A list of the most recent deficiencies for The Waters of Smyrna, 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? |
|---|---|---|---|---|
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-08-15 | 2023-09-07 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-10-04 | 2022-10-10 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-10-04 | 2022-10-10 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2022-08-08 | 2022-08-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-08 | 2022-08-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-08 | 2022-08-29 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-08-08 | 2022-08-29 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-08-10 | 2022-08-22 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-08-10 | 2022-08-22 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-08-10 | 2022-08-22 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-08-10 | 2022-08-22 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-10 | 2022-08-22 | N |
| Respond appropriately to all alleged violations. | Health | 2022-08-10 | 2022-08-22 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-08-10 | 2022-08-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-10 | 2022-08-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-10 | 2022-08-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-08-10 | 2022-08-22 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-08-10 | 2022-08-22 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-08-10 | 2022-08-22 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-08-10 | 2022-08-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-10 | 2022-08-22 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-08-10 | 2022-08-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-10 | 2022-08-22 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-08-10 | 2022-08-22 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-04-14 | 2022-05-14 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-14 | 2022-05-14 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-04-14 | 2022-05-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-14 | 2022-05-14 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-14 | 2022-05-14 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-04-14 | 2022-05-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-04-14 | 2022-05-14 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-01 | 2022-03-31 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-10-11 | 2021-10-28 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-09-14 | 2021-10-28 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-09-14 | 2021-10-28 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-09-14 | 2021-10-28 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-08-06 | 2019-09-21 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-08-06 | 2019-09-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-08-06 | 2019-09-21 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2019-08-06 | 2019-09-21 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-08-07 | 2019-09-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-08-07 | 2019-09-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-07 | 2019-09-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-06-13 | 2018-07-28 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2018-06-13 | 2018-07-28 | 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 | 2018-06-13 | 2018-07-28 | N |
| Dispose of garbage and refuse properly. | Health | 2018-06-13 | 2018-07-28 | N |
| Keep all essential equipment working safely. | Health | 2018-06-13 | 2018-07-28 | 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 | 2018-06-11 | 2018-07-28 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2018-06-11 | 2018-07-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-06-11 | 2018-07-28 | N |
