A list of the most recent deficiencies for The Springs at Watermark East Hill. 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 and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-11-22 | 2023-01-02 | 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 | 2022-11-22 | 2023-01-02 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-11-22 | 2023-01-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-22 | 2023-01-02 | 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 | 2022-11-22 | 2023-01-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-22 | 2023-01-02 | N |
| Keep all essential equipment working safely. | Health | 2022-11-22 | 2023-01-02 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-11-16 | 2022-12-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-11-16 | 2022-12-28 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-11-16 | 2022-12-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-11-16 | 2022-12-28 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-11-16 | 2022-12-28 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-11-16 | 2022-12-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-29 | 2021-06-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-29 | 2021-06-10 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-04-29 | 2021-06-10 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-02-05 | 2020-03-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-05 | 2020-03-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-02-05 | 2020-03-17 | 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 | 2020-02-05 | 2020-03-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-05 | 2020-03-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-05 | 2020-03-17 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-04-09 | 2019-06-25 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-04-09 | 2019-06-25 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2019-04-09 | 2019-06-25 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2019-04-09 | 2019-06-25 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-04-09 | 2019-06-25 | N |
| Establish methods for sharing information. | Fire Safety | 2019-04-09 | 2019-06-25 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2019-04-09 | 2019-06-25 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2019-04-09 | 2019-06-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-11 | 2019-05-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-11 | 2019-05-22 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-04-11 | 2019-05-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-11 | 2019-05-22 | N |
