CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Waters Edge Health and Rehabilitation Center
View the most recent health deficiencies and inspection results for Waters Edge Health and Rehabilitation Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Waters Edge Health and Rehabilitation Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-09-30 | 2025-12-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-09-30 | 2025-12-11 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-09-30 | 2025-12-11 | N |
| Respond appropriately to all alleged violations. | Health | 2025-09-30 | 2025-11-04 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-09-30 | 2025-11-04 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-09-30 | 2025-11-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-09-30 | 2025-11-04 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-09-30 | 2025-11-04 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2025-09-30 | 2025-11-04 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2025-09-30 | 2025-11-04 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2025-09-30 | 2025-11-04 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2025-09-30 | 2025-11-04 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2025-09-30 | 2025-11-04 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-09-30 | 2025-11-04 | 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 | 2025-09-30 | 2025-11-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-09-30 | 2025-11-04 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-09-30 | 2025-11-04 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2025-09-30 | 2025-11-04 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-09-30 | 2025-11-04 | 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 | 2025-09-30 | 2025-11-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-09-30 | 2025-11-04 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-09-30 | 2025-11-04 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2025-09-30 | 2025-11-04 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2025-09-30 | 2025-11-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-09-30 | 2025-11-04 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2025-09-30 | 2025-11-04 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2025-09-30 | 2025-11-04 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-09-30 | 2025-11-04 | Y |
| 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 | 2025-09-30 | 2025-11-04 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-09-30 | 2025-11-04 | 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 | 2025-08-20 | 2025-09-20 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-08-20 | 2025-09-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-07-08 | 2025-07-28 | Y |
| 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 | 2025-05-15 | 2025-06-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-30 | 2024-11-20 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-09-11 | 2024-09-30 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-08-05 | 2024-09-05 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-08-05 | 2024-09-05 | N |
| Assess the resident when there is a significant change in condition | Health | 2024-08-05 | 2024-09-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-08-05 | 2024-09-05 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-08-05 | 2024-09-05 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-08-05 | 2024-09-05 | 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 | 2024-08-05 | 2024-09-05 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-08-05 | 2024-09-05 | 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 | 2024-08-05 | 2024-09-05 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-08-05 | 2024-09-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-05 | 2024-09-05 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-08-05 | 2024-09-05 | Y |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-08-05 | 2024-09-05 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2024-08-05 | 2024-09-05 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2024-08-05 | 2024-09-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-08-05 | 2024-09-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-08-05 | 2024-08-29 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2024-08-05 | 2024-08-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-08-05 | 2024-08-23 | 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 | 2024-08-05 | 2024-08-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-08-05 | 2024-08-14 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-05-20 | 2024-06-18 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-05-20 | 2024-06-18 | Y |
| Give residents a notice of rights, rules, services and charges. | Health | 2024-05-20 | 2024-06-18 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-20 | 2024-06-18 | Y |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2024-05-20 | 2024-06-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-20 | 2024-06-18 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-05-20 | 2024-06-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-20 | 2024-06-18 | Y |
| 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 | 2024-05-20 | 2024-06-18 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-05-20 | 2024-06-18 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-05-20 | 2024-06-18 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-05-20 | 2024-06-18 | 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 | 2024-05-20 | 2024-06-18 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-12-06 | 2024-01-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-06 | 2024-01-06 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-12-06 | 2024-01-06 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-12-06 | 2024-01-06 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-12-06 | 2024-01-06 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-10-04 | 2023-11-03 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-10-04 | 2023-11-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-04 | 2023-11-03 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-05-24 | 2023-06-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-24 | 2023-06-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-24 | 2023-06-23 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-05-24 | 2023-06-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-05-24 | 2023-06-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-05-24 | 2023-06-23 | 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 | 2023-05-24 | 2023-06-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-24 | 2023-06-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-24 | 2023-06-23 | 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 | 2023-05-24 | 2023-06-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-05-24 | 2023-06-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-05-24 | 2023-06-23 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-05-24 | 2023-06-23 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-05-24 | 2023-06-23 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-05-24 | 2023-06-23 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-05-24 | 2023-06-23 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-05-24 | 2023-06-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-24 | 2023-06-23 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-05-24 | 2023-06-23 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-09-30 | Not Fixed | N |