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Waters Of Greencastle, The

Inspection Results


Nursing Homes Indiana Greencastle Waters Of Greencastle, The

Waters Of Greencastle, The has been cited for a total of 50 deficiencies in our most recent deficiency data, which typically covers 3 health and fire safety surveys.

Tip: Surveys happen throughout the year and you may want to check with the location or here to see if more recent data is available for Waters Of Greencastle, The.

There are 502 nursing homes in Indiana with a total of 24,279 deficiencies resulting in an average of 48.36 deficiencies per nursing home.



The following table describes how deficiencies are scored. An easy way to remember the severity of a deficiency's scope is that the further along in the alphabet (A through L) the scope value is, the more severe the deficiency is.
Additionally, A through F means no actual harm has happened.

Table describing the severity and scope of deficiencies


Deficiency Cited, Scope, and Date of Correction
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
11-16-2019

Ensure each resident receives an accurate assessment.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
B
Corrected:
08-17-2019

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
08-17-2019

Provide appropriate treatment and care according to orders, resident?s preferences and goals.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
08-17-2019

Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
08-17-2019

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
08-17-2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category:
Quality of Life and Care Deficiencies
Scope:
E
Corrected:
08-17-2019

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
08-17-2019

Provide enough food/fluids to maintain a resident's health.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
08-17-2019

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is ne
Category:
Pharmacy Service Deficiencies
Scope:
D
Corrected:
08-17-2019

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Category:
Nutrition and Dietary Deficiencies
Scope:
D
Corrected:
08-17-2019

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Category:
Administration Deficiencies
Scope:
F
Corrected:
08-17-2019

Develop and implement policies and procedures for flu and pneumonia vaccinations.
Category:
Environmental Deficiencies
Scope:
D
Corrected:
08-17-2019

Protect each resident from the wrongful use of the resident's belongings or money.
Category:
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Scope:
D
Corrected:
03-22-2019

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Category:
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Scope:
D
Corrected:
03-22-2019

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
08-23-2018

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
08-23-2018

Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
08-23-2018

Ensure each resident receives an accurate assessment.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
08-23-2018

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
08-23-2018

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
E
Corrected:
08-23-2018

Provide care and assistance to perform activities of daily living for any resident who is unable.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
08-23-2018

Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
08-23-2018

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
08-23-2018

Provide safe, appropriate dialysis care/services for a resident who requires such services.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
08-23-2018

Ensure each resident?s drug regimen must be free from unnecessary drugs.
Category:
Pharmacy Service Deficiencies
Scope:
D
Corrected:
08-23-2018

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is ne
Category:
Pharmacy Service Deficiencies
Scope:
D
Corrected:
08-23-2018

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category:
Nutrition and Dietary Deficiencies
Scope:
F
Corrected:
08-15-2018

Provide and implement an infection prevention and control program.
Category:
Environmental Deficiencies
Scope:
E
Corrected:
08-23-2018

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
09-08-2017

Conduct initial and periodic assessments of each resident's functional capacity.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
09-08-2017

Ensure each resident receives an accurate assessment by a qualified health professional.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
09-08-2017

Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
09-08-2017

Provide care by qualified persons according to each resident's written plan of care.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
09-08-2017

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
Category:
Pharmacy Service Deficiencies
Scope:
E
Corrected:
09-13-2017

Meet other general requirements.
Category:
Construction Deficiencies
Scope:
F
Corrected:
10-04-2019

Install emergency lighting that can last at least 1 1/2 hours.
Category:
Egress Deficiencies
Scope:
C
Corrected:
10-04-2019

Install a fire alarm system that can be heard throughout the facility.
Category:
Smoke Deficiencies
Scope:
E
Corrected:
10-04-2019

Have approved installation, maintenance and testing program for fire alarm systems.
Category:
Smoke Deficiencies
Scope:
C
Corrected:
10-04-2019

Inspect, test, and maintain automatic sprinkler systems.
Category:
Smoke Deficiencies
Scope:
C
Corrected:
10-04-2019

Install smoke barrier doors that can resist smoke for at least 20 minutes.
Category:
Smoke Deficiencies
Scope:
E
Corrected:
10-04-2019

Have simulated fire drills held at unexpected times.
Category:
Miscellaneous Deficiencies
Scope:
F
Corrected:
10-03-2019

Be properly staffed
Category:
Miscellaneous Deficiencies
Scope:
E
Corrected:
10-01-2019

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
F
Corrected:
10-16-2019

Have a battery powered remote alarm panel in a location accessible by operating personnel.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
F
Corrected:
10-04-2019

Have generator or other power source capable of supplying service within 10 seconds.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
F
Corrected:
10-04-2019

Inspect, test, and maintain automatic sprinkler systems.
Category:
Smoke Deficiencies
Scope:
E
Corrected:
08-22-2018

Have simulated fire drills held at unexpected times.
Category:
Miscellaneous Deficiencies
Scope:
F
Corrected:
08-22-2018

Install an approved automatic sprinkler system.
Category:
Smoke Deficiencies
Scope:
E
Corrected:
10-31-2017

Install smoke barrier doors that can resist smoke for at least 20 minutes.
Category:
Smoke Deficiencies
Scope:
E
Corrected:
10-31-2017



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Waters Of Greencastle, The


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