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Deficiency Records for Regency at Waterford
A list of the most recent deficiencies for Regency at Waterford. 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 Regency at Waterford. 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 dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-06-12 | 2024-07-11 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-06-12 | 2024-07-11 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-06-12 | 2024-07-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-06-12 | 2024-07-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-06-12 | 2024-07-11 | N |
| Provide activities to meet all resident's needs. | Health | 2024-06-12 | 2024-07-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-12 | 2024-07-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-06-12 | 2024-07-11 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-06-12 | 2024-07-11 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-06-12 | 2024-07-11 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-06-12 | 2024-07-11 | 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 | 2024-06-12 | 2024-07-11 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2024-06-12 | 2024-07-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-06-12 | 2024-07-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-12 | 2024-07-11 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-03-20 | 2024-04-11 | Y |
| 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 | 2024-03-20 | 2024-04-11 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-03-20 | 2024-04-11 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-07-27 | 2023-08-22 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-07-27 | 2023-08-22 | Y |
| 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 | 2023-07-27 | 2023-08-22 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-07-27 | 2023-08-22 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-27 | 2023-08-22 | Y |
| Provide activities to meet all resident's needs. | Health | 2023-07-27 | 2023-08-22 | Y |
| 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 | 2023-07-27 | 2023-08-22 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-07-27 | 2023-08-22 | 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 | 2023-07-27 | 2023-08-22 | Y |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-07-28 | 2023-08-22 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-07-27 | 2023-07-27 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-06-07 | 2023-06-20 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-03-15 | 2023-04-09 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-03-15 | 2023-04-09 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-15 | 2023-04-09 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-15 | 2023-04-09 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-03-15 | 2023-04-09 | Y |
| Post nurse staffing information every day. | Health | 2023-03-15 | 2023-04-09 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-03-15 | 2023-04-09 | Y |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2023-03-15 | 2023-04-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-19 | 2022-11-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-15 | 2022-10-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-08-24 | 2022-09-08 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-29 | 2022-09-08 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-06-29 | 2022-09-08 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-06-29 | 2022-09-08 | Y |
| 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 | 2022-06-29 | 2022-07-28 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-06-29 | 2022-07-28 | 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 | 2022-06-29 | 2022-07-28 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2022-06-29 | 2022-07-28 | N |
| Provide or obtain dental services for each resident. | Health | 2022-06-29 | 2022-07-28 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-06-29 | 2022-07-28 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-06-29 | 2022-07-28 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-29 | 2022-07-28 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-06-29 | 2022-07-28 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-06-29 | 2022-07-28 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-06-28 | 2022-07-28 | 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 | 2022-06-28 | 2022-07-28 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-06-28 | 2022-07-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-06-28 | 2022-07-28 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-06-28 | 2022-07-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-28 | 2022-07-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-29 | 2022-06-29 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-29 | 2022-04-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-27 | 2021-11-09 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-10-06 | 2021-11-02 | Y |
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