Deficiency Records for The Waters of Covington
Updated as of February 01, 2021
This is not the most recent data for The Waters of Covington. For the most recent information, click here.
A list of the most recent deficiencies for The Waters of Covington. 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 and implement an infection prevention and control program. | Health | 2020-11-12 | 2020-12-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-07-16 | 2020-08-12 | Y |
| Meet other general requirements. | Fire Safety | 2019-07-17 | 2019-08-16 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-07-17 | 2019-08-16 | 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 | 2019-07-17 | 2019-08-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-17 | 2019-08-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-07-17 | 2019-08-16 | N |
| Have an externally vented heating system. | Fire Safety | 2019-07-17 | 2019-08-16 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-07-17 | 2019-08-16 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-07-17 | 2019-08-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-17 | 2019-08-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-17 | 2019-08-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-06-14 | 2019-07-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-06-14 | 2019-07-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-14 | 2019-07-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-06-14 | 2019-07-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-06-14 | 2019-07-14 | N |
| Post nurse staffing information every day. | Health | 2019-06-14 | 2019-07-14 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-06-14 | 2019-07-14 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-06-14 | 2019-07-14 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-06-14 | 2019-07-14 | 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 | 2019-06-14 | 2019-07-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-14 | 2019-07-14 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-06-14 | 2019-07-14 | 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 | 2018-07-31 | 2018-09-20 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-07-31 | 2018-09-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-07-31 | 2018-09-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-07-31 | 2018-09-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-07-31 | 2018-09-20 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2018-07-31 | 2018-09-07 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-07-31 | 2018-09-07 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-07-31 | 2018-09-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-07-31 | 2018-09-07 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2018-07-31 | 2018-09-07 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-07-31 | 2018-09-07 | 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 | 2018-07-31 | 2018-09-07 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-07-31 | 2018-09-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-07-31 | 2018-09-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-07-31 | 2018-09-07 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-07-31 | 2018-09-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-07-31 | 2018-09-07 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2018-07-31 | 2018-09-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-07-26 | 2018-08-25 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-07-26 | 2018-08-25 | Y |
| Put firmly secured handrails on each side of hallways. | Health | 2018-07-26 | 2018-08-25 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-06-22 | 2018-07-22 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-06-22 | 2018-07-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-06-22 | 2018-07-22 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-06-22 | 2018-07-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-06-22 | 2018-07-22 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2018-06-22 | 2018-07-22 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-06-22 | 2018-07-22 | 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 | 2018-06-22 | 2018-07-22 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2018-06-22 | 2018-07-22 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2017-08-15 | 2017-09-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-08-15 | 2017-09-18 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2017-08-15 | 2017-09-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-08-15 | 2017-09-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-08-15 | 2017-09-18 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-07-12 | 2017-08-11 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-07-12 | 2017-08-11 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-07-12 | 2017-08-11 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-07-12 | 2017-08-11 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-07-12 | 2017-08-11 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-07-12 | 2017-08-11 | N |
