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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 43 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 508 nursing homes in Indiana with a total of 24,835 deficiencies resulting in an average of 48.89 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
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
10-16-2019

Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
10-16-2019

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:
10-16-2019

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
10-16-2019

Provide safe, appropriate pain management for a resident who requires such services.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
10-16-2019

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
10-16-2019

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Category:
Nutrition and Dietary Deficiencies
Scope:
D
Corrected:
10-16-2019

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:
10-16-2019

Provide and implement an infection prevention and control program.
Category:
Infection Control Deficiencies
Scope:
D
Corrected:
10-16-2019

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Category:
Environmental Deficiencies
Scope:
D
Corrected:
10-16-2019

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:
D
Corrected:
10-16-2019

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:
12-07-2019

Ensure each resident receives an accurate assessment.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
E
Corrected:
11-09-2018

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:
11-09-2018

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:
11-09-2018

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:
E
Corrected:
11-09-2018

Provide and implement an infection prevention and control program.
Category:
Infection Control Deficiencies
Scope:
E
Corrected:
11-09-2018

Keep residents' personal and medical records private and confidential.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
11-23-2017

Provide care by qualified persons according to each resident's written plan of care.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
11-23-2017

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

Ensure residents maintain acceptable nutritional status.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
11-23-2017

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

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

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

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

Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Category:
Egress Deficiencies
Scope:
E
Corrected:
11-18-2019

Install corridor and hallway doors that block smoke.
Category:
Smoke Deficiencies
Scope:
E
Corrected:
11-18-2019

Install an approved automatic sprinkler system.
Category:
Smoke Deficiencies
Scope:
B
Corrected:
11-09-2018

Inspect, test, and maintain automatic sprinkler systems.
Category:
Smoke Deficiencies
Scope:
E
Corrected:
11-09-2018

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Category:
Miscellaneous Deficiencies
Scope:
E
Corrected:
11-09-2018

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

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

Establish emergency prep training and testing.
Category:
Emergency Preparedness Deficiencies
Scope:
C
Corrected:
02-06-2018

Establish staff and initial training requirements.
Category:
Emergency Preparedness Deficiencies
Scope:
C
Corrected:
02-06-2018

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

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

Inspect, test, and maintain automatic sprinkler systems.
Category:
Smoke Deficiencies
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.
Category:
Smoke Deficiencies
Scope:
E
Corrected:
02-06-2018

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

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

Ensure proper usage of power strips and extension cords.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
B
Corrected:
02-06-2018

Have proper medical gas storage and administration areas.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
E
Corrected:
02-06-2018



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Waters Of Lebanon, The


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