CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for The Waters of Castleton Skilled Nursing Facility
View the most recent health deficiencies and inspection results for The Waters of Castleton Skilled Nursing Facility. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for The Waters of Castleton Skilled Nursing Facility. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-12-16 | 2026-05-31 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2026-03-11 | 2026-04-07 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-03-11 | 2026-04-07 | Y |
| Respond appropriately to all alleged violations. | Health | 2026-03-11 | 2026-04-07 | 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 | 2026-03-11 | 2026-04-07 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2026-03-11 | 2026-04-07 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2025-12-16 | 2026-01-19 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-12-16 | 2026-01-19 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-12-16 | 2026-01-19 | 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 | 2025-12-16 | 2026-01-19 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-12-16 | 2026-01-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-12-16 | 2026-01-19 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2025-12-16 | 2026-01-19 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2025-12-16 | 2026-01-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-12-16 | 2026-01-19 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-12-16 | 2026-01-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-12-16 | 2026-01-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-12-16 | 2026-01-17 | N |
| Meet other general requirements. | Fire Safety | 2025-12-16 | 2026-01-17 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2025-10-28 | 2025-11-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-04-16 | 2025-05-09 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-04-16 | 2025-05-09 | Y |
| 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 | 2025-04-16 | 2025-05-09 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-04-02 | 2025-04-25 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-04-02 | 2025-04-25 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-04-02 | 2025-04-25 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-04-02 | 2025-04-25 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-04-02 | 2025-04-25 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-04-02 | 2025-04-25 | Y |
| Meet other general requirements that are deficient. | Fire Safety | 2024-10-08 | 2024-11-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-08 | 2024-11-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-10-08 | 2024-11-08 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-10-08 | 2024-11-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-10-08 | 2024-11-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-10-08 | 2024-11-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-10-08 | 2024-10-26 | N |
| 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 | 2024-10-08 | 2024-10-26 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-10-08 | 2024-10-26 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-10-08 | 2024-10-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-10-08 | 2024-10-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-10-08 | 2024-10-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-10-08 | 2024-10-26 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-10-08 | 2024-10-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-01-25 | 2024-02-11 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-11 | 2023-09-22 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-08-11 | 2023-09-22 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-08-11 | 2023-09-22 | 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 | 2023-08-11 | 2023-09-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-11 | 2023-09-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-11 | 2023-09-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-08-11 | 2023-09-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-08-11 | 2023-09-22 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-08-11 | 2023-09-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-11 | 2023-09-22 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-08-11 | 2023-09-22 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-08-11 | 2023-09-22 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-08-11 | 2023-09-22 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-08-11 | 2023-09-22 | 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 | 2023-08-11 | 2023-09-22 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-08-11 | 2023-09-22 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-08-11 | 2023-09-22 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-08-11 | 2023-09-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-11 | 2023-09-22 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-08-11 | 2023-09-05 | 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 | 2023-08-11 | 2023-09-05 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-08-11 | 2023-09-05 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-08-11 | 2023-09-05 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-11 | 2023-09-05 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-08-11 | 2023-09-05 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-08-11 | 2023-09-05 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-11 | 2023-09-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-11 | 2023-09-05 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-08-11 | 2023-09-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-11 | 2023-09-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-11 | 2023-09-05 | 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 | 2023-08-11 | 2023-09-05 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-11 | 2023-09-05 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-11 | 2023-09-05 | N |
| 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 | 2023-08-11 | 2023-09-05 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-08-11 | 2023-09-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-20 | 2023-07-09 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-20 | 2023-07-09 | Y |