Deficiency Records for Waters Edge at Port Jefferson For Rehab and Nrsg
Updated as of March 01, 2024
A list of the most recent deficiencies for Waters Edge at Port Jefferson For Rehab and Nrsg. 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? |
|---|---|---|---|---|
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-06-08 | 2023-07-14 | Y |
| Honor the resident's right to choose his or her attending physician. | Health | 2023-06-14 | 2023-06-23 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-14 | 2023-06-23 | Y |
| Use approved construction type or materials. | Fire Safety | 2022-02-28 | 2022-06-28 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-02-28 | 2022-04-27 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-02-28 | 2022-04-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-02-28 | 2022-04-11 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-02-28 | 2022-04-11 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2022-02-28 | 2022-04-11 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-02-28 | 2022-04-11 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-02-28 | 2022-04-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-29 | 2022-01-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-23 | 2019-12-13 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-08-23 | 2019-12-13 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-23 | 2019-10-04 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-08-23 | 2019-10-04 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-04-27 | 2018-06-15 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-04-27 | 2018-06-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-04-27 | 2018-06-15 | 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 | 2018-04-27 | 2018-06-15 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2018-04-27 | 2018-06-15 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-05-03 | 2018-05-31 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-05-03 | 2018-05-31 | N |
