Deficiency Records for Waverly Heights

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Updated as of August 01, 2021

This is not the most recent data for Waverly Heights. For the most recent information, click here.

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?
Provide family notifications of emergency plan. Fire Safety 2019-04-17 2019-05-17 N
Meet other general requirements. Fire Safety 2019-04-17 2019-05-17 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 2019-04-17 2019-05-17 N
Properly provide smoke detection systems in areas open to corridors. Fire Safety 2019-04-17 2019-05-17 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-04-17 2019-05-17 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2019-04-17 2019-05-17 N
Have power receptacles that are properly grounded. Fire Safety 2019-04-17 2019-05-17 N
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2019-04-12 2019-05-06 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2019-04-12 2019-05-02 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2019-04-12 2019-05-02 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2019-04-12 2019-05-02 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2019-04-12 2019-05-02 N
Install a two-hour-resistant firewall separation. Fire Safety 2018-06-27 2018-07-31 N
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2018-06-27 2018-07-31 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2018-06-27 2018-07-31 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2018-06-27 2018-07-31 N
Install a two-hour-resistant firewall separation. Fire Safety 2017-05-17 2017-06-16 N
Have an enclosure around a vertical opening shaft. Fire Safety 2017-05-17 2017-06-16 N
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2017-05-17 2017-06-06 N
Have properly located and lighted "Exit" signs. Fire Safety 2017-05-17 2017-06-06 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2017-05-17 2017-06-06 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2017-05-17 2017-06-06 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2017-05-17 2017-06-06 N
Ensure proper usage of power strips and extension cords. Fire Safety 2017-05-17 2017-06-06 N
Have proper medical gas storage and administration areas. Fire Safety 2017-05-17 2017-06-06 N
Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. Health 2017-05-05 2017-06-06 N
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Health 2017-05-05 2017-06-06 N
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Health 2017-05-05 2017-06-06 N
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2017-05-05 2017-06-06 N
Provide necessary care and services to maintain or improve the highest well being of each resident . Health 2017-05-05 2017-06-06 N
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Health 2017-05-05 2017-06-06 N
Post nurse staffing information/data on a daily basis. Health 2017-05-05 2017-06-06 N
Store, cook, and serve food in a safe and clean way. Health 2017-05-05 2017-06-06 N
Keep clinical record information safe. Health 2017-05-05 2017-06-06 N