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Deficiency Records for Ahc Waverly
A list of the most recent deficiencies for Ahc Waverly. 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 Ahc Waverly. 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 | 2024-07-17 | 2024-08-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-17 | 2024-08-13 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-07-17 | 2024-08-13 | 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 | 2024-07-17 | 2024-08-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-17 | 2024-08-13 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-07-17 | 2024-08-13 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2024-07-15 | 2024-08-13 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-07-15 | 2024-08-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-07-15 | 2024-08-13 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-07-15 | 2024-08-13 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-08-17 | 2023-09-12 | 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 | 2023-08-17 | 2023-09-12 | 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 | 2023-08-17 | 2023-09-12 | 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 | 2023-08-17 | 2023-09-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-08-17 | 2023-09-12 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-08-17 | 2023-09-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-17 | 2023-09-12 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-08-17 | 2023-09-12 | N |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2023-08-17 | 2023-09-12 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-17 | 2023-09-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-17 | 2023-09-12 | 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 | 2023-08-17 | 2023-09-12 | Y |
| 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 | 2023-08-07 | 2023-08-25 | 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 | 2022-02-02 | 2022-03-04 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-02-02 | 2022-03-04 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-02-02 | 2022-03-04 | Y |
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