Waters of Georgetown, The

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF725Mar 30, 2026

  Based on interview and record review, the facility failed to ensure the facility was sufficiently staffed to provide adequate care related to medication administration and assistance with daily living for the residents. This deficient practice had the potential to affect 59 of 59 residents residing in the facility. Findings include:1.On 3/26/26 at 12:33 p.m., the Administrator provided a copy of the March 2026 as worked staffing sheets and on 3/26/26; at 3:01 p.m., the Regional Nurse Consultant provided the March 2026 correlating timecards which indicated the following after review: On 3/14/26, Villa 7 had one nurse and no aide for dayshiftOn 3/16/26, Villa 3 and Villa 5 shared had one nurse and one aide on night shiftOn 3/16/26, Villa 1 and Villa 7 shared one nurse and one aide, on night… […]

• No harm, potential for more than minimal, widespreadF725Sep 26, 2025

  Based on observation, interview and record review, the facility failed to ensure the facility was sufficiently staffed to provide adequate care related to medication administration and assistance with daily living for the residents. This deficient practice had the potential to affect 64 of 64 residents residing in the facility. Finding include:1.a. During the survey period, between 9/22/25 and 9/26/25 at 10:10 a.m., Staff Member 5 was observed passing medications in Villa 2. The staff member indicated the facility was running one aide in each villa and the nurse had 2 [NAME]. Staff Member 5 had only given medications to 5 residents in Villa 2 and 3 residents in Villa 4. It was now after 10:00 a.m. and the medications in villa 2 were due at 8 a.m. […]

• No harm, potential for more than minimal, widespreadF679Jun 16, 2025

  2. During random observations of Villa 6, between 6/9/25 and 6/11/25, Residents 6, 7, and 20 were in a recliner asleep in the common area. No activities were going on either by the Activity Director or the CNAs. During random observations of Villa 2, between 6/9/25 and 6/11/25, Residents 19, 49, and 3 were in the dining room area just sitting at the table sipping coffee. No activities were going on either by the Activity Director or the CNAs. Resident 1 was observed in her recliner in the common area during random observations, between 6/9/25 and 6/12/25. The resident was usually asleep or just looking around. […]

• No harm, potential for more than minimal, widespreadF725Jun 16, 2025

  2. During a confidential interview, between 6/9/25 and 6/16/25, Staff 100 indicated there was only one CNA in each building. If a resident was a mechanical full body lift, sit to stand, or required two staff members for mobility/transfers or toileting, then they would have to call the nurse to come over and help, but sometimes there was a wait until they were free to come over. Some days were harder than others. Staff 100 indicated they had to make time to get all their work done, even on weekends. Showers were being given as they made sure they were. For the most part the villa cleaning got done, maybe not the full deep cleaning that was supposed to be done in 2 rooms every day. […]

• No harm, potential for more than minimal, widespreadF727Jun 16, 2025

  Based on record review and interview, the facility failed to schedule 8-hour consecutive RN coverage for 1 of 2 months reviewed. (June 2025). This deficiency had the potential to affect the 66 of 66 residents currently residing in the facility. Finding includes: Review of the May and June 2025 as worked nursing schedule on 6/13/25, the following days were missing an RN or had the RN only scheduled for 5 hours: - On 6/5/25, only 6.5 hours of consecutive RN coverage was worked. - On 6/6/25, only 5 hours of consecutive RN coverage was worked. - On 6/7/25, only 5 hours of consecutive RN coverage was worked. […]