Waterford Nursing and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Waterford Nursing and Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF583Mar 5, 2026

  Based on observations, interviews and record reviews, the facility failed keep residents' medical information confidential on four (second-floor medication cart #1 and cart # 2, third-floor medication cart #1 and cart #2) out of eight medication carts; at one (first floor nursing station) out of four nursing stations and failed to provide privacy for one (Resident #116) out of three sampled residents during medication administration. Observations of unattended open computer screens on the second-floor medication cart # 2 and third-floor medication cart #1; unsecured paperwork left at the first-floor nursing station, on the second-floor medication cart #1 and on the third-floor medication cart #1 and cart #2 with resident's information visible. […]

• No harm, potential for more than minimal, patternF689Mar 5, 2026

  Based on observations, interviews and record reviews facility failed to keep residents' environment free of accident hazards on one (third-floor) out of four Soiled Utility Rooms that contained Biohazardous materials, on two (first and third floor) Clean Utility Rooms which locked from the inside and did not contain a call light, the Sprinkler Room which locked from the inside and contained hazardous materials and for one (Resident #142) out of three sampled residents during medication administration as evidenced by:1) Observation of an unlocked Soiled Utility Room on the third floor2) Observation of an unlocked Clean Utility Room on the first and third floor3) Observation of an unlocked Sprinkler Room on the first floor4) Observation of facility's staff leaving a lancet on top of the… […]

• No harm, potential for more than minimal, patternF689Aug 15, 2024

  Based on observation, interview, and record review the facility failed to ensure the safety for one out of nine sampled residents as evidenced by 1) Resident #54, a vulnerable resident with orders for bilateral floor mats was observed in bed with one floor mat 2) failed to ensure three out of four soiled utility rooms were locked. There were 201 residents residing in the facility at the time of survey. The findings included: During initial observation on 08/12/24 at 08:20 AM Resident #54 was observed there in bed, there was mat on the floor to the right side of Resident #54's bed. On 08/13/24 at 09:24 AM Resident # 54 was asleep in bed and bilateral floor mats observed in place. […]

• No harm, potential for more than minimal, patternF812Jan 13, 2022

  Based on observations, interviews and record review the facility failed to 1) store food under sanitary condition by ensuring the proper temperatures in the walk-in freezer, 2) ensure the walk-in freezer was working properly and 3) Store food under sanitary condition by ensuring resident's food items were dated and labeled in refrigerators in Nourishment Rooms. The food items in the walk-in freezer were soft to the touch and frozen nutritional treats were melted. This has the potential to affect 115 out of 130 residents who eat orally residing in the facility at the time of the survey. […]

• No harm, potential for more than minimal, patternF867Jan 13, 2022

  Based on observations, interview and record review, the facility failed to demonstrate effective plan of actions were implemented to correct identified quality deficiencies in the problem area related to repeated deficient practices for F 583 Resident's Rights related to Resident's Privacy as evidenced by a posted sign containing resident health information, repeated deficient practices related to F 641 as evidenced by inaccurate coding of resident assessment. repeated deficient practices related to F 656 comprehensive residents centered care plan related to development and implementing resident's respiratory care plan, repeated deficient practices related to F 686 Quality of Care as evidenced by the facility failed to provide care and services related to pressure ulcers, repeated… […]