A list of the most recent deficiencies for The Waters of Scottsburg. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-12-12 | 2024-01-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-12 | 2024-01-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-12 | 2024-01-01 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-12-12 | 2024-01-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-26 | 2023-10-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-26 | 2023-10-20 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-07-18 | 2023-08-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-07-18 | 2023-08-10 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-02-15 | 2023-03-02 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-01-17 | 2023-01-31 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-17 | 2023-01-31 | 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 | 2023-01-17 | 2023-01-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-17 | 2023-01-31 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-05 | 2023-01-31 | Y |
| Meet other general requirements. | Fire Safety | 2023-01-23 | 2023-01-31 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-01-23 | 2023-01-31 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-01-23 | 2023-01-31 | 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 | 2023-01-23 | 2023-01-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-01-23 | 2023-01-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-01-23 | 2023-01-31 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-01-23 | 2023-01-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-01-23 | 2023-01-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-23 | 2023-01-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-01-23 | 2023-01-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-01-23 | 2023-01-31 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-12-07 | 2022-12-28 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-12-07 | 2022-12-28 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-09-26 | 2022-10-13 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-05-25 | 2022-06-17 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-25 | 2022-06-17 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-05-25 | 2022-06-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-05 | 2022-04-26 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-12-20 | 2022-01-20 | 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 | 2021-12-20 | 2022-01-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-12-20 | 2022-01-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-20 | 2022-01-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-20 | 2022-01-20 | 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 | 2021-12-20 | 2022-01-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-20 | 2022-01-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-12-20 | 2022-01-20 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-12-20 | 2022-01-20 | 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 | 2021-12-20 | 2022-01-20 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2021-12-20 | 2022-01-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-20 | 2022-01-20 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-12-20 | 2022-01-20 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-01-04 | 2022-01-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-04 | 2022-01-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-01-04 | 2022-01-17 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2022-01-04 | 2022-01-17 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2021-11-09 | 2021-12-02 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-11-09 | 2021-12-02 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-09 | 2021-12-02 | Y |
| Provide appropriate foot care. | Health | 2021-11-09 | 2021-12-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-05-25 | 2021-06-25 | 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 | 2021-05-25 | 2021-06-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-05-25 | 2021-06-25 | Y |
| Provide emergency officials' contact information. | Fire Safety | 2020-01-22 | 2020-02-21 | N |
| Establish emergency prep training and testing. | Fire Safety | 2020-01-22 | 2020-02-21 | N |
| Establish staff and initial training requirements. | Fire Safety | 2020-01-22 | 2020-02-21 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-01-22 | 2020-02-21 | N |
| Construct fire resistant interior walls. | Fire Safety | 2020-01-22 | 2020-02-21 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2020-01-22 | 2020-02-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-22 | 2020-02-21 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2020-01-22 | 2020-02-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-01-22 | 2020-02-21 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-01-22 | 2020-02-21 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-01-22 | 2020-02-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-01 | 2019-12-01 | 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 | 2019-11-01 | 2019-12-01 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-11-01 | 2019-12-01 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-11-01 | 2019-12-01 | 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 | 2019-11-01 | 2019-12-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-11-01 | 2019-12-01 | N |
