Deficiency Records for Waddell Nursing and Rehab Center
Updated as of January 01, 2020
This is not the most recent data for Waddell Nursing and Rehab Center. For the most recent information, click here.
A list of the most recent deficiencies for Waddell Nursing and Rehab Center. 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 dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-09 | 2019-09-18 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-08-09 | 2019-09-18 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-08-09 | 2019-09-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-08-09 | 2019-09-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-09 | 2019-09-18 | 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 | 2019-08-09 | 2019-09-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-09 | 2019-09-18 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-08-09 | 2019-09-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-08-09 | 2019-09-18 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-08-09 | 2019-09-18 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-08-09 | 2019-09-18 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-08-09 | 2019-09-18 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-08-09 | 2019-09-18 | 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 | 2019-08-09 | 2019-09-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-08-09 | 2019-09-18 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2019-08-09 | 2019-09-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-09 | 2019-09-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-05-17 | 2018-06-20 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-05-17 | 2018-06-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-05-17 | 2018-06-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-05-03 | 2018-05-31 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-05-03 | 2018-05-31 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-05-03 | 2018-05-31 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-05-03 | 2018-05-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-05-03 | 2018-05-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-05-03 | 2018-05-31 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-05-03 | 2018-05-31 | 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 | 2018-05-03 | 2018-05-31 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-05-03 | 2018-05-31 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2018-05-03 | 2018-05-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-05-03 | 2018-05-31 | N |
| Have exits that are accessible at all times. | Fire Safety | 2017-03-27 | 2017-05-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-03-27 | 2017-05-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-03-27 | 2017-05-18 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2017-03-27 | 2017-05-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-03-27 | 2017-05-18 | 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 | 2017-03-09 | 2017-04-21 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-03-09 | 2017-04-21 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-03-09 | 2017-04-21 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-03-09 | 2017-04-21 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2017-03-09 | 2017-04-21 | N |
| Provide or obtain laboratory services only when ordered by the attending physician. | Health | 2017-03-09 | 2017-04-21 | N |
