Deficiency Records for The Waters of Clifty Falls
Updated as of December 01, 2018
This is not the most recent data for The Waters of Clifty Falls. For the most recent information, click here.
A list of the most recent deficiencies for The Waters of Clifty Falls. 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? |
|---|---|---|---|---|
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-08-31 | 2018-09-21 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-08-31 | 2018-09-21 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-05-25 | 2018-06-24 | 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 | 2018-02-28 | 2018-04-03 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-02-28 | 2018-04-03 | N |
| Construct fire resistant interior walls. | Fire Safety | 2018-02-28 | 2018-04-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-02-28 | 2018-04-03 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-02-05 | 2018-03-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-02-05 | 2018-03-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-02-05 | 2018-03-07 | 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 | 2018-02-05 | 2018-03-07 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2018-02-05 | 2018-03-07 | 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 | 2018-02-05 | 2018-03-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-02-05 | 2018-03-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-02-05 | 2018-03-07 | 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 | 2017-02-02 | 2017-03-04 | N |
| Construct fire resistant interior walls. | Fire Safety | 2017-02-02 | 2017-03-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-02-02 | 2017-03-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-02-02 | 2017-03-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-02-02 | 2017-03-04 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-02-02 | 2017-03-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-02-02 | 2017-03-04 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2017-02-02 | 2017-03-04 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2017-01-05 | 2017-01-27 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-01-05 | 2017-01-27 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-01-05 | 2017-01-27 | Y |
| Provide housekeeping and maintenance services. | Health | 2016-09-01 | 2016-10-01 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-09-01 | 2016-10-01 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-09-01 | 2016-10-01 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2016-05-25 | 2016-06-21 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2016-04-19 | 2016-05-10 | Y |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-02-12 | 2016-03-13 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2016-02-12 | 2016-03-13 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-02-12 | 2016-03-13 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2016-02-12 | 2016-03-13 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-02-12 | 2016-03-13 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2016-02-12 | 2016-03-13 | N |
| Restrictions on the use of portable space heaters. | Fire Safety | 2016-02-12 | 2016-03-13 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2016-02-12 | 2016-03-13 | N |
| Restrictions on the use of flammable curtains. | Fire Safety | 2016-02-12 | 2016-03-13 | N |
| Have other fire safety features required by fire safety codes. | Fire Safety | 2016-02-12 | 2016-03-13 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2016-02-12 | 2016-03-13 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-01-26 | 2016-02-25 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-01-26 | 2016-02-25 | N |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2016-01-26 | 2016-02-25 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2016-01-26 | 2016-02-25 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-01-26 | 2016-02-25 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-01-26 | 2016-02-25 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-01-26 | 2016-02-25 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-01-26 | 2016-02-25 | N |
