6 CMS Surveys
Inspection Report — Aug 28, 2025
Date: Aug 28, 2025
Visit Reason
The document does not contain an A 000 Initial Comment block specifying the visit type.
Findings
The facility failed to provide appropriate pressure ulcer care and prevent new ulcers from developing for one resident. The wound physician's orders for foam dressing were not consistently followed, and staff communication lapses were noted.
Deficiencies (1)
F0686 - The facility failed to provide pressure injury treatment as ordered by the physician for one of three residents reviewed, including failure to apply foam dressing as needed and lack of staff communication about missing dressings.
Report Facts
Residents affected: 1
Residents reviewed: 3
Sample size: 16
Inspection Report — Aug 28, 2025
Date: Aug 28, 2025
Visit Reason
The document is a Statement of Deficiencies and Plan of Correction form for Alden Courts of Waterford, dated 08/28/2025. No Initial Comment block naming a visit type was found in the provided pages.
Findings
The facility was found to have multiple deficiencies related to resident care, including failure to ensure safe transfer, inadequate urinary catheter care, improper oxygen administration, and failure to follow infection prevention and control protocols including PPE use and hand hygiene.
Deficiencies (4)
F0689 - The facility failed to ensure safe transfer for a resident requiring extensive assistance, resulting in unsafe handling and potential harm.
F0690 - The facility failed to provide appropriate urinary catheter care, including preventing catheter tubing from dragging on the floor and securing the catheter properly.
F0695 - The facility failed to administer oxygen as ordered and did not ensure staff followed the facility's oxygen administration policy.
F0880 - The facility failed to implement infection prevention and control practices, including improper hand hygiene, glove use, PPE use for residents on Enhanced Barrier Precautions and Isolation Precautions, and failure to post required signage.
Report Facts
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 4
Inspection Report — Jan 30, 2025
Date: Jan 30, 2025
Visit Reason
No Initial Comment block naming the visit type was found in the document; therefore, inspection_type is set to 'other'.
Findings
The facility failed to ensure medication orders were transcribed accurately on admission for two of three residents reviewed, resulting in missed or incorrect medication administration.
Deficiencies (1)
F0684 - The facility failed to ensure medication orders were transcribed accurately on admission for two of three residents reviewed, resulting in missed doses and incorrect medication orders.
Report Facts
Residents affected: 2
Inspection Report — Aug 28, 2024
Date: Aug 28, 2024
Visit Reason
The document is a Statement of Deficiencies and Plan of Correction for Alden Courts of Waterford, dated 08/28/2024.
Findings
The facility was found to have multiple deficiencies including failure to provide appropriate pressure ulcer care, improper catheter care, failure to provide dietary supplements as ordered, lack of stop dates on PRN psychotropic medications, unsecured controlled substances and unlabeled insulin pens, and failure to follow infection prevention and control protocols.
Deficiencies (6)
F0686 - The facility failed to provide appropriate pressure ulcer care and prevent new ulcers from developing for four of six residents reviewed, including failure to assess, treat, and offload pressure injuries.
F0690 - The facility failed to maintain a resident's urinary drainage bag below the level of the bladder to prevent urinary tract infections for one of five residents reviewed.
F0692 - The facility failed to ensure dietary supplements were provided as ordered for two residents reviewed for weight loss.
F0758 - The facility failed to ensure PRN psychotropic medications had stop dates for two residents reviewed.
F0761 - The facility failed to secure controlled substances and failed to label insulin pens with the date opened for five residents reviewed.
F0880 - The facility failed to follow enhanced barrier precautions and failed to change gloves and perform hand hygiene to prevent cross contamination for two residents reviewed.
Report Facts
Residents affected: 4
Residents affected: 1
Residents affected: 2
Residents affected: 2
Residents affected: 5
Residents affected: 2
Inspection Report — Oct 5, 2023
Date: Oct 5, 2023
Visit Reason
The document is a Statement of Deficiencies and Plan of Correction for Alden Courts of Waterford, completed on 10/05/2023. The text does not include an A 000 Initial Comment block specifying the visit type, so inspection_type is set to 'other'.
Findings
The facility was found to have multiple deficiencies including failure to ensure timely medication administration, inadequate assistance with personal hygiene, failure to provide food prepared to meet individual needs, improper garbage disposal, and failure to follow infection prevention and control protocols. These issues affected multiple residents and posed risks ranging from minimal harm to potential for actual harm.
Deficiencies (5)
F0658 (Ensure services provided by the nursing facility meet professional standards of quality) - The facility failed to ensure a resident's medications were administered timely in accordance with the prescriber's order and the facility's Medication Pass Guidelines for 1 of 1 resident reviewed.
F0677 (Provide care and assistance to perform activities of daily living for any resident who is unable) - The facility failed to assist residents identified as needing assistance with personal hygiene for 5 of 5 residents reviewed.
F0805 (Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs) - The facility failed to serve roasted potatoes suitable for mechanical soft diets and failed to follow the menu spread sheet for serving vegetables and pulled pork for 7 of 7 residents reviewed for dining.
F0814 (Dispose of garbage and refuse properly) - The facility failed to maintain the dumpster area free from debris, with open lids, bagged garbage on the floor, and an open barrel with flies, posing a potential risk to 54 residents.
F0880 (Provide and implement an infection prevention and control program) - The facility failed to follow standard infection control practices including hand hygiene and gloving during incontinence care, wound care, medication administration, and blood glucose monitoring for 6 of 15 residents reviewed.
Report Facts
Residents affected: 1
Residents affected: 5
Residents affected: 7
Residents affected: 54
Residents affected: 6
Inspection Report — Jun 13, 2023
Date: Jun 13, 2023
Visit Reason
The document is a Statement of Deficiencies and Plan of Correction for Alden Courts of Waterford, dated June 13, 2023. The survey type is not explicitly stated in the A 000 Initial Comment block, so the inspection_type is classified as 'other'.
Findings
The facility failed to provide timely notification of discharge and bed hold policies to a resident's representative, affecting one resident. The facility's policies require notification within 24 hours, but documentation and timely delivery were lacking.
Deficiencies (2)
F0623 - The facility failed to provide timely notice of discharge to the resident's representative before discharge, affecting 1 of 3 residents reviewed for bed holds.
F0625 - The facility failed to provide the Bed Hold and re-admission Policy Notice to a resident's representative within 24 hours of transfer, affecting 1 of 3 residents reviewed for bed hold notification.
Report Facts
Residents affected: 1
Residents affected: 1
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