A list of the most recent deficiencies for Elderwood at Waverly. 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 a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-29 | 2024-02-28 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-27 | 2023-06-26 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-04-26 | 2023-06-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-04-26 | 2023-06-22 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-04-26 | 2023-06-22 | 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 | 2023-04-27 | 2023-06-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-04-26 | 2023-06-09 | N |
| Dispose of garbage and refuse properly. | Health | 2023-04-27 | 2023-05-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-27 | 2023-05-26 | 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 | 2023-04-27 | 2023-05-26 | 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 | 2023-04-27 | 2023-05-26 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2023-04-27 | 2023-05-26 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-04-26 | 2023-05-24 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-04-26 | 2023-05-24 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-04-27 | 2023-05-23 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-04-27 | 2023-05-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-27 | 2023-05-23 | 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 | 2023-04-26 | 2023-05-18 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-04-27 | 2023-05-03 | 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 | 2023-04-26 | 2023-05-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-26 | 2023-05-02 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-04-26 | 2023-05-01 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2023-04-27 | 2023-04-27 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-04-27 | 2023-04-27 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-04-26 | 2023-04-27 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2020-10-15 | 2020-11-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-10-15 | 2020-10-28 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2020-10-15 | 2020-10-28 | N |
| Ensure medical gas and vacuum systems have documented maintenance programs. | Fire Safety | 2020-10-15 | 2020-10-21 | N |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2020-10-15 | 2020-10-21 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-01-17 | 2019-03-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-01-17 | 2019-03-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-18 | 2019-02-22 | 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 | 2019-01-18 | 2019-02-22 | N |
| Ensure gas and vacuum piping is labeled. | Fire Safety | 2019-01-17 | 2019-02-15 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-01-17 | 2019-02-15 | N |
