A list of the most recent deficiencies for The Waters of Gallatin, LLC. 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-22 | 2023-04-14 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-03-22 | 2023-04-14 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-03-22 | 2023-04-14 | Y |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2022-12-05 | 2022-12-29 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-12-05 | 2022-12-29 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-05-03 | 2022-05-19 | Y |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2022-03-15 | 2022-04-28 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-03-15 | 2022-04-28 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-15 | 2022-04-28 | Y |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2022-03-15 | 2022-04-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-03-15 | 2022-04-28 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-03-15 | 2022-04-28 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-09-16 | 2021-11-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-16 | 2021-11-02 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-10-27 | 2021-10-31 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-27 | 2021-10-31 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-12-18 | 2020-01-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-12-18 | 2020-01-31 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-12-17 | 2020-01-30 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2019-12-17 | 2020-01-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-12-17 | 2020-01-30 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2019-12-17 | 2020-01-30 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-12-17 | 2020-01-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-12-17 | 2020-01-30 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2019-01-09 | 2019-01-23 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-01-07 | 2019-01-21 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-01-07 | 2019-01-18 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-10-09 | 2017-10-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-10-09 | 2017-10-29 | N |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-10-11 | 2017-10-25 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-10-11 | 2017-10-25 | N |
| Keep clinical record information safe. | Health | 2017-10-11 | 2017-10-25 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-10-11 | 2017-10-24 | N |
