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Deficiency Records for Adept Nursing and Rehab of Waverly
View the most recent health deficiencies and inspection results for Adept Nursing and Rehab of Waverly. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Adept Nursing and Rehab of Waverly. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that residents are free from significant medication errors. | Health | 2025-06-24 | 2025-07-24 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-04-08 | 2025-05-12 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-04-08 | 2025-05-12 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-12-05 | 2025-03-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-12-05 | 2025-03-17 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-12-05 | 2025-03-17 | N |
| Use approved construction type or materials. | Fire Safety | 2024-12-05 | 2025-02-24 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-12-05 | 2025-02-24 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-12-05 | 2025-02-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-12-05 | 2025-02-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-12-05 | 2025-02-24 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-12-05 | 2025-02-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-12-05 | 2025-02-24 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-12-05 | 2025-02-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-12-05 | 2025-02-24 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-12-05 | 2025-02-24 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-12-05 | 2025-01-19 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-12-05 | 2025-01-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-12-05 | 2025-01-19 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-12-05 | 2025-01-19 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-12-05 | 2025-01-19 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-12-05 | 2025-01-19 | Y |
| 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 | 2024-12-05 | 2025-01-19 | 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 | 2024-12-05 | 2025-01-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-12-05 | 2025-01-19 | N |
| Post nurse staffing information every day. | Health | 2024-12-05 | 2025-01-19 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-12-05 | 2025-01-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-12-05 | 2025-01-19 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2024-12-05 | 2025-01-19 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-08-28 | 2024-09-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-28 | 2024-09-23 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-08-08 | 2024-08-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-08 | 2024-08-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-17 | 2024-06-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-12 | 2024-03-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-12 | 2024-03-11 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-01-10 | 2024-02-23 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-01-10 | 2024-02-23 | 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 | 2024-01-10 | 2024-02-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-10 | 2024-02-23 | 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 | 2024-01-10 | 2024-02-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-10 | 2024-02-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-10 | 2024-02-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-10 | 2024-02-23 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-01-10 | 2024-02-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-01-10 | 2024-02-23 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-01-10 | 2024-02-23 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2024-01-10 | 2024-02-23 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-01-10 | 2024-02-23 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-01-10 | 2024-02-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-10 | 2024-02-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-01-10 | 2024-02-23 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-01-10 | 2024-02-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-12 | 2024-01-12 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-09 | 2023-04-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-09 | 2023-04-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-09 | 2023-04-06 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2023-03-09 | 2023-04-06 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-03-09 | 2023-04-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-09 | 2023-04-06 | 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 | 2023-03-09 | 2023-04-06 | 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 | 2023-03-09 | 2023-04-06 | 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 | 2023-03-09 | 2023-04-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-09 | 2023-04-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-09 | 2023-04-06 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-03-09 | 2023-04-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-03-09 | 2023-04-06 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-09 | 2023-04-06 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-03-09 | 2023-04-06 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-03-09 | 2023-04-06 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-03-09 | 2023-04-06 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-03-09 | 2023-04-06 | 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 | 2023-03-09 | 2023-04-06 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-03-09 | 2023-04-06 | 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 | 2023-03-09 | 2023-04-06 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-03-09 | 2023-04-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-09 | 2023-04-06 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-03-09 | 2023-04-06 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2023-03-09 | 2023-04-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-03-09 | 2023-04-06 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-03-09 | 2023-04-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-09 | 2023-04-06 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-03-09 | 2023-04-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-09 | 2023-04-06 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-03-09 | 2023-04-06 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-03-09 | 2023-04-06 | N |