Deficiency Records for Waterfront Rehabilitation and Healthcare Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Waterfront Rehabilitation and Healthcare Center. 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? |
|---|---|---|---|---|
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-03-22 | 2022-05-03 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-03-22 | 2022-05-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-22 | 2022-05-03 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-03-22 | 2022-05-03 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-22 | 2022-05-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-22 | 2022-05-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-22 | 2022-05-03 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-03-22 | 2022-05-03 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-03-22 | 2022-05-03 | 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 | 2022-03-22 | 2022-05-03 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-03-22 | 2022-05-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-03-22 | 2022-05-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-22 | 2022-05-03 | 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 | 2019-11-21 | 2019-12-13 | 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 | 2019-11-21 | 2019-12-13 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-11-21 | 2019-12-13 | 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 | 2019-11-21 | 2019-12-13 | N |
| Keep all essential equipment working safely. | Health | 2019-11-21 | 2019-12-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-11-21 | 2019-12-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-21 | 2019-12-13 | N |
| Assess the resident when there is a significant change in condition | Health | 2018-10-05 | 2018-10-20 | 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 | 2018-10-05 | 2018-10-20 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2018-10-05 | 2018-10-20 | 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 | 2018-10-05 | 2018-10-20 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-10-05 | 2018-10-20 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-10-05 | 2018-10-20 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2018-10-05 | 2018-10-20 | N |
