Deficiency Records for The Waters of Middletown Skilled Nursing Facility
Updated as of March 01, 2024
A list of the most recent deficiencies for The Waters of Middletown Skilled Nursing Facility. 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 safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-10-12 | 2023-10-31 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-12 | 2023-10-31 | 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 | 2023-10-02 | 2023-10-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-10-02 | 2023-10-25 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-10-02 | 2023-10-25 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-10-02 | 2023-10-25 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-10-02 | 2023-10-25 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-10-02 | 2023-10-25 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-09-01 | 2023-09-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-01 | 2023-09-20 | 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 | 2023-09-01 | 2023-09-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-09-01 | 2023-09-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-16 | 2022-09-16 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-08-16 | 2022-09-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-16 | 2022-09-16 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-08-16 | 2022-09-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-16 | 2022-09-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-08-16 | 2022-09-16 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-08-16 | 2022-09-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-07-14 | 2022-08-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-07-14 | 2022-08-09 | N |
| Provide activities to meet all resident's needs. | Health | 2022-07-14 | 2022-08-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-14 | 2022-08-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-14 | 2022-08-09 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-07-14 | 2022-08-09 | 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 | 2019-04-02 | 2019-05-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-04-02 | 2019-05-09 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-04-02 | 2019-05-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-02 | 2019-05-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-04-02 | 2019-05-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-04-02 | 2019-05-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-04-02 | 2019-05-09 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-04-02 | 2019-05-09 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2019-04-02 | 2019-05-09 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-04-02 | 2019-05-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-04-02 | 2019-05-09 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-02-25 | 2019-03-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-25 | 2019-03-22 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-02-25 | 2019-03-22 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2019-02-25 | 2019-03-22 | N |
