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Deficiency Records for Waldorf Center
A list of the most recent deficiencies for Waldorf Center. 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 Waldorf Center. 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? |
|---|---|---|---|---|
| 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 | 2024-08-20 | 2024-10-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-08-20 | 2024-10-15 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-08-20 | 2024-10-15 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-08-20 | 2024-10-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-20 | 2024-10-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-08-20 | 2024-10-15 | Y |
| Provide appropriate foot care. | Health | 2024-08-20 | 2024-10-15 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-08-20 | 2024-10-15 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-08-20 | 2024-10-15 | Y |
| 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 | 2024-08-20 | 2024-10-15 | Y |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2024-08-20 | 2024-10-15 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-08-20 | 2024-10-15 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2019-06-11 | 2019-07-29 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2019-06-11 | 2019-07-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-11 | 2019-07-29 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-06-11 | 2019-07-29 | N |
| Meet other general requirements. | Fire Safety | 2019-07-10 | 2019-07-29 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-07-10 | 2019-07-29 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-04-17 | 2018-06-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-04-17 | 2018-06-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-04-17 | 2018-06-15 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-02-27 | 2018-04-13 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2018-02-27 | 2018-04-13 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2018-02-27 | 2018-04-13 | 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 | 2018-02-27 | 2018-04-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-02-27 | 2018-04-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-02-27 | 2018-04-13 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2016-12-16 | 2017-01-24 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-12-16 | 2017-01-24 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-12-16 | 2017-01-24 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-12-16 | 2017-01-24 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2016-12-16 | 2017-01-24 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-12-16 | 2017-01-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2016-12-12 | 2017-01-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2016-12-12 | 2017-01-12 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2016-12-12 | 2017-01-12 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2016-12-12 | 2017-01-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2016-12-12 | 2017-01-12 | N |
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