Deficiency Records for Waldron Rehabilitation and Healthcare Center
Updated as of September 01, 2020
This is not the most recent data for Waldron Rehabilitation and Healthcare Center. For the most recent information, click here.
A list of the most recent deficiencies for Waldron Rehabilitation and Healthcare Center. 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? |
|---|---|---|---|---|
| Conduct testing and exercise requirements. | Fire Safety | 2020-02-26 | 2020-03-16 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2020-02-26 | 2020-03-16 | 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 | 2020-02-26 | 2020-03-16 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2020-02-26 | 2020-03-16 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2020-02-26 | 2020-03-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-02-26 | 2020-03-16 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-02-26 | 2020-03-16 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2020-02-26 | 2020-03-16 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-02-26 | 2020-03-16 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2020-01-10 | 2020-02-09 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-01-10 | 2020-02-09 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2020-01-10 | 2020-02-09 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2020-01-10 | 2020-02-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-10 | 2020-02-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-10 | 2020-02-09 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-07-25 | 2019-08-24 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-07-25 | 2019-08-24 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-25 | 2019-04-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-03-25 | 2019-04-24 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-03-25 | 2019-04-24 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-03-25 | 2019-04-24 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-01-09 | 2019-02-08 | Y |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-12-17 | 2019-01-16 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-12-17 | 2019-01-16 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2018-12-17 | 2019-01-16 | 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 | 2018-12-17 | 2019-01-16 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2018-12-17 | 2019-01-16 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-12-17 | 2019-01-16 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-12-17 | 2019-01-16 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-12-17 | 2019-01-16 | 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 | 2018-12-17 | 2019-01-16 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2018-12-17 | 2019-01-16 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-12-17 | 2019-01-16 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2018-12-17 | 2019-01-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-12-17 | 2019-01-16 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2018-12-17 | 2019-01-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-30 | 2018-12-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-11-30 | 2018-12-30 | 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 | 2018-11-30 | 2018-12-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-11-30 | 2018-12-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-30 | 2018-12-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-02-12 | 2018-02-26 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2018-02-12 | 2018-02-26 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-11-02 | 2017-12-01 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2017-11-02 | 2017-12-01 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-11-02 | 2017-12-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-11-02 | 2017-12-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-11-02 | 2017-12-01 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2017-11-02 | 2017-12-01 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-09-25 | 2017-09-29 | N |
| Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | Health | 2017-09-25 | 2017-09-29 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-09-25 | 2017-09-29 | N |
