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Deficiency Records for Waterview Heights Rehabilitation and Nursing Ctr
A list of the most recent deficiencies for Waterview Heights Rehabilitation and Nursing Ctr. 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 Waterview Heights Rehabilitation and Nursing Ctr. 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 | 2024-09-17 | 2024-11-15 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-09-17 | 2024-11-15 | N |
| 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 | 2024-09-17 | 2024-11-15 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-09-17 | 2024-11-15 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-09-17 | 2024-11-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-09-17 | 2024-11-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-09-17 | 2024-11-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-09-17 | 2024-11-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-09-17 | 2024-11-15 | 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 | 2024-09-17 | 2024-11-15 | 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 | 2024-09-17 | 2024-11-15 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-09-17 | 2024-11-15 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-09-17 | 2024-11-15 | 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 | 2024-09-17 | 2024-11-15 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2024-09-17 | 2024-11-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-09-17 | 2024-11-15 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2024-09-17 | 2024-11-15 | N |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2024-09-17 | 2024-11-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-09-17 | 2024-11-15 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-09-17 | 2024-11-15 | N |
| Develop a communication plan. | Fire Safety | 2024-09-17 | 2024-11-15 | N |
| Use approved construction type or materials. | Fire Safety | 2024-09-17 | 2024-11-15 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2024-09-17 | 2024-11-15 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-09-17 | 2024-11-15 | 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 | 2024-09-17 | 2024-11-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-09-17 | 2024-11-15 | N |
| 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 | 2024-01-25 | 2024-04-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-25 | 2024-04-22 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-01-25 | 2024-04-22 | 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 | 2024-01-25 | 2024-04-22 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-25 | 2024-04-22 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-25 | 2024-03-15 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-01-25 | 2024-03-15 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-01-25 | 2024-03-15 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-01-25 | 2024-03-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-25 | 2024-03-15 | 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 | 2024-01-25 | 2024-03-15 | Y |
| Post nurse staffing information every day. | Health | 2024-01-25 | 2024-03-15 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-01-25 | 2024-03-15 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-01-25 | 2024-03-15 | Y |
| 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 | 2024-01-25 | 2024-03-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-25 | 2023-08-21 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-05-25 | 2023-08-21 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-05-25 | 2023-08-21 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-25 | 2023-08-21 | Y |
| Keep all essential equipment working safely. | Health | 2023-05-25 | 2023-08-21 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-25 | 2023-07-24 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-05-25 | 2023-07-24 | N |
| Respond appropriately to all alleged violations. | Health | 2023-05-25 | 2023-07-24 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-05-25 | 2023-07-24 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-25 | 2023-07-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-25 | 2023-07-24 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-05-25 | 2023-07-24 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-05-25 | 2023-07-24 | 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 | 2023-05-25 | 2023-07-24 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-05-25 | 2023-07-24 | Y |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2023-05-25 | 2023-07-24 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-05-25 | 2023-07-24 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-20 | 2023-03-10 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-20 | 2023-03-10 | 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 | 2023-01-20 | 2023-03-10 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-01-20 | 2023-03-10 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-01-21 | 2022-03-01 | Y |
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