A list of the most recent deficiencies for Life Care Center of Waynesville. 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? |
|---|---|---|---|---|
| Ensure that residents are free from significant medication errors. | Health | 2022-12-20 | 2023-01-23 | Y |
| Provide activities to meet all resident's needs. | Health | 2022-11-14 | 2022-12-28 | 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 | 2022-11-14 | 2022-12-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-14 | 2022-12-28 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-11-14 | 2022-12-28 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-11-14 | 2022-12-28 | 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 | 2022-11-14 | 2022-12-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-14 | 2022-12-28 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-11-14 | 2022-12-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-11-14 | 2022-12-28 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-11-14 | 2022-12-28 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-11-14 | 2022-12-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-14 | 2022-12-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-11-14 | 2022-12-28 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2022-11-14 | 2022-12-28 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-03-08 | 2022-04-02 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-11-15 | 2019-12-27 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2019-11-15 | 2019-12-27 | 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 | 2019-11-15 | 2019-12-27 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2019-11-15 | 2019-12-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-15 | 2019-12-27 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-11-15 | 2019-12-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-11-15 | 2019-12-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-15 | 2019-12-27 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-11-15 | 2019-12-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-11-15 | 2019-12-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-11-15 | 2019-12-27 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-08-31 | 2018-10-11 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2018-08-31 | 2018-10-11 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2018-08-31 | 2018-10-11 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-08-31 | 2018-10-11 | N |
| Assess the resident when there is a significant change in condition | Health | 2018-08-31 | 2018-10-11 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-08-31 | 2018-10-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-31 | 2018-10-11 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-08-31 | 2018-10-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-31 | 2018-10-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-08-31 | 2018-10-11 | 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 | 2018-08-31 | 2018-10-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-31 | 2018-10-11 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-08-31 | 2018-10-11 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-08-31 | 2018-10-11 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-08-31 | 2018-10-11 | N |
