Waters of Rockport Skilled Nursing Facility, The

In the surveyor’s words

From the most serious findings on record at Waters of Rockport Skilled Nursing Facility, The, in the surveyor’s own words.

• Actual harm, isolatedF689May 23, 2025

  Based on observation, interview, and record review, the facility failed to ensure the resident received adequate supervision to prevent falls for 1 of 2 residents reviewed for accidents. The plan of care was not updated, and interventions were not implemented and reviewed for effectiveness for a high risk to fall resident with severely impaired cognition. This deficient practice resulted in multiple falls, one with major injury, where the resident sustained an acute fracture to right hip/pelvis and subacute left hip fracture. (Resident 28) Findings include: On 5/19/25 at 8:51 A.M., Resident 28 was observed sitting in a Broda chair (specialized seating system) in the east lobby in front of the television, hands empty, and trying to pull on his blanket. […]

• No harm, potential for more than minimal, widespreadF801Apr 5, 2024

  Based on interview and record review, the facility failed to ensure the food service department was directed by a supervisor competent in food service management and knowledgeable in sanitation standards and food handling for 1 of 1 dietary managers reviewed. The dietary manager was not certified. (Dietary Manager) Finding includes: On 4/1/24 at 8:53 A.M., the Dietary Manager's certification and/or qualifications were requested. Employee records were provided and indicated the Dietary Manager's start date was January of 2023. During an interview on 4/4/24 at 8:00 A.M., the Administrator indicated the Dietary Manager was not certified but was enrolled in a class that started in November of 2023 and a goal completion date of November of 2024. […]

• No harm, potential for more than minimal, widespreadF882Apr 5, 2024

  Based on interview and record review, the facility failed to employ a qualified Infection Preventionist. The full time Director of Nursing was also completing the Infection Preventionist duties. Finding includes: On 4/3/24 at 1:19 P.M., the Director of Nursing (DON) indicated she was the facility's appointed Infection Preventionist (IP). On 4/5/24 at 10:08 A.M., the DON indicated although she was a full time DON, about 8 hours had been spent earlier in the week on IP duties. At that time, she indicated the amount of hours dedicated to IP duties fluctuated depending on the amount of infections in the facility, and sometimes would stay over her usual hours. Hours spent on DON and IP specific duties were not documented. […]

• No harm, potential for more than minimal, widespreadF882Jan 9, 2023

  Based on interview and record review, the facility failed to designate one or more individual(s) as the Infection Preventionist with qualifying training or certification. The facility did not have a current certified Infection Preventionist for 3 of 5 days of survey. Finding includes: During an interview on 1/3/23 at 8:48 A.M., the Administrator during the Entrance Conference, indicated the Infection Preventionist at this time was only in the facility on an as needed basis. During an interview on 1/6/23 at 8:45 A.M., the Administrator indicated the previous IP (Infection Preventionist) had not worked in the facility since 11/1/22. […]

• No harm, potential for more than minimal, patternF812Aug 20, 2026

  Based on observation, interview, and record review, the facility failed to ensure food was stored in accordance with food safety standards to maintain a sanitary environment and prevent foodborne illness during 2 of 2 kitchen observations. Food preparation areas contained a build up of dust and debris, the walk in freezer contained food containers that were open to air, food containers were stored on the floor of the walk in refrigerator and dry food storage room, and resident refrigerators were not monitored routinely for 2 of 3 resident rooms observed. (Resident B, room [ROOM NUMBER], room [ROOM NUMBER])Findings includes: 1. Kitchen observation on 8/20/26 at 7:40 A.M., the walk in refrigerator contained a cardboard box of oranges sitting directly on the floor. […]