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Deficiency Records for Waverly Rehabilitation and Healthcare Center
A list of the most recent deficiencies for Waverly Rehabilitation and Healthcare 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 Waverly Rehabilitation and Healthcare 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 services provided by the nursing facility meet professional standards of quality. | Health | 2023-11-13 | 2023-12-14 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-05-23 | 2023-06-30 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-05-23 | 2023-06-30 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-05-11 | 2023-06-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-01-06 | 2022-02-04 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-01-06 | 2022-02-04 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-01-06 | 2022-02-04 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-01-06 | 2022-02-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-06 | 2022-02-04 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-03-11 | 2021-04-11 | 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 | 2021-03-11 | 2021-04-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-03-11 | 2021-04-11 | N |
| Post nurse staffing information every day. | Health | 2021-03-11 | 2021-04-11 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-06-19 | 2018-08-02 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-06-19 | 2018-08-02 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-06-19 | 2018-08-02 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-06-19 | 2018-08-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-06-19 | 2018-08-02 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-06-07 | 2018-07-16 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-06-07 | 2018-07-16 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-06-07 | 2018-07-16 | N |
| Respond appropriately to all alleged violations. | Health | 2018-06-07 | 2018-07-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-06-07 | 2018-07-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-06-07 | 2018-07-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-06-07 | 2018-07-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-06-07 | 2018-07-16 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-06-07 | 2018-07-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-06-07 | 2018-07-16 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2018-06-07 | 2018-06-28 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-06-07 | 2018-06-28 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-06-07 | 2018-06-28 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2018-06-07 | 2018-06-28 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-06-07 | 2018-06-28 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2018-06-07 | 2018-06-28 | N |
| Establish methods for sharing information. | Fire Safety | 2018-06-07 | 2018-06-28 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-06-07 | 2018-06-28 | N |
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