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Deficiency Records for Waldorf Center
View the most recent health deficiencies and inspection results for Waldorf Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Waldorf Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2026-01-23 | 2026-03-11 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2026-01-23 | 2026-03-11 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-01-23 | 2026-03-11 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2026-01-23 | 2026-03-11 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2026-01-23 | 2026-03-11 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2024-08-20 | 2024-12-17 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-08-20 | 2024-12-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-08-20 | 2024-12-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-20 | 2024-12-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-08-20 | 2024-12-17 | N |
| Meet other general requirements. | Fire Safety | 2024-08-20 | 2024-12-17 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-08-20 | 2024-12-17 | 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 | 2024-08-20 | 2024-12-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-08-20 | 2024-11-19 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-08-20 | 2024-11-19 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-08-20 | 2024-11-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-08-20 | 2024-11-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-08-20 | 2024-11-19 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-08-20 | 2024-11-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-08-20 | 2024-11-19 | N |
| Ensure that gas fire places are out of the reach of patients and can be shut off if unit is working improperly. | Fire Safety | 2024-08-20 | 2024-11-19 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2024-08-20 | 2024-11-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-08-20 | 2024-11-19 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-08-20 | 2024-11-19 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-08-20 | 2024-10-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-20 | 2024-10-15 | N |
| 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 | 2024-08-20 | 2024-10-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-08-20 | 2024-10-15 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-08-20 | 2024-10-15 | Y |
| Dispose of garbage and refuse properly. | Health | 2024-08-20 | 2024-10-15 | 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 | 2024-08-20 | 2024-10-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-20 | 2024-10-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-08-20 | 2024-10-15 | Y |
| Provide appropriate foot care. | Health | 2024-08-20 | 2024-10-15 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-08-20 | 2024-10-15 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-08-20 | 2024-10-15 | Y |
| 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 | 2024-08-20 | 2024-10-15 | Y |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2024-08-20 | 2024-10-15 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-08-20 | 2024-10-15 | Y |
| 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 | 2024-08-20 | 2024-10-15 | 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 | 2024-08-20 | 2024-10-15 | 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 | 2024-08-20 | 2024-10-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-08-20 | 2024-10-15 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-08-20 | 2024-10-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-08-20 | 2024-10-15 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-08-20 | 2024-10-15 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2024-08-20 | 2024-10-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-20 | 2024-10-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-06-11 | 2019-07-29 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-06-11 | 2019-07-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-11 | 2019-07-29 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2019-06-11 | 2019-07-29 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2019-06-11 | 2019-07-29 | N |
| Meet other general requirements. | Fire Safety | 2019-06-11 | 2019-07-29 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-02-27 | 2018-06-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-02-27 | 2018-06-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-02-27 | 2018-06-15 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-02-27 | 2018-04-13 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2018-02-27 | 2018-04-13 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2018-02-27 | 2018-04-13 | 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 | 2018-02-27 | 2018-04-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-02-27 | 2018-04-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-02-27 | 2018-04-13 | N |