Deficiency Records for Waterview Lodge LLC, Rehabilitation and Healthcare

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Updated as of April 01, 2024

A list of the most recent deficiencies for Waterview Lodge LLC, Rehabilitation and Healthcare. 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?
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 2023-08-14 2023-09-27 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-08-14 2023-09-27 N
Provide activities to meet all resident's needs. Health 2023-08-14 2023-09-27 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-08-14 2023-09-27 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-08-14 2023-09-27 N
Post nurse staffing information every day. Health 2023-08-14 2023-09-27 N
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. Health 2023-08-14 2023-09-27 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2023-08-14 2023-09-27 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-08-14 2023-09-27 N
Provide and implement an infection prevention and control program. Health 2023-08-14 2023-09-27 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2023-08-14 2023-09-27 N
Implement emergency and standby power systems. Fire Safety 2023-08-29 2023-09-27 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-08-29 2023-09-27 N
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. Health 2022-01-18 2022-03-02 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-01-18 2022-03-02 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2022-01-18 2022-03-02 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2022-01-18 2022-03-02 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 2022-01-18 2022-03-02 N
Assist a resident in gaining access to vision and hearing services. Health 2022-01-18 2022-03-02 N
Provide appropriate foot care. Health 2022-01-18 2022-03-02 N
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2022-01-18 2022-03-02 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-01-18 2022-03-02 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 and maintain the bed rail. Health 2022-01-18 2022-03-02 N
Ensure medication error rates are not 5 percent or greater. Health 2022-01-18 2022-03-02 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-01-18 2022-03-02 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-01-18 2022-03-02 N
Provide and implement an infection prevention and control program. Health 2022-01-18 2022-03-02 N
Not hire anyone with a finding of abuse, neglect, exploitation, or theft. Health 2019-07-10 2019-08-09 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2019-07-10 2019-08-09 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 2019-07-10 2019-08-09 N
Ensure each resident receives an accurate assessment. Health 2019-07-10 2019-08-09 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 2019-07-10 2019-08-09 N
Provide or obtain dental services for each resident. Health 2019-07-10 2019-08-09 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-07-10 2019-08-09 N