Deficiency Records for The Waters of Peru Skilled Nursing Facility
Updated as of April 01, 2024
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? |
|---|---|---|---|---|
| Meet other general requirements. | Fire Safety | 2023-09-14 | 2023-11-21 | 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 | 2023-09-14 | 2023-10-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-14 | 2023-10-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-09-14 | 2023-10-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-25 | 2023-09-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-25 | 2023-09-11 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-08-25 | 2023-09-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-06-06 | 2022-07-07 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-06-06 | 2022-07-07 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-06-06 | 2022-07-07 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-05-24 | 2022-06-28 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-05-24 | 2022-06-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-24 | 2022-06-28 | 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 | 2022-05-24 | 2022-06-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-24 | 2022-06-28 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-05-24 | 2022-06-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-24 | 2022-06-28 | 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 | 2022-05-24 | 2022-06-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-24 | 2022-06-28 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-05-24 | 2022-06-28 | 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 | 2022-05-24 | 2022-06-28 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-05-24 | 2022-06-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-24 | 2022-06-28 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-05-24 | 2022-06-28 | 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 |
