Waterview Health & Rehab Center

In the surveyor’s words

From the most serious findings on record at Waterview Health & Rehab Center, in the surveyor’s own words.

• Actual harm, isolatedF686Aug 25, 2023

  Based on staff interview, clinical record review and facility documentation review, the facility staff failed to provide care and services to prevent the development of a pressure ulcer at an advanced stage for one Resident (Resident #413) in a survey sample of 64 Residents, resulting in harm for Resident #413. The facility self-identified this deficient practice prior to the survey, resulting in past non-compliance being achieved on 7/26/23. The findings included: For Resident #413, the facility staff failed to identify a pressure ulcer until it was at an advanced stage and then failed to initiate an appropriate treatment, this constituted harm. On 8/22/23-8/23/23, a closed record review was conducted of Resident #413's chart. […]

• No harm, potential for more than minimal, patternF565Aug 25, 2023

  Based on Resident interview, staff interview, facility documentation review, the facility staff failed to respond to Resident Council grievances These grievance included A) laundry not being returned timely B) items being lost, C) food not being good, D) lack of showers, E) cleanliness of the facility, and F) lack of cleaning in their rooms. The findings included: The Resident Council President gave permission on 8/22/23 for surveyors to review the Resident Council minutes prior to a meeting with the Council, planned for 8/23/23. Resident Council minutes were reviewed. […]

• No harm, potential for more than minimal, patternF576Aug 25, 2023

  Based on Resident interview and staff interview the facility staff failed to uphold Resident Rights regarding the right to receive mail and receive mail unopened affecting 14 Residents (Resident #7, #13, #23, #41, #44, #47, #53, #58, #61, #67, #82, #84, #92, and Resident #98) in a survey sample of 64 Residents. The findings included: 1. During a Resident Council meeting, 13 Residents (Resident #7, #13, #23, #41, #44, #47, #53, #58, #61, #67, #84, #92, and Resident #98), stated they do not receive mail on the weekends. On 8/23/23 at 2PM, a Resident Council meeting was held with 13 Residents. During the meeting all the Residents stated they did not receive any mail on Saturdays, only Monday through Friday. […]

• No harm, potential for more than minimal, patternF602Aug 25, 2023

  Based on interview, clinical record, and facility documentation the facility staff failed to ensure residents are free from neglect and misappropriation of property for 21 Residents (#'s 42, 92, 23, 6, 363, 87, 52, 9, 38, 14, 97, 64, 7, 67, 78, 69, 56, 31, 364, 72, 88, 82 and 78), in a survey sample of 62 Residents. The findings included: For Resident #'s 42, 92, 23, 6, 363, 87, 52, 9, 38, 14, 97, 64, 7, 67, 78, 69, 56, 31, 364, 72, 88, 82 and 78, the facility staff failed to ensure the appropriate handling of medications to prevent misappropriation of Residents property. […]

• No harm, potential for more than minimal, patternF657Aug 25, 2023

  Based on observation, Resident Interview, Facility staff interview and record review, the facility staff failed to revise 1 of 64 sampled residents care plan. The findings include: For Resident #87, the person-centered care plan failed to include the use of ace wrap dressings. Resident #87 Minimum Data Set (MDS - an assessment protocol), a quarterly with an Assessment Reference Date (ARD) of 06/26/23 coded Resident #87's Brief Interview for Mental Status (BIMS) score of 15 out of a possible score of 15 indicating no cognitive impairment. […]