08-06 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-07-07 | 2021-08-06 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-07-07 | 2021-08-06 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-07-07 | 2021-08-06 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2021-07-07 | 2021-08-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-06-25 | 2021-07-25 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-06-25 | 2021-07-25 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-06-25 | 2021-07-25 | 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 | 2021-06-25 | 2021-07-25 | 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 | 2021-06-25 | 2021-07-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-25 | 2021-07-25 | 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 | 2021-06-25 | 2021-07-25 | 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 | 2021-06-25 | 2021-07-25 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-06-25 | 2021-07-25 | N |
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