A list of the most recent deficiencies for Waverly Heights. 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? |
|---|---|---|---|---|
| Use approved construction type or materials. | Fire Safety | 2023-07-31 | 2023-08-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-31 | 2023-08-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-31 | 2023-08-30 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-07-20 | 2023-08-21 | N |
| Respond appropriately to all alleged violations. | Health | 2023-07-20 | 2023-08-21 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-07-20 | 2023-08-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-07-20 | 2023-08-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-20 | 2023-08-21 | N |
| Meet other general requirements. | Fire Safety | 2022-08-09 | 2022-08-18 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2022-08-09 | 2022-08-18 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-08-09 | 2022-08-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-09 | 2022-08-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-09 | 2022-08-18 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-08-09 | 2022-08-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-08-09 | 2022-08-18 | N |
| Use approved construction type or materials. | Fire Safety | 2021-08-16 | 2021-09-24 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-08-16 | 2021-09-24 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-08-16 | 2021-09-24 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2021-08-16 | 2021-09-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-16 | 2021-09-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-08-16 | 2021-09-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-08-16 | 2021-09-24 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2021-08-16 | 2021-09-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-08-16 | 2021-09-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-01 | 2021-07-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-07-01 | 2021-07-23 | N |
