Waterview Lodge Llc, Rehabilitation & Healthcare

In the surveyor’s words

From the most serious findings on record at Waterview Lodge Llc, Rehabilitation & Healthcare, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Feb 25, 2026

  Based on observations, interviews, and record reviews, the facility failed to implement professional standards of practice for infection control and prevention for the facility's laundry processing system, ensure hand hygiene was performed before and after a medication administration by one Nurse (#3), and Unit Manager (UM) #3 and Certified Nurse Aide (CNA) #1 while they were distributing breakfast, and Housekeeping staff properly utilized equipment for cleaning of a Transmission Based Precaution (TBP- an infection control standard for residents who may be infected or colonized with certain infectious agents for which additional precautions are needed to prevent infection transmission such as the use of gowns, gloves, eye protection, or masks) room. […]

• No harm, potential for more than minimal, widespreadF809Oct 29, 2024

  Based on interview, record review, and observation, the facility failed to offer each Resident a nourishing snack at bedtime when more than 14 hours elapsed between the substantial evening meal and breakfast the following day. Specifically, the facility failed to offer each Resident items from the basic food groups, either singly or in combination with each other, at bedtime when 15 hours elapsed daily between the scheduled substantial evening meal and breakfast the following day. […]

• No harm, potential for more than minimal, widespreadF887Oct 29, 2024

  Based on record review, and interview, the facility failed to offer COVID-19 vaccines, in accordance with national standards of practice to five Residents (#31, #8, #55, #68, and #64) of five applicable residents reviewed, out of a total sample of 18 residents. Specifically, the facility failed to offer COVID-19 vaccines to the eligible residents when: -The Centers for Disease Control and Prevention (CDC) Advisory Committee on Immunization Practices (ACIP) recommended an additional dose of updated (2023-2024 formula) of COVID-19 vaccine be administered for older adults, aged [AGE] years and older. -The COVID-19 vaccine was not medically contraindicated and Resident's #31, #8, #55, #68, and #64 had not already been immunized with the recommended additional COVID-19 vaccine dose. […]

• No harm, potential for more than minimal, widespreadF880Aug 14, 2023

  Based on observations, interviews, record and policy reviews, the facility failed to implement an infection prevention and control program to provide a sanitary environment and help prevent the development and transmission of communicable diseases. Specifically, the facility failed to develop policies and procedures and implement a water a management program to minimize the risk of Legionella and other opportunistic waterborne pathogens. Findings Include: Review of the Centers for Medicare and Medicaid Services (CMS) QSO-17-30 memo titled, Requirement to Reduce Legionella Risk in Healthcare Facility Water Systems to Prevent Cases and Outbreaks of Legionaire's Disease (LD), last revised 7/6/18 indicated the following: -Legionella Infections: The bacterium Legionella can cause a serious… […]

• No harm, potential for more than minimal, widespreadF563Jan 18, 2022

  Based on interview and policy review the facility failed to allow residents to receive visitors on three of three units. Findings include: Review of the facility's policy titled Updates to Visitation Conditions, Communal Dining, and Congregate Activities in long term care (LTC) following Covid-19 State of Emergency, effective date 11/22/21, indicated the following: The Department of Public Health understands that LTC facility residents value the physical, emotional, and spiritual support they receive through visitation from family and loved ones and encourages meaningful visitation. […]