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Deficiency Records for Watertown Rehabilitation and Nursing Center

A list of the most recent deficiencies for Watertown Rehabilitation and Nursing 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 Watertown Rehabilitation and Nursing 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?
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-07-02 2024-07-18 Y
Conduct testing and exercise requirements. Fire Safety 2024-05-21 2024-06-25 N
Provide a written emergency evacuation plan. Fire Safety 2024-05-21 2024-06-25 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-05-21 2024-06-25 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-05-21 2024-06-25 N
Allow resident to participate in the development and implementation of his or her person-centered plan of care. Health 2024-04-30 2024-06-10 Y
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Health 2024-05-10 2024-06-10 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-05-10 2024-06-10 N
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Health 2024-05-10 2024-06-10 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2024-05-10 2024-06-10 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2024-05-10 2024-06-10 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-05-10 2024-06-10 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-05-10 2024-06-10 N
Provide enough food/fluids to maintain a resident's health. Health 2024-05-10 2024-06-10 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2024-05-10 2024-06-10 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 2024-05-10 2024-06-10 N
Provide and implement an infection prevention and control program. Health 2024-05-10 2024-06-10 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2024-05-21 2024-06-04 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-10-25 2023-11-22 Y
Have an enclosure around a vertical opening shaft. Fire Safety 2023-03-23 2023-04-20 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2023-03-23 2023-04-20 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2023-03-23 2023-04-20 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-03-20 2023-04-15 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 2023-03-20 2023-04-15 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2023-03-20 2023-04-15 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-03-20 2023-04-15 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-03-20 2023-04-15 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-03-20 2023-04-15 N
Assist a resident in gaining access to vision and hearing services. Health 2023-03-20 2023-04-15 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-03-20 2023-04-15 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 2023-03-20 2023-04-15 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-03-20 2023-04-15 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2023-03-20 2023-04-15 N
Provide care or services that was trauma informed and/or culturally competent. Health 2023-03-20 2023-04-15 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2023-03-20 2023-04-15 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 2023-03-20 2023-04-15 N
Provide or obtain dental services for each resident. Health 2023-03-20 2023-04-15 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-03-20 2023-04-15 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-03-20 2023-04-15 N
Provide and implement an infection prevention and control program. Health 2023-03-20 2023-04-15 N
Ensure staff are vaccinated for COVID-19 Health 2023-03-20 2023-04-15 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2023-03-23 2023-04-14 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-03-23 2023-03-29 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 2022-11-10 2022-12-15 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-11-10 2022-12-15 Y
Conduct risk assessment and an All-Hazards approach. Fire Safety 2022-06-07 2022-08-03 N
Address subsistence needs for staff and patients. Fire Safety 2022-06-07 2022-08-03 N
Establish procedures for tracking staff and patients during an emergency. Fire Safety 2022-06-07 2022-08-03 N
Establish policies and procedures including evacuation. Fire Safety 2022-06-07 2022-08-03 N
Establish policies and procedures for sheltering. Fire Safety 2022-06-07 2022-08-03 N
Establish policies and procedures for medical documentation. Fire Safety 2022-06-07 2022-08-03 N
Establish policies and procedures for volunteers. Fire Safety 2022-06-07 2022-08-03 N
Create arrangements with other facilities to receive patients. Fire Safety 2022-06-07 2022-08-03 N
Establish roles under a Waiver declared by secretary. Fire Safety 2022-06-07 2022-08-03 N
Establish methods for sharing information. Fire Safety 2022-06-07 2022-08-03 N
Provide a means of sharing information on occupancy/needs. Fire Safety 2022-06-07 2022-08-03 N
Provide family notifications of emergency plan. Fire Safety 2022-06-07 2022-08-03 N
Implement emergency and standby power systems. Fire Safety 2022-06-07 2022-08-03 N
Have an enclosure around a vertical opening shaft. Fire Safety 2022-06-07 2022-08-03 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 2022-06-07 2022-08-03 N
Have elevators that firefighters can control in the event of a fire. Fire Safety 2022-06-07 2022-08-03 N
Install properly constructed and protected linen or trash chutes. Fire Safety 2022-06-07 2022-08-03 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-06-07 2022-08-03 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-06-07 2022-08-03 N
Have proper fire barriers, ventilation and signs for the transfilling of oxygen. Fire Safety 2022-06-07 2022-08-03 N
Provide enough food/fluids to maintain a resident's health. Health 2022-05-31 2022-07-15 N
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. Health 2022-05-31 2022-07-15 N
Ensure medication error rates are not 5 percent or greater. Health 2022-05-31 2022-07-15 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 2022-05-31 2022-07-15 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-05-31 2022-07-15 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-05-31 2022-06-28 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-05-31 2022-06-28 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-05-31 2022-06-28 N
Respond appropriately to all alleged violations. Health 2022-05-31 2022-06-28 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-05-31 2022-06-28 N
Plan the resident's discharge to meet the resident's goals and needs. Health 2022-05-31 2022-06-28 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-05-31 2022-06-28 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-05-31 2022-06-28 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-05-31 2022-06-28 N
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2022-05-31 2022-06-28 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-05-31 2022-06-28 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2022-05-31 2022-06-28 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2022-05-31 2022-06-28 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-05-31 2022-06-28 N
Conduct testing and exercise requirements. Fire Safety 2022-06-07 2022-06-28 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2022-06-07 2022-06-27 N
Include a process for Emergency Preparedness collaboration. Fire Safety 2022-06-07 2022-06-27 N
Develop Emergency Preparedness policies and procedures. Fire Safety 2022-06-07 2022-06-27 N
Develop a communication plan. Fire Safety 2022-06-07 2022-06-27 N
List the names and contact information of those in the facility. Fire Safety 2022-06-07 2022-06-27 N
Provide emergency officials' contact information. Fire Safety 2022-06-07 2022-06-27 N
Provide primary/alternate means for communication. Fire Safety 2022-06-07 2022-06-27 N
Establish emergency prep training and testing. Fire Safety 2022-06-07 2022-06-27 N
Establish staff and initial training requirements. Fire Safety 2022-06-07 2022-06-27 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2022-06-07 2022-06-27 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-06-07 2022-06-25 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-06-07 2022-06-09 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-04-06 2022-04-12 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-04-06 2022-04-12 Y
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2022-04-06 2022-04-12 Y
Allow residents to self-administer drugs if determined clinically appropriate. Health 2022-03-07 2022-03-29 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-03-07 2022-03-29 N
Provide and implement an infection prevention and control program. Health 2022-03-07 2022-03-29 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 2022-03-07 2022-03-29 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-01-13 2022-03-22 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-01-13 2022-03-22 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-01-13 2022-03-22 Y
Provide enough food/fluids to maintain a resident's health. Health 2022-01-13 2022-03-22 Y
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. Health 2022-01-13 2022-03-22 Y
Ensure that residents are free from significant medication errors. Health 2022-01-13 2022-03-22 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-01-13 2022-03-22 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-12-15 2022-02-04 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2021-10-20 2021-12-10 Y
Ensure that residents are free from significant medication errors. Health 2021-10-20 2021-12-10 Y

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