CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for The Waters of Clifty Falls
View the most recent health deficiencies and inspection results for The Waters of Clifty Falls. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for The Waters of Clifty Falls. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2026-04-08 | 2026-04-21 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2026-04-08 | 2026-04-21 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2026-01-22 | 2026-03-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-01-22 | 2026-03-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-11-18 | 2025-11-25 | Y |
| Keep all essential equipment working safely. | Health | 2025-11-18 | 2025-11-25 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-10-20 | 2025-10-24 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2025-07-14 | 2025-07-25 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-07-14 | 2025-07-25 | Y |
| 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 | 2025-06-04 | 2025-07-18 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-06-04 | 2025-07-18 | 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 | 2025-06-04 | 2025-07-18 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-06-04 | 2025-07-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-06-04 | 2025-07-18 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-06-04 | 2025-07-18 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2025-06-04 | 2025-07-03 | 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 | 2025-06-04 | 2025-07-03 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-06-04 | 2025-07-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-06-04 | 2025-07-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-06-04 | 2025-07-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-06-04 | 2025-07-03 | 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 | 2025-06-04 | 2025-07-03 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2025-06-04 | 2025-07-03 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2025-06-04 | 2025-07-03 | 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 | 2025-06-04 | 2025-07-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-06-04 | 2025-07-03 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-06-04 | 2025-07-03 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2025-06-04 | 2025-07-03 | N |
| Post nurse staffing information every day. | Health | 2025-06-04 | 2025-07-03 | 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 | 2025-06-04 | 2025-07-03 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2025-02-25 | 2025-03-20 | Y |
| Provide a written emergency evacuation plan. | Fire Safety | 2025-01-21 | 2025-01-31 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-02-25 | 2025-01-23 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-08-30 | 2024-09-19 | 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 | 2024-08-30 | 2024-09-19 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-07-17 | 2024-08-14 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-07-17 | 2024-08-14 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-24 | 2024-07-29 | N |
| Meet other general requirements. | Fire Safety | 2024-06-24 | 2024-07-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-06-24 | 2024-07-17 | 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 | 2024-06-24 | 2024-07-17 | 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 | 2024-06-24 | 2024-07-17 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-06-24 | 2024-07-17 | 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 | 2024-06-24 | 2024-07-17 | 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 | 2024-06-24 | 2024-07-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-24 | 2024-07-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-06-24 | 2024-07-12 | 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 | 2024-06-24 | 2024-07-10 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-06-24 | 2024-07-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-06-24 | 2024-07-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-06-24 | 2024-07-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-04-04 | 2024-04-29 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-04-04 | 2024-04-29 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-02-27 | 2024-03-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-27 | 2024-03-08 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-28 | 2023-10-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-28 | 2023-10-27 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-09-28 | 2023-10-27 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-09-28 | 2023-10-27 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-26 | 2023-08-11 | 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 | 2023-07-26 | 2023-08-11 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-04 | 2023-06-27 | N |
| Meet other general requirements. | Fire Safety | 2023-04-04 | 2023-06-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-04-04 | 2023-06-27 | N |
| Have an externally vented heating system. | Fire Safety | 2023-04-04 | 2023-06-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-04-04 | 2023-06-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-04 | 2023-06-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-04 | 2023-06-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-04-04 | 2023-06-27 | 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 | 2023-04-04 | 2023-06-27 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-04-04 | 2023-06-27 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-04-04 | 2023-06-27 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-04-04 | 2023-04-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-04-04 | 2023-04-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-04-04 | 2023-04-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-04 | 2023-04-22 | 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 | 2023-04-04 | 2023-04-22 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-04-04 | 2023-04-22 | 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 | 2023-04-04 | 2023-04-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-04 | 2023-04-22 | N |