Deficiency Records for Waterford Place Health Campus
Updated as of June 01, 2020
This is not the most recent data for Waterford Place Health Campus. For the most recent information, click here.
A list of the most recent deficiencies for Waterford Place Health Campus. 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? |
|---|---|---|---|---|
| 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 | 2020-02-05 | 2020-03-03 | N |
| Have exits that are accessible at all times. | Fire Safety | 2020-02-05 | 2020-03-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-02-05 | 2020-03-03 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2020-02-05 | 2020-03-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-05 | 2020-03-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-02-05 | 2020-03-03 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2020-02-05 | 2020-03-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-02-05 | 2020-03-03 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-02-05 | 2020-03-03 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2020-02-05 | 2020-03-03 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-02-05 | 2020-03-03 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2020-02-05 | 2020-03-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-02-05 | 2020-03-03 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2019-12-20 | 2020-01-19 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-12-20 | 2020-01-19 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2019-12-20 | 2020-01-19 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-12-20 | 2020-01-19 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-12-20 | 2020-01-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-20 | 2020-01-19 | 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 | 2019-12-20 | 2020-01-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-20 | 2020-01-19 | 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 | 2019-12-20 | 2020-01-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-20 | 2020-01-19 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install | Health | 2019-12-20 | 2020-01-19 | 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 | 2019-12-20 | 2020-01-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-20 | 2020-01-19 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-12-20 | 2020-01-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-11-05 | 2019-01-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-11-05 | 2018-12-05 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2018-10-02 | 2018-11-01 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2018-10-02 | 2018-11-01 | 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 | 2018-10-02 | 2018-11-01 | N |
| Assess the resident when there is a significant change in condition | Health | 2018-10-02 | 2018-11-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-10-02 | 2018-11-01 | 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 | 2018-10-02 | 2018-11-01 | N |
| Provide activities to meet all resident's needs. | Health | 2018-10-02 | 2018-11-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-02 | 2018-11-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-02 | 2018-11-01 | 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 | 2018-10-02 | 2018-11-01 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-10-02 | 2018-11-01 | 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 | 2018-10-02 | 2018-11-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-02-19 | 2018-03-09 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-02-19 | 2018-03-09 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-11-02 | 2017-11-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-11-02 | 2017-11-30 | Y |
| Meet other general requirements. | Fire Safety | 2017-09-05 | 2017-10-07 | N |
| Have a correctly designed non-healthcare occupancy area in a health care facility. | Fire Safety | 2017-09-05 | 2017-10-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-09-05 | 2017-10-07 | N |
| Provide rooms that can be unlocked from inside without a key. | Fire Safety | 2017-09-05 | 2017-10-07 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2017-09-05 | 2017-10-07 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-09-05 | 2017-10-07 | 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 | 2017-09-05 | 2017-10-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-09-05 | 2017-10-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-09-05 | 2017-10-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-09-05 | 2017-10-07 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2017-09-05 | 2017-10-07 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-09-05 | 2017-10-07 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2017-09-05 | 2017-10-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-09-05 | 2017-10-07 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-07-31 | 2017-08-31 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-07-31 | 2017-08-31 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-07-31 | 2017-08-31 | N |
