Deficiency Records for Breakwater Village
Updated as of September 01, 2018
This is not the most recent data for Breakwater Village. For the most recent information, click here.
A list of the most recent deficiencies for Breakwater Village. 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 that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-04-04 | 2018-05-31 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-04-04 | 2018-05-31 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-04-04 | 2018-05-09 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2018-04-04 | 2018-05-09 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-04-04 | 2018-05-09 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-04-04 | 2018-05-09 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-04-04 | 2018-05-09 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-04-04 | 2018-05-09 | N |
| Assess the resident when there is a significant change in condition | Health | 2018-04-04 | 2018-05-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-04-04 | 2018-05-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-04-04 | 2018-05-09 | 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 | 2018-04-04 | 2018-05-09 | N |
| Provide activities to meet all resident's needs. | Health | 2018-04-04 | 2018-05-09 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-04-04 | 2018-05-09 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2018-04-04 | 2018-05-09 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-04-04 | 2018-05-09 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-04-04 | 2018-05-09 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2018-04-04 | 2018-05-09 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2018-04-04 | 2018-05-09 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2018-04-04 | 2018-05-09 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-04-04 | 2018-05-09 | 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 ne | Health | 2018-04-04 | 2018-05-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-04-04 | 2018-05-09 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2018-03-29 | 2018-04-30 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2018-03-29 | 2018-04-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-10-16 | 2017-11-02 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-05-23 | 2017-06-16 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-05-23 | 2017-06-16 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2017-01-26 | 2017-03-17 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-01-26 | 2017-03-17 | N |
| Provide housekeeping and maintenance services. | Health | 2017-01-26 | 2017-03-17 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2017-01-26 | 2017-03-17 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-01-26 | 2017-03-17 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-01-26 | 2017-03-17 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-01-26 | 2017-03-17 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-01-26 | 2017-03-17 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2017-01-26 | 2017-03-17 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-01-26 | 2017-03-17 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-07-01 | 2016-08-08 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2016-07-01 | 2016-08-08 | N |
| Provide housekeeping and maintenance services. | Health | 2016-07-01 | 2016-08-08 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-07-01 | 2016-08-08 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-07-01 | 2016-08-08 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-07-01 | 2016-08-08 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-07-01 | 2016-08-08 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-07-01 | 2016-08-08 | N |
| Try to resolve each resident's complaints quickly. | Health | 2016-05-06 | 2016-06-15 | Y |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-05-06 | 2016-06-15 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-05-06 | 2016-06-15 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-05-06 | 2016-06-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-05-06 | 2015-10-05 | Y |
