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Waters Of Lebanon, The

Inspection Results


Nursing Homes Indiana Lebanon Waters Of Lebanon, The

Waters Of Lebanon, The has been cited for a total of 64 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 Lebanon, The.

There are 522 nursing homes in Indiana with a total of 29,446 deficiencies resulting in an average of 56.41 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
Keep residents' personal and medical records private and confidential.
Scope:
D
Corrected:
11-23-2017

Provide care by qualified persons according to each resident's written plan of care.
Scope:
D
Corrected:
11-23-2017

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
Scope:
D
Corrected:
11-23-2017

Ensure residents maintain acceptable nutritional status.
Scope:
D
Corrected:
11-23-2017

Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
Scope:
D
Corrected:
11-23-2017

Store, cook, and serve food in a safe and clean way.
Scope:
D
Corrected:
11-23-2017

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
Scope:
D
Corrected:
11-23-2017

Have a program that investigates, controls and keeps infection from spreading.
Scope:
D
Corrected:
11-23-2017

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Scope:
E
Corrected:
09-30-2016

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
Scope:
D
Corrected:
09-30-2016

Protect each resident from all abuse, physical punishment, and involuntary separation from others.
Scope:
K
Corrected:
10-27-2015

1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
Scope:
L
Corrected:
10-27-2015

Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
Scope:
L
Corrected:
10-27-2015

Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.
Scope:
D
Corrected:
10-27-2015

Store, cook, and serve food in a safe and clean way.
Scope:
E
Corrected:
10-27-2015

Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
Scope:
E
Corrected:
10-27-2015

Include a process for Emergency Preparedness collaboration.
Scope:
C
Corrected:
02-06-2018

Establish roles under a Waiver declared by secretary.
Scope:
C
Corrected:
02-06-2018

Establish emergency prep training and testing.
Scope:
C
Corrected:
02-06-2018

Establish staff and initial training requirements.
Scope:
C
Corrected:
02-06-2018

Keep aisles, corridors, and exits free of obstruction in case of emergency.
Scope:
E
Corrected:
02-06-2018

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Scope:
E
Corrected:
02-06-2018

Install an approved automatic sprinkler system.
Scope:
E
Corrected:
02-06-2018

Inspect, test, and maintain automatic sprinkler systems.
Scope:
C
Corrected:
02-06-2018

Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
Scope:
E
Corrected:
02-06-2018

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Scope:
E
Corrected:
02-06-2018

Have properly installed electrical wiring and gas equipment.
Scope:
D
Corrected:
02-06-2018

Ensure proper usage of power strips and extension cords.
Scope:
B
Corrected:
02-06-2018

Have proper medical gas storage and administration areas.
Scope:
E
Corrected:
02-06-2018

Automatic sprinkler systems that have been maintained in working order.
Scope:
F
Corrected:
07-14-2016

Automatic sprinkler systems that have been maintained in working order.
Scope:
D
Corrected:
10-25-2016

Properly installed electrical wiring and equipment.
Scope:
D
Corrected:
10-25-2016

Walls that prevent smoke from passing through and would resist fire for at least one hour.
Scope:
E
Corrected:
11-15-2015

Exits that are accessible at all times.
Scope:
E
Corrected:
11-15-2015

A written emergency evacuation plan.
Scope:
C
Corrected:
11-15-2015

Portable fire extinguishers.
Scope:
D
Corrected:
11-15-2015

Proper medical gas storage and administration areas.
Scope:
E
Corrected:
11-15-2015

Have other fire safety features required by fire safety codes.
Scope:
F
Corrected:
11-15-2015

Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Scope:
E
Corrected:
11-15-2015

Properly installed electrical wiring and equipment.
Scope:
E
Corrected:
11-15-2015

Include a process for Emergency Preparedness collaboration.
Scope:
C
Corrected:
02-06-2018

Establish roles under a Waiver declared by secretary.
Scope:
C
Corrected:
02-06-2018

Establish emergency prep training and testing.
Scope:
C
Corrected:
02-06-2018

Establish staff and initial training requirements.
Scope:
C
Corrected:
02-06-2018

Keep aisles, corridors, and exits free of obstruction in case of emergency.
Scope:
E
Corrected:
02-06-2018

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Scope:
E
Corrected:
02-06-2018

Install an approved automatic sprinkler system.
Scope:
E
Corrected:
02-06-2018

Inspect, test, and maintain automatic sprinkler systems.
Scope:
C
Corrected:
02-06-2018

Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
Scope:
E
Corrected:
02-06-2018

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Scope:
E
Corrected:
02-06-2018

Have properly installed electrical wiring and gas equipment.
Scope:
D
Corrected:
02-06-2018

Ensure proper usage of power strips and extension cords.
Scope:
B
Corrected:
02-06-2018

Have proper medical gas storage and administration areas.
Scope:
E
Corrected:
02-06-2018

Automatic sprinkler systems that have been maintained in working order.
Scope:
F
Corrected:
07-14-2016

Automatic sprinkler systems that have been maintained in working order.
Scope:
D
Corrected:
10-25-2016

Properly installed electrical wiring and equipment.
Scope:
D
Corrected:
10-25-2016

Walls that prevent smoke from passing through and would resist fire for at least one hour.
Scope:
E
Corrected:
11-15-2015

Exits that are accessible at all times.
Scope:
E
Corrected:
11-15-2015

A written emergency evacuation plan.
Scope:
C
Corrected:
11-15-2015

Portable fire extinguishers.
Scope:
D
Corrected:
11-15-2015

Proper medical gas storage and administration areas.
Scope:
E
Corrected:
11-15-2015

Have other fire safety features required by fire safety codes.
Scope:
F
Corrected:
11-15-2015

Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Scope:
E
Corrected:
11-15-2015

Properly installed electrical wiring and equipment.
Scope:
E
Corrected:
11-15-2015



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Waters Of Lebanon, The


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