A list of the most recent deficiencies for Waterford Crossing. 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 exits that are accessible at all times. | Fire Safety | 2023-01-17 | 2023-04-11 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-02-22 | 2023-03-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-02-22 | 2023-03-10 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-02-22 | 2023-03-10 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-01-17 | 2023-01-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-01-17 | 2023-01-30 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-12-15 | 2023-01-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-15 | 2023-01-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-15 | 2023-01-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-12-15 | 2023-01-10 | 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 | 2022-12-15 | 2023-01-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-15 | 2023-01-10 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-08-27 | 2019-09-14 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-08-27 | 2019-09-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-08-27 | 2019-09-14 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2019-07-29 | 2019-08-17 | 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 | 2019-07-29 | 2019-08-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-29 | 2019-08-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-29 | 2019-08-17 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-07-29 | 2019-08-17 | 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 | 2019-07-29 | 2019-08-17 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-08-21 | 2018-09-20 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-08-21 | 2018-09-20 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2018-08-21 | 2018-09-20 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-08-21 | 2018-09-20 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-08-21 | 2018-09-20 | N |
| Meet other general requirements. | Fire Safety | 2018-08-21 | 2018-09-20 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2018-08-21 | 2018-09-20 | 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 | 2018-08-21 | 2018-09-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-21 | 2018-09-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-08-21 | 2018-09-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-08-21 | 2018-09-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-08-21 | 2018-09-20 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-07-24 | 2018-08-17 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-07-24 | 2018-08-17 | 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 | 2018-07-24 | 2018-08-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-07-24 | 2018-08-17 | N |
