Deficiency Records for The Waterton at Cowhorn Creek
Updated as of February 01, 2021
This is not the most recent data for The Waterton at Cowhorn Creek. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2020-10-07 | 2020-10-08 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-12-14 | 2020-01-10 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-12-14 | 2020-01-10 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-07-10 | 2019-08-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-08-07 | 2019-08-08 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-08-07 | 2019-08-08 | Y |
| 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 |
| 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 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-07-10 | 2019-08-07 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-07-18 | 2018-08-09 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-07-18 | 2018-08-02 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-07-18 | 2018-07-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-07-18 | 2018-07-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-07-18 | 2018-07-23 | 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 | 2018-07-18 | 2018-07-23 | N |
| 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 | 2018-07-18 | 2018-07-23 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-07-18 | 2018-07-23 | N |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2018-07-18 | 2018-07-23 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2018-07-18 | 2018-07-23 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-07-18 | 2018-07-23 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-07-18 | 2018-07-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-07-18 | 2018-07-20 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-07-18 | 2018-07-20 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-07-18 | 2018-07-20 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-07-18 | 2018-07-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-07-18 | 2018-07-20 | N |
| Provide activities to meet all resident's needs. | Health | 2018-07-18 | 2018-07-20 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-06-12 | 2018-07-16 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-06-12 | 2018-07-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-06-12 | 2018-07-02 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-04-13 | 2018-05-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-04-13 | 2018-04-14 | Y |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2017-08-15 | 2017-09-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-08-15 | 2017-09-05 | N |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2017-08-16 | 2017-09-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-08-15 | 2017-08-31 | N |
