Deficiency Records for Watseka Rehab and Hlth Care Ctr
Updated as of November 01, 2021
This is not the most recent data for Watseka Rehab and Hlth Care Ctr. For the most recent information, click here.
A list of the most recent deficiencies for Watseka Rehab and Hlth Care Ctr. 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 receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2021-08-12 | 2021-09-14 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-08-12 | 2021-09-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-08-12 | 2021-09-14 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-08-12 | 2021-09-14 | 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 | 2021-08-12 | 2021-09-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-08-12 | 2021-09-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-12 | 2021-09-14 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-08-12 | 2021-09-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-08-12 | 2021-09-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-08-12 | 2021-09-14 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2021-08-12 | 2021-09-14 | 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 necessary and PRN use is limited. | Health | 2021-08-12 | 2021-09-14 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-08-12 | 2021-09-14 | 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 | 2021-08-12 | 2021-09-14 | 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 | 2021-08-12 | 2021-09-14 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2021-08-12 | 2021-09-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-12 | 2021-09-14 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2021-08-12 | 2021-09-14 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-08-12 | 2021-09-14 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-08-12 | 2021-09-14 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-08-12 | 2021-09-14 | Y |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2021-08-10 | 2021-09-10 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-08-10 | 2021-09-10 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2021-08-10 | 2021-09-10 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-08-10 | 2021-09-10 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-08-10 | 2021-09-10 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-08-10 | 2021-09-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-08-10 | 2021-09-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-07-13 | 2021-08-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-13 | 2021-08-30 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-07-13 | 2021-08-30 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-07-13 | 2021-08-30 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2021-07-13 | 2021-08-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-22 | 2021-07-23 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-06-22 | 2021-07-23 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-06-22 | 2021-07-23 | Y |
| Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | Health | 2021-06-22 | 2021-06-22 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-05-13 | 2021-05-25 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-05-13 | 2021-05-25 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2020-12-08 | 2021-01-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-12-08 | 2020-12-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-09-10 | 2020-09-25 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-09-10 | 2020-09-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-02-10 | 2020-03-14 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2020-02-10 | 2020-03-14 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-20 | 2019-11-01 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-08-15 | 2019-09-16 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-08-15 | 2019-09-16 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-08-15 | 2019-09-16 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-08-15 | 2019-09-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-15 | 2019-09-16 | 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 | 2019-08-15 | 2019-09-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-08-15 | 2019-09-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-08-15 | 2019-09-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-15 | 2019-09-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-08-15 | 2019-09-16 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-08-15 | 2019-09-16 | 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 necessary and PRN use is limited. | Health | 2019-08-15 | 2019-09-16 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2019-08-15 | 2019-09-16 | 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 | 2019-08-15 | 2019-09-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-15 | 2019-09-16 | 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 | 2019-08-15 | 2019-09-16 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2019-08-15 | 2019-09-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-15 | 2019-09-16 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-08-15 | 2019-09-16 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-08-20 | 2019-09-04 | N |
| Construct fire resistant interior walls. | Fire Safety | 2019-08-20 | 2019-09-04 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-08-20 | 2019-09-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-08-20 | 2019-09-04 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-07-09 | 2019-07-19 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-06-19 | 2019-07-01 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-06-19 | 2019-07-01 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-06-19 | 2019-07-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-06-19 | 2019-07-01 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-06-19 | 2019-07-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-19 | 2019-07-01 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-06-19 | 2019-07-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-06-19 | 2019-07-01 | Y |
| 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 | 2018-09-06 | 2018-10-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-09-06 | 2018-09-25 | 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 | 2018-09-06 | 2018-09-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-09-06 | 2018-09-25 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-09-06 | 2018-09-25 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2018-09-06 | 2018-09-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-09-06 | 2018-09-25 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-09-06 | 2018-09-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-06 | 2018-09-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-09-06 | 2018-09-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-09-06 | 2018-09-10 | N |
