CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for The Waters of Sullivan Nursing Facility
View the most recent health deficiencies and inspection results for The Waters of Sullivan Nursing Facility. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for The Waters of Sullivan Nursing Facility. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-04-24 | 2026-05-22 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2026-04-24 | 2026-05-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-02-13 | 2026-03-04 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2025-12-05 | 2026-01-06 | 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 | 2025-12-05 | 2026-01-06 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2025-12-05 | 2026-01-06 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2025-08-01 | 2025-09-19 | N |
| Implement emergency and standby power systems. | Fire Safety | 2025-08-01 | 2025-09-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-08-01 | 2025-09-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-08-01 | 2025-09-19 | 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 | 2025-08-01 | 2025-09-03 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-08-01 | 2025-09-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-08-01 | 2025-09-03 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2025-08-01 | 2025-09-03 | N |
| Post nurse staffing information every day. | Health | 2025-08-01 | 2025-09-03 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-08-01 | 2025-09-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-08-01 | 2025-09-03 | 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 | 2025-08-01 | 2025-09-03 | 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 | 2025-08-01 | 2025-09-03 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-08-01 | 2025-09-03 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2025-08-01 | 2025-09-03 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-08-01 | 2025-09-03 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2025-08-01 | 2025-09-03 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-08-01 | 2025-09-03 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-08-01 | 2025-09-03 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-02-28 | 2025-03-21 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-02-28 | 2025-03-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-21 | 2024-07-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-21 | 2024-07-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-21 | 2024-07-26 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2024-06-21 | 2024-07-26 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-06-21 | 2024-07-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-06-21 | 2024-07-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-21 | 2024-07-26 | 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 | 2024-06-21 | 2024-07-26 | 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 | 2024-06-21 | 2024-07-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-12 | 2023-06-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-12 | 2023-06-17 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-05-12 | 2023-06-04 | 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 | 2023-05-12 | 2023-06-04 | 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 | 2023-05-12 | 2023-06-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-12 | 2023-06-04 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-05-12 | 2023-06-04 | 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 | 2023-05-12 | 2023-06-04 | N |