A list of the most recent deficiencies for The Waters of Huntingburg. 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 that are deficient. | Fire Safety | 2023-07-27 | 2023-08-11 | 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 | 2023-07-27 | 2023-08-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-07-27 | 2023-08-11 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-07-27 | 2023-08-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-27 | 2023-08-11 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-07-27 | 2023-08-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-07-27 | 2023-08-11 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-07-13 | 2023-08-04 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2023-07-13 | 2023-08-04 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-07-13 | 2023-08-04 | 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 | 2023-07-13 | 2023-08-04 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-07-13 | 2023-08-04 | 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 | 2023-07-13 | 2023-08-04 | N |
| Provide activities to meet all resident's needs. | Health | 2023-07-13 | 2023-08-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-13 | 2023-08-04 | N |
| Post nurse staffing information every day. | Health | 2023-07-13 | 2023-08-04 | 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 | 2023-07-13 | 2023-08-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-13 | 2023-08-04 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-07-13 | 2023-08-04 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-05-26 | 2022-06-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-26 | 2022-06-18 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2022-01-10 | 2022-01-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-10 | 2022-01-31 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-01-10 | 2022-01-31 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-10 | 2022-01-31 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-04 | 2021-08-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-08-04 | 2021-08-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-08-04 | 2021-08-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-07-07 | 2021-07-29 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-06-18 | 2021-07-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-18 | 2021-07-23 | 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 | 2021-06-18 | 2021-07-23 | N |
| Post nurse staffing information every day. | Health | 2021-06-18 | 2021-07-23 | 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 | 2021-06-18 | 2021-07-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-06-18 | 2021-07-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-18 | 2021-07-23 | 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 | 2021-06-18 | 2021-07-23 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-06-18 | 2021-07-23 | Y |
| Implement a program that monitors antibiotic use. | Health | 2021-06-18 | 2021-07-23 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-06-18 | 2021-07-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-07 | 2021-06-04 | Y |
| 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 | 2021-05-07 | 2021-06-04 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-05-01 | 2019-07-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-01 | 2019-07-26 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-05-01 | 2019-07-26 | N |
| Meet other general requirements. | Fire Safety | 2019-05-30 | 2019-06-29 | 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 | 2019-05-30 | 2019-06-29 | 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 | 2019-05-30 | 2019-06-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-30 | 2019-06-29 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-05-30 | 2019-06-29 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-05-30 | 2019-06-29 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-05-30 | 2019-06-29 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-05-01 | 2019-06-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-05-01 | 2019-06-26 | N |
| Provide activities to meet all resident's needs. | Health | 2019-05-01 | 2019-06-26 | N |
| Post nurse staffing information every day. | Health | 2019-05-01 | 2019-06-26 | 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 | 2019-05-01 | 2019-06-26 | 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 | 2019-05-01 | 2019-06-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-01 | 2019-06-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-01 | 2019-06-26 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-05-01 | 2019-06-26 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-05-01 | 2019-06-26 | N |
