A list of the most recent deficiencies for The Waterview Woods LLC. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-11-28 | 2023-12-11 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-25 | 2023-09-18 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-08-25 | 2023-09-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-25 | 2023-09-18 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-04-06 | 2023-05-09 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2023-04-06 | 2023-05-09 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-04-06 | 2023-05-09 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-04-06 | 2023-05-09 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-04-06 | 2023-05-09 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-04-06 | 2023-05-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-06 | 2023-05-09 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-04-04 | 2023-04-24 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-02-02 | 2023-02-27 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-02 | 2023-02-27 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-02 | 2023-02-27 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-27 | 2022-12-02 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-27 | 2022-12-02 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-10-27 | 2022-12-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-10-27 | 2022-12-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-16 | 2022-09-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-21 | 2022-03-03 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-01-21 | 2022-02-14 | 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 | 2022-01-21 | 2022-02-14 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2022-01-21 | 2022-02-14 | 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 | 2022-01-21 | 2022-02-14 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-01-21 | 2022-02-14 | N |
| Keep all essential equipment working safely. | Health | 2022-01-21 | 2022-02-14 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2022-01-21 | 2022-02-14 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-01-21 | 2022-02-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-21 | 2022-02-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-21 | 2022-02-14 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-01-27 | 2022-02-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-18 | 2021-12-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-18 | 2021-12-15 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-10-14 | 2021-11-17 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-05-10 | 2021-05-28 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-27 | 2021-05-18 | Y |
| 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 | 2021-04-27 | 2021-05-18 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-03-19 | 2021-04-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-03-19 | 2021-04-06 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-03-19 | 2021-04-06 | Y |
| 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 | 2019-10-25 | 2019-12-09 | N |
| Ensure that a resident does not develop patterns of decreased social interaction and/or increased withdrawn, angry, or depressive behaviors, unless unavoidable. | Health | 2019-10-25 | 2019-12-09 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-10-25 | 2019-12-03 | 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 | 2019-10-25 | 2019-12-03 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-10-25 | 2019-12-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-10-25 | 2019-12-03 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-10-25 | 2019-12-03 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-10-25 | 2019-12-03 | 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 | 2019-10-25 | 2019-12-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-25 | 2019-12-03 | 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 | 2019-10-25 | 2019-12-03 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-10-25 | 2019-12-03 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-10-25 | 2019-12-03 | 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 | 2019-10-25 | 2019-12-03 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-10-25 | 2019-12-03 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-10-25 | 2019-12-03 | 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 | 2019-10-25 | 2019-12-03 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-10-25 | 2019-12-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-10-25 | 2019-12-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-25 | 2019-12-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-23 | 2019-12-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-10-23 | 2019-12-03 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-10-23 | 2019-12-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-10-23 | 2019-12-03 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-10-23 | 2019-11-25 | 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 | 2019-10-23 | 2019-11-22 | N |
| Construct fire resistant interior walls. | Fire Safety | 2019-10-23 | 2019-11-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-23 | 2019-11-14 | N |
