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Deficiency Records for The Waters of Greencastle
View the most recent health deficiencies and inspection results for The Waters of Greencastle. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for The Waters of Greencastle. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2025-12-05 | 2026-01-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-12-05 | 2026-01-16 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-12-05 | 2026-01-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-12-05 | 2026-01-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-12-05 | 2026-01-16 | 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 | 2025-12-05 | 2026-01-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-12-05 | 2026-01-16 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-12-05 | 2026-01-16 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2025-12-05 | 2026-01-16 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2025-12-05 | 2026-01-16 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2025-12-05 | 2026-01-09 | 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 | 2025-12-05 | 2026-01-09 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-05-15 | 2025-05-29 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-09-30 | 2024-10-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-09-30 | 2024-10-25 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2024-09-30 | 2024-10-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-09-30 | 2024-10-18 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-09-30 | 2024-10-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-09-30 | 2024-10-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-15 | 2023-10-10 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-08-15 | 2023-09-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-15 | 2023-09-12 | N |
| Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor. | Health | 2023-08-15 | 2023-09-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-15 | 2023-09-12 | 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 | 2023-08-15 | 2023-09-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-15 | 2023-09-12 | 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 | 2023-08-15 | 2023-09-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-15 | 2023-09-12 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-08-15 | 2023-09-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-15 | 2023-09-09 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-08-15 | 2023-09-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-15 | 2023-09-07 | N |
| 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 | 2023-08-15 | 2023-08-16 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-08-15 | 2023-04-01 | N |