A list of the most recent deficiencies for The Waters of Rising Sun. 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 pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-09-26 | 2023-10-10 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-01 | 2023-08-22 | Y |
Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-08-01 | 2023-08-22 | Y |
Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-01-18 | 2023-02-02 | N |
Keep residents' personal and medical records private and confidential. | Health | 2023-01-18 | 2023-02-02 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-18 | 2023-02-02 | 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 | 2023-01-18 | 2023-02-02 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2023-01-18 | 2023-02-02 | 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 | 2023-01-18 | 2023-02-02 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-01-18 | 2023-02-02 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-01-18 | 2023-02-02 | N |
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2023-01-18 | 2023-02-02 | N |
Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-10-04 | 2022-10-22 | Y |
Keep residents' personal and medical records private and confidential. | Health | 2022-01-10 | 2022-02-11 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-10 | 2022-02-11 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-10 | 2022-02-11 | 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 | 2022-01-10 | 2022-02-11 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-01-10 | 2022-02-11 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-01-10 | 2022-02-11 | N |
Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. | Health | 2022-01-10 | 2022-02-11 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-10 | 2022-02-11 | N |
Provide and implement an infection prevention and control program. | Health | 2022-01-10 | 2022-02-11 | N |
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2022-01-10 | 2022-02-11 | N |
Provide properly protected cooking facilities. | Fire Safety | 2022-01-20 | 2022-02-11 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-20 | 2022-02-11 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-01-20 | 2022-02-11 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2022-01-20 | 2022-02-11 | N |
Have restrictions on the use of portable space heaters. | Fire Safety | 2022-01-20 | 2022-02-11 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2022-01-20 | 2022-02-11 | 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 | 2022-01-10 | 2022-01-10 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-09-25 | 2019-10-22 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2019-09-25 | 2019-10-22 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-07-25 | 2019-08-24 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-07-25 | 2019-08-24 | N |
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-07-25 | 2019-08-24 | 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 | 2019-07-25 | 2019-08-24 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-25 | 2019-08-24 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-07-25 | 2019-08-24 | 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 | 2019-07-25 | 2019-08-24 | N |
Provide and implement an infection prevention and control program. | Health | 2019-07-25 | 2019-08-24 | N |
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-07-25 | 2019-08-24 | N |