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Deficiency Records for Waters of Gainesboro, LLC
A list of the most recent deficiencies for Waters of Gainesboro, LLC. 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 Waters of Gainesboro, LLC. 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 services provided by the nursing facility meet professional standards of quality. | Health | 2023-09-01 | 2023-09-13 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-03-17 | 2020-04-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-03-17 | 2020-04-02 | N |
| 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 | 2020-03-18 | 2020-04-01 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2020-03-17 | 2020-03-30 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2020-03-17 | 2020-03-30 | N |
| Establish methods for sharing information. | Fire Safety | 2020-03-17 | 2020-03-30 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2020-03-17 | 2020-03-30 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2020-03-17 | 2020-03-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-03-17 | 2020-03-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-05 | 2019-03-21 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-03-05 | 2019-03-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-04 | 2019-03-18 | N |
| Construct fire resistant interior walls. | Fire Safety | 2019-03-04 | 2019-03-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-03-04 | 2019-03-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-03-12 | 2018-03-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-03-12 | 2018-03-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-03-12 | 2018-03-29 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2018-03-12 | 2018-03-27 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-03-14 | 2018-03-15 | 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 | 2018-03-14 | 2018-03-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-03-14 | 2018-03-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-03-14 | 2018-03-15 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-03-12 | 2018-03-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-03-12 | 2018-03-15 | N |
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