Deficiency Records for Waverly Rehabilitation and Healthcare Center

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Updated as of March 01, 2024

A list of the most recent deficiencies for Waverly Rehabilitation and Healthcare 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?
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-11-13 2023-12-14 Y
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-05-23 2023-06-30 N
Meet requirements for the use of electrical equipment. Fire Safety 2023-05-23 2023-06-30 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 2023-05-11 2023-06-12 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-01-06 2022-02-04 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-01-06 2022-02-04 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-01-06 2022-02-04 Y
Provide timely, quality laboratory services/tests to meet the needs of residents. Health 2022-01-06 2022-02-04 Y
Provide and implement an infection prevention and control program. Health 2022-01-06 2022-02-04 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2021-03-11 2021-04-11 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 2021-03-11 2021-04-11 N
Ensure each resident receives an accurate assessment. Health 2021-03-11 2021-04-11 N
Post nurse staffing information every day. Health 2021-03-11 2021-04-11 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2018-06-19 2018-08-02 N
Meet other general requirements that are deficient. Fire Safety 2018-06-19 2018-08-02 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2018-06-19 2018-08-02 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2018-06-19 2018-08-02 N
Have proper medical gas storage and administration areas. Fire Safety 2018-06-19 2018-08-02 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2018-06-07 2018-07-16 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2018-06-07 2018-07-16 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2018-06-07 2018-07-16 N
Respond appropriately to all alleged violations. Health 2018-06-07 2018-07-16 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2018-06-07 2018-07-16 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2018-06-07 2018-07-16 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2018-06-07 2018-07-16 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2018-06-07 2018-07-16 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2018-06-07 2018-07-16 N
Provide and implement an infection prevention and control program. Health 2018-06-07 2018-07-16 N
Address patient/client population and determine types of services needed. Fire Safety 2018-06-07 2018-06-28 N
Address subsistence needs for staff and patients. Fire Safety 2018-06-07 2018-06-28 N
Establish procedures for tracking staff and patients during an emergency. Fire Safety 2018-06-07 2018-06-28 N
Establish policies and procedures including evacuation. Fire Safety 2018-06-07 2018-06-28 N
Establish policies and procedures for volunteers. Fire Safety 2018-06-07 2018-06-28 N
Provide primary/alternate means for communication. Fire Safety 2018-06-07 2018-06-28 N
Establish methods for sharing information. Fire Safety 2018-06-07 2018-06-28 N
Provide family notifications of emergency plan. Fire Safety 2018-06-07 2018-06-28 N