Solaris Healthcare Waterman

In the surveyor’s words

From the most serious findings on record at Solaris Healthcare Waterman, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF880Apr 25, 2024

  Based on observation, interview, and record review, the facility failed to utilize appropriate isolation precaution signages to help prevent the possible transmission of communicable diseases and infections for Residents #19, #82, and #85 (Photographic evidence obtained), and failed to ensure the staff used appropriate PPE (Personal Protective Equipment) while providing direct care to the residents on isolation precautions for Resident #418. Findings include: 1. Review of Resident #19's physician order dated 4/21/2024 read, COVID-19: Strict Isolation: Resident require strict isolation for positive COVID-19 every shift for COVID positive for 10 days. Review of Resident #19's care plan dated 4/22/2024 read, Focus: Resident is diagnosed with COVID-19 infection. Date Initiated: 04/22/2024 . […]

• No harm, potential for more than minimal, patternF812Dec 22, 2022

  Based on observation, interview, and record review the facility failed to ensure foods and beverages were stored in a safe and sanitary manner in the main kitchen and in 8 of 8 nourishment areas. Findings include: A tour of the facility main kitchen was completed with the Certified Dietary Manager on 12/19/2022 beginning at 9:30 AM. There was an undated bag of French fries, an undated opened bag of chicken nuggets, an undated opened bag of onion rings, 3 undated and unlabeled bags of pizza crust and an undated bag of hash brown potatoes stored in the reach in freezer. […]

• No harm, potential for more than minimal, patternF880Dec 22, 2022

  Based on observation, interview, and record review, the facility failed to prevent the possible spread of infection during intravenous (IV) medication administration and by not performing hand hygiene for 3 of 6 medication administration observations. Findings include: During an observation of IV medication administration for Resident #226 on 12/21/22 at 8:04 AM, Staff D, Registered Nurse (RN), removed medication from medication cart, donned PPE (personal protective equipment) and entered Resident #226's room, turned on light and put gloves on with no hand hygiene performed. Staff D doffed PPE and exited room. Staff D went to get IV tubing from medication room, returned to med cart, unlocked med cart, and retrieved medication without hand hygiene. […]

• No harm, potential for more than minimal, isolatedF880Apr 3, 2026

  Based on observation, interview, and record review, the facility failed to ensure infection control and prevention measures were followed for hand hygiene during wound care for 2 (Resident #3 and Resident #5) of 5 residents reviewed for wounds.Findings include: 1. Review of Resident #3's admission record revealed he was admitted on [DATE] with medical diagnoses that included rhabdomyolysis and methicillin resistant staphylococcus aureus infection. Review of Resident #3's physicians' orders dated 3/27/2026 read, Left Lateral Calf: cleanse wound with normal saline, pat dry, apply hydrogel saturated gauze, and cover with dry dressing daily and as needed: every day shift AND as needed for saturated, soiled, and dislodged dressing.Review of Resident #3's Physicians' Orders dated 3/25/2026 read,… […]

• No harm, potential for more than minimal, isolatedF561Aug 1, 2025

  Based on observation, interview, and record review, the facility failed to ensure residents' preference for shower date and time was honored for 1 of 4 residents reviewed (Resident #107). Findings include: During an observation on 7/30/2025 at 8:50 AM, the communication board in Resident #107's room showed that the resident was scheduled to have two showers weekly on Wednesday and Sundays. During an interview on 7/30/2025 at 8:45 AM, Resident #107 stated that her usual shower days were Sundays and Wednesdays. This past Sunday (7/27/2025), she requested a shower, and the aide informed her that she could not have a shower, only a bed bath. The resident informed the aide that she did not want a bed bath, she wanted a shower, but the aide refused and informed her she would give a bed bath. […]