The Waters of Union City , LLC

In the surveyor’s words

From the most serious findings on record at The Waters of Union City , LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF694Mar 18, 2026

  Based on facility policy review, medical record review, and interview, the facility failed to assure residents received care and services for the provision of parenteral fluids for 1 of 1 sampled resident (Resident #66) reviewed for a peripheral inserted central catheter (PICC) line. The findings include: Review of a facility policy titled, .Maintenance Flushing.Peripherally Inserted Central Catheters (PICC), dated 6/2025, revealed .The SASH method will be used when administering intermittent medications or fluids through an open-ended PICC. […]

• No harm, potential for more than minimal, isolatedF880Mar 18, 2026

  Based on facility policy review, medical record review, observation, and interview, the facility failed to ensure the prevention and spread of infection when 1 of 4 staff (Registered Nurse (RN) A) failed to use appropriate Personal Protective Equipment (PPE) during medication administration through a Peripherally Inserted Central Catheter (PICC) for 1 of 8 (Residents #66) sampled residents reviewed for medication administration. The findings include: 1. Review of the facility policy titled, Guidelines for Enhanced Barrier Precautions-(EBP) AN Extension of Personal Protective Equipment---(PPE), dated December 2022, revealed .It is the policy of the facility to ensure that additional and appropriate PPE (Personal Protective Equipment) is utilized, when indicated.Enhanced Barrier Precautions… […]

• No harm, potential for more than minimal, isolatedF578Jan 30, 2025

  Based on policy review, record review, and interview the facility failed to provide information to the residents regarding their right to refuse medical or surgical treatment or to formulate an advance directive for 8 of 24 (Resident #1, #2, #4, #11, #13, #20, #22, and #47) residents reviewed for Advance Directives. The findings include: 1. Review of the facility policy titled, Guidelines for Resident Rights-Advanced Directive(s), dated 6/4/2024, revealed Residents have specific rights related to advance directives .The facility must ensure that these rights are explained, documented . 2. Review of the medical record revealed Resident #1 was admitted to the facility on [DATE], with diagnoses including Heart Failure, Chronic Atrial Fibrillation and Chronic Kidney Disease. […]

• No harm, potential for more than minimal, isolatedF758Jan 30, 2025

  Based on policy review, medical record review, and interview, the facility failed to ensure behavior monitoring and side effects of psychoactive medications were monitored for 1 of 5 sampled residents (Resident #256) reviewed for unnecessary medications. The findings include: 1. Review of the facility policy titled, .Psychotropic Medication . dated 8/18/2023, revealed .Psychoactive medications include .anti-psychotic and anti-depressants .Monitors psychotropic drug use daily noting any adverse side effects .Monitors for presence of target behaviors on a daily basis . 2. Review of the medical record review revealed Resident #256 was admitted to the facility on [DATE], with diagnoses including Parkinson's Disease, Psychosis, Dementia, and Diabetes. […]

• No harm, potential for more than minimal, isolatedF812Jan 30, 2025

  Based on the facility policy review, medical record review, observations, and interview, the facility failed to minimize the potential for foodborne illness transmission by not properly monitoring temperatures for 2 of 46 (Resident #10 and Resident #27) personal refrigerators located in resident rooms. The findings included: 1. Review of the undated facility policy titled, Refrigerator/Freezer Temperatures, revealed .in order to ensure all perishable food stuff stays fresh and palatable, temperatures will be recorded on all refrigerators .Each refrigerator .located outside of the main kitchen (i.e .personal) is checked daily and recorded on Refrigerator .Temperature log by the appropriate department .If the temperature on the internal thermometer is outside of the acceptable range… […]