Deficiency Records for The Waters of Hobart Skilled Nursing Facility
Updated as of March 01, 2024
A list of the most recent deficiencies for The Waters of Hobart Skilled Nursing Facility. 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 safe, appropriate pain management for a resident who requires such services. | Health | 2023-11-29 | 2023-12-15 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-08-30 | 2023-09-22 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-30 | 2023-09-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-30 | 2023-09-22 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-30 | 2023-09-22 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-08-30 | 2023-09-22 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-30 | 2023-09-22 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2023-05-25 | 2023-07-03 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-05-25 | 2023-07-03 | 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 | 2023-05-25 | 2023-07-03 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-05-25 | 2023-07-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-25 | 2023-07-03 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-05-25 | 2023-07-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-05-25 | 2023-07-03 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-05-25 | 2023-07-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-25 | 2023-07-03 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-05-12 | 2023-06-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-12 | 2023-06-14 | N |
| Provide activities to meet all resident's needs. | Health | 2023-05-12 | 2023-06-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-12 | 2023-06-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-12 | 2023-06-14 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-05-12 | 2023-06-14 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-05-12 | 2023-06-14 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-05-12 | 2023-06-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-12 | 2023-06-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-12 | 2023-06-14 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-03-01 | 2023-03-27 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-01 | 2023-03-27 | Y |
| Meet other general requirements. | Fire Safety | 2022-05-31 | 2022-06-30 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-05-31 | 2022-06-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-31 | 2022-06-30 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-05-31 | 2022-06-30 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-04-29 | 2022-05-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-29 | 2022-05-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-04-29 | 2022-05-25 | 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 | 2022-04-29 | 2022-05-25 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-04-29 | 2022-05-25 | 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 | 2022-04-29 | 2022-05-25 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-04-29 | 2022-05-25 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-08-31 | 2021-09-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-31 | 2021-09-15 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2021-03-03 | 2021-03-27 | Y |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2020-08-07 | 2020-09-06 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2020-08-07 | 2020-08-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-08-07 | 2020-08-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-03-12 | 2020-05-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-03-12 | 2020-05-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-03-12 | 2020-05-22 | 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 | 2020-03-12 | 2020-05-22 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-03-12 | 2020-05-22 | 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 | 2020-03-12 | 2020-05-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-03-12 | 2020-05-22 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-03-12 | 2020-05-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-12 | 2020-05-22 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-03-12 | 2020-05-22 | N |
