A list of the most recent deficiencies for The Waterview Shores 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-25 | 2024-02-02 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-07-27 | 2023-09-13 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-07-27 | 2023-09-13 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-27 | 2023-09-13 | 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 | 2023-07-27 | 2023-09-13 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-07-27 | 2023-09-13 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-07-27 | 2023-09-13 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-07-27 | 2023-09-13 | 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 | 2023-07-27 | 2023-08-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-07-27 | 2023-08-31 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-18 | 2023-04-28 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-04-18 | 2023-04-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-11-04 | 2022-11-05 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-11-04 | 2022-11-05 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-11-04 | 2022-11-05 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-04-07 | 2022-05-06 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-04-07 | 2022-05-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-07 | 2022-05-06 | 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 | 2022-04-07 | 2022-05-06 | 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 | 2022-04-07 | 2022-05-06 | 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 | 2022-04-07 | 2022-05-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-07 | 2022-05-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-07 | 2022-05-06 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2022-04-07 | 2022-05-06 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-04-05 | 2022-05-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-05 | 2022-05-06 | 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 | 2022-01-26 | 2022-01-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-26 | 2021-06-18 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-02-24 | 2021-04-11 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-02-24 | 2021-04-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-02-24 | 2021-04-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-02-24 | 2021-04-11 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-02-24 | 2021-04-11 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2021-02-25 | 2021-03-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-02-25 | 2021-03-29 | N |
| Provide activities to meet all resident's needs. | Health | 2021-02-25 | 2021-03-29 | 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 | 2021-02-25 | 2021-03-29 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-02-25 | 2021-03-29 | 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 | 2021-02-25 | 2021-03-29 | N |
| Provide or obtain dental services for each resident. | Health | 2021-02-25 | 2021-03-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-02-25 | 2021-03-29 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-02-24 | 2021-03-26 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2021-02-24 | 2021-03-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-02-24 | 2021-03-12 | N |
