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Deficiency Records for The Waters of Fort Wayne Skilled Nursing Facility
A list of the most recent deficiencies for The Waters of Fort Wayne 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 Fort Wayne 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? |
|---|---|---|---|---|
| Conduct testing and exercise requirements. | Fire Safety | 2024-09-19 | 2024-10-22 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-09-19 | 2024-10-22 | N |
| Conform to length requirements for dead end corridors. | Fire Safety | 2024-09-19 | 2024-10-22 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-09-19 | 2024-10-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-09-19 | 2024-10-22 | N |
| Construct fire resistant interior walls. | Fire Safety | 2024-09-19 | 2024-10-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-19 | 2024-10-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-09-19 | 2024-10-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-09-19 | 2024-10-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-09-19 | 2024-10-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-09-19 | 2024-10-22 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-09-19 | 2024-10-22 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-09-19 | 2024-10-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-09-19 | 2024-10-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-09-19 | 2024-10-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-09-04 | 2024-09-30 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-09-04 | 2024-09-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-19 | 2024-05-10 | Y |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-04-19 | 2024-05-10 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-02-06 | 2024-02-07 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-09-27 | 2023-10-20 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2023-08-29 | 2023-09-15 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-08-29 | 2023-09-15 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-08-29 | 2023-09-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-08-29 | 2023-09-15 | 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 | 2023-08-16 | 2023-09-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-16 | 2023-09-01 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-08-16 | 2023-09-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-07 | 2022-11-22 | Y |
| 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 | 2022-09-29 | 2022-10-14 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2022-09-29 | 2022-10-14 | 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 | 2022-09-29 | 2022-10-14 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-09-29 | 2022-10-14 | N |
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