Deficiency Records for The Waters of Lebanon
Updated as of February 01, 2020
This is not the most recent data for The Waters of Lebanon. For the most recent information, click here.
A list of the most recent deficiencies for The Waters of Lebanon. 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? |
|---|---|---|---|---|
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2019-11-07 | 2019-12-07 | Y |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2019-10-28 | 2019-11-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-28 | 2019-11-18 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-29 | 2019-10-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-08-29 | 2019-10-16 | 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 | 2019-08-29 | 2019-10-16 | 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 | 2019-08-29 | 2019-10-16 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-08-29 | 2019-10-16 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2019-08-29 | 2019-10-16 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2019-08-29 | 2019-10-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-29 | 2019-10-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-29 | 2019-10-16 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-08-29 | 2019-10-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-29 | 2019-10-16 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-10-15 | 2018-11-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-15 | 2018-11-09 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-10-15 | 2018-11-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-10-12 | 2018-11-09 | 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 | 2018-10-12 | 2018-11-09 | 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 | 2018-10-12 | 2018-11-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-12 | 2018-11-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-12 | 2018-11-09 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2017-12-11 | 2018-02-06 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2017-12-11 | 2018-02-06 | N |
| Establish emergency prep training and testing. | Fire Safety | 2017-12-11 | 2018-02-06 | N |
| Establish staff and initial training requirements. | Fire Safety | 2017-12-11 | 2018-02-06 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-12-11 | 2018-02-06 | 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 | 2017-12-11 | 2018-02-06 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-12-11 | 2018-02-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-12-11 | 2018-02-06 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2017-12-11 | 2018-02-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-12-11 | 2018-02-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-12-11 | 2018-02-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-12-11 | 2018-02-06 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-12-11 | 2018-02-06 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2017-10-24 | 2017-11-23 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-10-24 | 2017-11-23 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-10-24 | 2017-11-23 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-10-24 | 2017-11-23 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-10-24 | 2017-11-23 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-10-24 | 2017-11-23 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-10-24 | 2017-11-23 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-10-24 | 2017-11-23 | N |
