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Deficiency Records for Waters of Chesterfield Skilled Nursing Facility
A list of the most recent deficiencies for Waters of Chesterfield 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 Waters of Chesterfield 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 | 2024-02-06 | 2024-03-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-02-06 | 2024-03-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-06 | 2024-03-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-02-06 | 2024-03-14 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-02-06 | 2024-03-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-22 | 2024-02-20 | 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 | 2024-01-22 | 2024-02-20 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-01-22 | 2024-02-20 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-01-22 | 2024-02-20 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-01-22 | 2024-02-20 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-11-21 | 2023-12-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-03-15 | 2023-04-03 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2023-01-24 | 2023-02-23 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-01-24 | 2023-02-23 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-01-24 | 2023-02-23 | 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 | 2023-01-24 | 2023-02-23 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-01-24 | 2023-02-23 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2023-01-24 | 2023-02-23 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-01-24 | 2023-02-23 | 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 | 2023-01-24 | 2023-02-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-01-24 | 2023-02-23 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-01-24 | 2023-02-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-24 | 2023-02-23 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-01-24 | 2023-02-23 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2023-01-24 | 2023-02-23 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-01-13 | 2023-01-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-13 | 2023-01-29 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-01-13 | 2023-01-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-01-13 | 2023-01-29 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-01-13 | 2023-01-29 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-01-11 | 2022-01-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-01-11 | 2022-01-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-11 | 2022-01-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-01-11 | 2022-01-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-01-11 | 2022-01-21 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-12-03 | 2021-12-14 | 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 | 2021-12-03 | 2021-12-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-03 | 2021-12-14 | N |
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