Waterford, The

In the surveyor’s words

From the most serious findings on record at Waterford, The, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF880Jul 1, 2022

  Based on observation, interview, record review, and policy review, the facility failed to ensure disinfection of a used blood glucose devise, as per manufacturer's instructions, by 1 of 2 nurses observed (Staff D, a Registered Nurse/RN), after obtaining the blood sugar reading of Resident #103. The facility failed to ensure proper hand washing and infection control standards during the medication pass observation with 2 of 5 staff observed (Staff D, an RN and Staff C, a Licensed Practical Nurse/LPN) while providing medications to Residents #103, #153 and #28. The facility failed to follow their admission policy related to isolation for 1 of 2 current residents not up to date with their COVID-19 vaccinations (Resident #102). […]

• No harm, potential for more than minimal, patternF584Jun 10, 2021

  Based on observation and interview, the facility failed to provide housekeeping and maintenance services necessary to maintain a sanitary, orderly, and comfortable interior that included the resident rooms, nurses station, community showers and laundry areas. The findings included: 1. During the initial observation tour of the facility on 06/07/21 at 10 AM, it was noted on the 100-hall in room 102 that the exterior of the ceiling air-conditioning vent had an excessive build-up of condensation. Further observation noted that the vent was partially over the resident's bed and floor area at the end of the bed. The condensation was noted to be dripping down onto the bed and floor area. It was noted that the resident was not in the room at the time of the observation. […]

• No harm, potential for more than minimal, isolatedF552Jun 4, 2026

  Based on record review and interview, the facility failed to ensure written informed consent for psychotropic medication use for 1 of 5 sampled residents as evidenced by the failure to obtain timely initial and increase in dosage for an antipsychotic and antidepressant medication for Resident #5. It was determined the facility utilized the Psychoactive Medication Therapy Informed Consent form to inform the resident or representative of the benefits, risks, and alternatives for the medication.The findings included:Review of the policy, titled, Use of Psychotropic Medications, effective 04/10/25, documented in part, 8. […]

• No harm, potential for more than minimal, isolatedF695Jun 4, 2026

  Based on policy review, observation, interview and record review, the facility failed to ensure maintenance of oxygen equipment for 3 of 3 sampled residents as evidenced by failure to follow physicians orders to maintain sanitary conditions of the oxygen concentrator filters for Resident #1 and #32 and failure to properly store nebulizer equipment for Resident #32 and #21.The findings included:Review of the policy titled, Oxygen Administration, with a revision date of 10/22 revealed that the policy did not have any directions for care of the equipment. Review of the policy titled, Nebulizer Therapy, implemented on 10/28/24 with a revised date of 05/06/26, in part documented, Care of the Equipment #6. Air dry nebulizer cup and mouthpiece on an absorbent towel, 7. […]

• No harm, potential for more than minimal, isolatedF755Jun 4, 2026

  Based on interview, record review and policy review, the facility failed to ensure accurate controlled medication documentation for 1 of 4 sampled residents, Resident #38, reviewed for narcotic reconciliation.The findings included: Review of the policy titled, Controlled Substances, effective 2001 with a revised date 11/2022, documented in part #10, Controlled substances are not surrendered to anyone, including the resident's provider, except for the following: a. For residents on therapeutic leave.Review of the policy titled, Leave of Absence (LOA) Medications, with an effective date of 12/01/07 and most recent revision date of 08/01/24 documented in part #1, 1 A physician/prescriber should provide an order indicating the resident may take a leave of absence, along with a list of the… […]