A list of the most recent deficiencies for Waterman Canyon Post Acute. 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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-24 | 2024-02-14 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-12-15 | 2024-01-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-10 | 2023-10-24 | Y |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2023-06-12 | 2023-07-01 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-06-12 | 2023-07-01 | N |
| Use approved construction type or materials. | Fire Safety | 2023-06-12 | 2023-07-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-12 | 2023-07-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-12 | 2023-07-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-06-12 | 2023-07-01 | 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 | 2023-06-09 | 2023-06-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-06-09 | 2023-06-30 | 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 | 2023-06-09 | 2023-06-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-09 | 2023-06-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-09 | 2023-06-30 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-06-09 | 2023-06-30 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-06-09 | 2023-06-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-09 | 2023-06-30 | 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 | 2023-06-09 | 2023-06-30 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-06-09 | 2023-06-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-09 | 2023-06-30 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-09 | 2023-06-30 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-06-09 | 2023-06-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-09 | 2023-06-30 | N |
| Keep all essential equipment working safely. | Health | 2023-06-09 | 2023-06-30 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2023-06-09 | 2023-06-30 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-06-09 | 2023-06-30 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-06-09 | 2023-06-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-21 | 2023-06-29 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-06-05 | 2023-06-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-27 | 2023-05-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-04-24 | 2023-05-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-23 | 2023-02-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-21 | 2023-01-21 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-26 | 2022-11-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-21 | 2022-07-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-19 | 2022-06-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-24 | 2022-03-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-14 | 2022-02-28 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-01-12 | 2022-01-31 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-22 | 2022-01-10 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-13 | 2022-01-03 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-13 | 2022-01-03 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-11-30 | 2021-12-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-09 | 2021-11-29 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-09-28 | 2021-10-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-15 | 2021-08-12 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-06-08 | 2021-07-08 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2021-06-08 | 2021-07-08 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2021-06-08 | 2021-07-08 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-06-08 | 2021-07-08 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-06-08 | 2021-07-08 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2021-06-08 | 2021-07-08 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-06-08 | 2021-07-08 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-06-08 | 2021-07-08 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-06-08 | 2021-07-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-06-08 | 2021-07-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-08 | 2021-07-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-06-08 | 2021-07-08 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-06-08 | 2021-07-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-05-24 | 2021-06-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-24 | 2021-06-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-05-24 | 2021-06-18 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-05-24 | 2021-06-18 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-05-24 | 2021-06-18 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-05-24 | 2021-06-18 | 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 | 2021-05-24 | 2021-06-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-24 | 2021-06-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-24 | 2021-06-18 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2021-05-24 | 2021-06-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-12 | 2021-06-01 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-03-25 | 2021-04-27 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2021-03-16 | 2021-03-31 | Y |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-05-31 | 2019-06-20 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-05-31 | 2019-06-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-05-31 | 2019-06-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-05-31 | 2019-06-20 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-03-08 | 2019-04-04 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-03-08 | 2019-04-04 | 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 | 2019-03-08 | 2019-04-04 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2019-03-08 | 2019-04-04 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-03-08 | 2019-04-04 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2019-03-08 | 2019-04-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-08 | 2019-04-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-08 | 2019-04-04 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-03-08 | 2019-04-04 | N |
