A list of the most recent deficiencies for Watertown Health Care 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? |
|---|---|---|---|---|
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-01-19 | 2024-02-09 | Y |
| 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 | 2024-01-19 | 2024-02-09 | Y |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-01-19 | 2024-02-09 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-01-19 | 2024-02-09 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-02 | 2023-08-29 | 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 | 2023-08-02 | 2023-08-29 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-08-02 | 2023-08-29 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-08-02 | 2023-08-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-02 | 2023-08-29 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-08-02 | 2023-08-29 | 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 | 2023-08-01 | 2023-08-29 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-08-01 | 2023-08-29 | 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 | 2023-08-01 | 2023-08-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-01 | 2023-08-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-01 | 2023-08-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-01 | 2023-08-29 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-08-01 | 2023-08-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-01 | 2023-08-29 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-08-01 | 2023-08-29 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-08-01 | 2023-08-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-01 | 2023-08-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-08-01 | 2023-08-29 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-08-01 | 2023-08-29 | N |
| 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 | 2023-07-05 | 2023-07-30 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-07-05 | 2023-07-30 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-05-16 | 2023-06-12 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-16 | 2023-06-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-05-16 | 2023-06-12 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-03-16 | 2023-03-31 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-03-16 | 2023-03-31 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-08 | 2023-03-30 | 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 | 2023-02-21 | 2023-03-30 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-02-16 | 2023-03-16 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-16 | 2023-03-16 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-02-16 | 2023-03-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-02-16 | 2023-03-16 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-12-14 | 2023-01-12 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-11-01 | 2022-11-25 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2022-11-01 | 2022-11-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-01 | 2022-11-25 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-11-01 | 2022-11-25 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-11-01 | 2022-11-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-11-01 | 2022-11-25 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-07-13 | 2022-08-12 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-07-13 | 2022-08-12 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2022-07-13 | 2022-08-12 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-07-12 | 2022-08-12 | 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 | 2022-07-12 | 2022-08-12 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-07-12 | 2022-08-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-12 | 2022-08-12 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-07-12 | 2022-08-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-07-12 | 2022-08-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-07-12 | 2022-08-12 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-07-12 | 2022-08-12 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-07-12 | 2022-08-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-07-12 | 2022-08-12 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-07-12 | 2022-08-12 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-06-30 | 2021-11-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-27 | 2021-10-11 | Y |
| Construct fire resistant interior walls. | Fire Safety | 2021-06-30 | 2021-08-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-30 | 2021-08-06 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2021-06-30 | 2021-07-25 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2021-06-30 | 2021-07-25 | 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 | 2021-06-30 | 2021-07-25 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-06-30 | 2021-07-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-30 | 2021-07-25 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2021-06-30 | 2021-07-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-30 | 2021-07-25 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-06-30 | 2021-07-25 | 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 | 2021-06-30 | 2021-07-25 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-06-30 | 2021-07-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-30 | 2021-07-25 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-06-30 | 2021-07-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-06-30 | 2021-07-25 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-06-30 | 2021-07-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-06-30 | 2021-07-25 | N |
