Deficiency Records for Water's Edge Center For Health and Rehab
Updated as of March 01, 2024
A list of the most recent deficiencies for Water's Edge Center For Health and Rehab. 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-02 | 2024-02-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-03 | 2022-04-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-03 | 2022-04-14 | N |
| Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | Health | 2022-03-03 | 2022-04-14 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-08-29 | 2019-11-26 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-08-29 | 2019-11-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-29 | 2019-11-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-29 | 2019-10-10 | 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 | 2019-08-29 | 2019-10-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-08-29 | 2019-10-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-29 | 2019-10-10 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-08-29 | 2019-10-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-29 | 2019-10-10 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-08-29 | 2019-10-10 | N |
| Keep complete, dated laboratory records in the resident's record. | Health | 2019-08-29 | 2019-10-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-29 | 2019-10-10 | N |
| Keep all essential equipment working safely. | Health | 2019-08-29 | 2019-10-10 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2018-07-09 | 2018-09-25 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-07-12 | 2018-08-21 | 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 | 2018-07-12 | 2018-08-21 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2018-07-12 | 2018-08-21 | N |
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2018-07-12 | 2018-08-21 | 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 | 2018-07-12 | 2018-08-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-07-12 | 2018-08-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-07-12 | 2018-08-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-07-12 | 2018-08-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-07-12 | 2018-08-21 | 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 | 2018-07-12 | 2018-08-21 | N |
| 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 | 2018-07-12 | 2018-08-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-07-12 | 2018-08-21 | N |
| Dispose of garbage and refuse properly. | Health | 2018-07-12 | 2018-08-21 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2018-07-12 | 2018-08-21 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-07-09 | 2018-08-15 | N |
