A list of the most recent deficiencies for The Waterton at Cowhorn Creek. 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? |
|---|---|---|---|---|
| Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2023-11-16 | 2023-11-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-16 | 2023-11-17 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-10-12 | 2022-10-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-12 | 2022-10-24 | N |
| Provide activities to meet all resident's needs. | Health | 2022-10-12 | 2022-10-24 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2022-10-12 | 2022-10-24 | 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 | 2022-10-12 | 2022-10-24 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-10-12 | 2022-10-24 | 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 | 2022-10-12 | 2022-10-24 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-10-12 | 2022-10-24 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-10-12 | 2022-10-24 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2022-02-16 | 2022-03-15 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-02-16 | 2022-03-15 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-08-06 | 2021-08-19 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-06 | 2021-08-19 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-08-05 | 2021-08-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-07-10 | 2019-08-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-07-10 | 2019-08-07 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-07-10 | 2019-08-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-10 | 2019-08-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-07-10 | 2019-08-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-10 | 2019-08-07 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2019-07-10 | 2019-08-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-07-10 | 2019-08-07 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-07-10 | 2019-08-07 | N |
