Deficiency Records for The Waters of Dillsboro-Ross Manor
Updated as of December 01, 2018
This is not the most recent data for The Waters of Dillsboro-Ross Manor. For the most recent information, click here.
A list of the most recent deficiencies for The Waters of Dillsboro-Ross Manor. 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 a means of sharing information on occupancy/needs. | Fire Safety | 2018-10-02 | 2018-11-05 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-10-02 | 2018-11-05 | N |
| Use approved construction type or materials. | Fire Safety | 2018-10-02 | 2018-11-05 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-10-02 | 2018-11-05 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2018-10-02 | 2018-11-05 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2018-10-02 | 2018-11-05 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-10-02 | 2018-11-05 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-10-02 | 2018-11-05 | N |
| Have protected exits that allow the resident to escape the building. | Fire Safety | 2018-10-02 | 2018-11-05 | N |
| Construct fire resistant interior walls. | Fire Safety | 2018-10-02 | 2018-11-05 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-10-02 | 2018-11-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-02 | 2018-11-05 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2018-10-02 | 2018-11-05 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2018-10-02 | 2018-11-05 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2018-10-02 | 2018-11-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-10-02 | 2018-11-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-09-12 | 2018-10-12 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-09-12 | 2018-10-12 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-09-12 | 2018-10-12 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-09-12 | 2018-10-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-09-12 | 2018-10-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-09-12 | 2018-10-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-09-12 | 2018-10-12 | 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 | 2018-09-12 | 2018-10-12 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2018-09-12 | 2018-10-12 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-09-12 | 2018-10-12 | 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 ne | Health | 2018-09-12 | 2018-10-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-09-12 | 2018-10-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-09-12 | 2018-10-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-12 | 2018-10-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-04-09 | 2018-04-27 | Y |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-10-11 | 2017-10-28 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-08-21 | 2017-09-20 | N |
| Provide housekeeping and maintenance services. | Health | 2017-08-21 | 2017-09-20 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-08-21 | 2017-09-20 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-08-21 | 2017-09-20 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-08-21 | 2017-09-20 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-08-21 | 2017-09-20 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-08-21 | 2017-09-20 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-08-21 | 2017-09-20 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-08-21 | 2017-09-20 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-08-21 | 2017-09-20 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-11-30 | 2016-12-19 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-09-08 | 2016-09-26 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-09-08 | 2016-09-26 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-08-18 | 2016-09-05 | Y |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2016-07-07 | 2016-08-18 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-07-07 | 2016-08-18 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-07-07 | 2016-08-18 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-07-07 | 2016-08-18 | N |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2015-12-17 | 2016-01-15 | Y |
