Deficiency Records for The Waters of Peru Skilled Nursing Facility
Updated as of November 01, 2021
This is not the most recent data for The Waters of Peru Skilled Nursing Facility. For the most recent information, click here.
A list of the most recent deficiencies for The Waters of Peru Skilled Nursing Facility. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-09-29 | 2020-10-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-10-06 | 2020-10-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-05-29 | 2019-06-28 | 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 | 2019-04-16 | 2019-05-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-16 | 2019-05-16 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-04-16 | 2019-05-16 | 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 | 2019-04-16 | 2019-05-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-16 | 2019-05-16 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-04-16 | 2019-05-16 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-04-30 | 2018-05-29 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-04-30 | 2018-05-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-04-04 | 2018-04-20 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-04-04 | 2018-04-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-04-04 | 2018-04-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-04-04 | 2018-04-20 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-04-04 | 2018-04-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-06-28 | 2017-07-28 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2017-06-28 | 2017-07-28 | N |
| Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. | Fire Safety | 2017-06-28 | 2017-07-28 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-06-28 | 2017-07-28 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-06-28 | 2017-07-28 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2017-06-28 | 2017-07-28 | N |
| Construct fire resistant interior walls. | Fire Safety | 2017-06-28 | 2017-07-28 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2017-06-28 | 2017-07-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-06-28 | 2017-07-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-06-28 | 2017-07-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-06-28 | 2017-07-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-06-28 | 2017-07-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-06-28 | 2017-07-28 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2017-06-28 | 2017-07-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-06-28 | 2017-07-28 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-06-06 | 2017-06-26 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-06-06 | 2017-06-26 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-06-06 | 2017-06-26 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-06-06 | 2017-06-26 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-06-06 | 2017-06-26 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-06-06 | 2017-06-26 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-06-06 | 2017-06-26 | N |
