Deficiency Records for The Waters of Wakarusa Skilled Nursing Facility
Updated as of April 01, 2024
A list of the most recent deficiencies for The Waters of Wakarusa 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? |
|---|---|---|---|---|
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-04-19 | 2023-05-10 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-28 | 2023-05-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-02-28 | 2023-04-17 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-02-28 | 2023-04-17 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-02-28 | 2023-04-17 | 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 | 2023-02-28 | 2023-04-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-02-28 | 2023-04-17 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-02-28 | 2023-04-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-28 | 2023-04-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-28 | 2023-04-17 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-02-28 | 2023-04-17 | N |
| Have an externally vented heating system. | Fire Safety | 2023-02-28 | 2023-04-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-02-28 | 2023-04-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-02-28 | 2023-04-17 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-02-06 | 2023-02-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-06 | 2023-02-25 | 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 | 2023-02-06 | 2023-02-25 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-02-06 | 2023-02-25 | N |
| Provide activities to meet all resident's needs. | Health | 2023-02-06 | 2023-02-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-02-06 | 2023-02-25 | 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 | 2023-02-06 | 2023-02-25 | 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 | 2020-01-13 | 2020-02-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-01-13 | 2020-02-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-01-13 | 2020-02-10 | N |
| Have an externally vented heating system. | Fire Safety | 2020-01-13 | 2020-02-10 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2020-01-13 | 2020-02-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-01-13 | 2020-02-10 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-10-21 | 2019-11-20 | N |
| Respond appropriately to all alleged violations. | Health | 2019-10-21 | 2019-11-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-21 | 2019-11-20 | 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 | 2019-10-21 | 2019-11-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-10-21 | 2019-11-20 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-10-21 | 2019-11-20 | N |
| Meet other general requirements. | Fire Safety | 2018-11-01 | 2018-12-01 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-11-01 | 2018-12-01 | 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 | 2018-11-01 | 2018-12-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-01 | 2018-12-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-11-01 | 2018-12-01 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-11-01 | 2018-12-01 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2018-11-01 | 2018-12-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-11-01 | 2018-12-01 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2018-11-01 | 2018-12-01 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-10-01 | 2018-10-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-01 | 2018-10-31 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-10-01 | 2018-10-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-01 | 2018-10-31 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-10-01 | 2018-10-31 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2018-10-01 | 2018-10-31 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-10-01 | 2018-10-31 | 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 | 2018-10-01 | 2018-10-31 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-10-01 | 2018-10-31 | N |
