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 |