Deficiency Records for Watseka Rehab and Hlth Care Ctr
Updated as of February 01, 2023
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? |
|---|---|---|---|---|
| Respond appropriately to all alleged violations. | Health | 2022-09-11 | 2022-11-30 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-08-04 | 2022-11-30 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-08-04 | 2022-11-30 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-08-04 | 2022-11-30 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-08-04 | 2022-11-30 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-08-04 | 2022-11-30 | Y |
| 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 | 2022-08-04 | 2022-11-30 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-08-04 | 2022-11-30 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2022-08-04 | 2022-11-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-07-21 | 2022-11-30 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-07-07 | 2022-11-30 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-07-07 | 2022-11-30 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-07-07 | 2022-11-30 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-07-07 | 2022-11-30 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-21 | 2022-11-30 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-09-21 | 2022-11-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-09-21 | 2022-11-30 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-09-21 | 2022-11-30 | 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 | 2022-09-21 | 2022-11-30 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-09-21 | 2022-11-30 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-09-21 | 2022-11-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-21 | 2022-11-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-10-17 | 2022-11-17 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-09-11 | 2022-11-17 | Y |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-09-11 | 2022-11-17 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-08-04 | 2022-11-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-04 | 2022-11-17 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-04 | 2022-11-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-04 | 2022-11-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-04 | 2022-11-17 | 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 | 2022-08-04 | 2022-11-17 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-08-04 | 2022-11-17 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-07-21 | 2022-11-17 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-07-21 | 2022-11-17 | Y |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-07-21 | 2022-11-17 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-07-07 | 2022-11-17 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-07-07 | 2022-11-17 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-07-07 | 2022-11-17 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-07-07 | 2022-11-17 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-09-21 | 2022-11-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-09-21 | 2022-11-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-21 | 2022-11-17 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2022-09-21 | 2022-11-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-21 | 2022-11-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-21 | 2022-11-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-21 | 2022-11-17 | 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 | 2022-09-21 | 2022-11-17 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-09-21 | 2022-11-17 | 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 | 2022-09-21 | 2022-11-17 | N |
| Post nurse staffing information every day. | Health | 2022-09-21 | 2022-11-17 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-09-21 | 2022-11-17 | 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 | 2022-09-21 | 2022-11-17 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-09-21 | 2022-11-17 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-09-21 | 2022-11-17 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-09-21 | 2022-11-17 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-09-21 | 2022-11-17 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-09-21 | 2022-11-17 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-09-21 | 2022-11-17 | 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 | 2022-09-21 | 2022-11-17 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-09-20 | 2022-10-10 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-09-20 | 2022-10-10 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2022-09-20 | 2022-10-10 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-09-20 | 2022-10-10 | N |
| Develop a communication plan. | Fire Safety | 2022-09-20 | 2022-10-10 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2022-09-20 | 2022-10-10 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-09-20 | 2022-10-10 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-09-20 | 2022-10-10 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-09-20 | 2022-10-10 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-09-20 | 2022-10-10 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-09-20 | 2022-10-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-17 | 2022-06-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-17 | 2022-06-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-17 | 2022-06-03 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-05-17 | 2022-06-03 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-05-17 | 2022-06-03 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-05-17 | 2022-06-03 | Y |
| 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 | 2022-05-17 | 2022-06-03 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-03-30 | 2022-04-15 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-03-30 | 2022-04-15 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-03-30 | 2022-04-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-30 | 2022-04-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-14 | 2022-01-28 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-12-21 | 2022-01-14 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-12-14 | 2022-01-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-14 | 2022-01-14 | 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 | 2021-12-14 | 2022-01-14 | 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 | 2021-12-14 | 2022-01-14 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2021-12-14 | 2022-01-14 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-12-14 | 2022-01-06 | Y |
| Post nurse staffing information every day. | Health | 2021-12-14 | 2022-01-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-12-01 | 2021-12-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-04 | 2021-11-01 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2021-10-04 | 2021-10-29 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-10-04 | 2021-10-29 | Y |
| 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 |
