A list of the most recent deficiencies for The Waters of Winchester, 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? |
|---|---|---|---|---|
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-07-11 | 2023-08-26 | N |
| Provide emergency officials' contact information. | Fire Safety | 2023-07-11 | 2023-08-26 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-07-11 | 2023-08-26 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-07-11 | 2023-08-26 | 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 | 2023-07-11 | 2023-08-26 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2023-07-11 | 2023-08-26 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-07-11 | 2023-08-26 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-07-11 | 2023-08-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-07-11 | 2023-08-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-07-11 | 2023-08-26 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-07-11 | 2023-08-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-11 | 2023-08-26 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-07-11 | 2023-08-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-07-11 | 2023-08-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-07-11 | 2023-08-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-11 | 2023-08-26 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-07-11 | 2023-08-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-11 | 2023-08-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-07-11 | 2023-08-26 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2023-07-12 | 2023-08-07 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-11-10 | 2022-12-19 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-11-10 | 2022-12-19 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2019-10-21 | 2019-12-03 | 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 | 2019-10-21 | 2019-12-03 | N |
| Construct fire resistant interior walls. | Fire Safety | 2019-10-21 | 2019-12-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-21 | 2019-12-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-10-21 | 2019-12-03 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-10-21 | 2019-12-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-10-21 | 2019-12-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-06 | 2018-10-12 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-09-06 | 2018-10-12 | 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 | 2018-09-06 | 2018-10-12 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-09-06 | 2018-10-12 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-09-06 | 2018-10-12 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2018-09-06 | 2018-10-12 | 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 | 2018-09-06 | 2018-10-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-09-06 | 2018-10-12 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-09-06 | 2018-10-12 | N |
