Deficiencies per Year
4
3
2
1
0
Moderate
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Biennial Survey
Census: 36
Capacity: 38
Deficiencies: 3
Jul 21, 2025
Visit Reason
The visit was a biennial survey to assess compliance with the Regulations Governing the Licensing and Functioning of Assisted Housing Programs: Assisted Living Program and Infection Prevention and Control.
Findings
The facility was found non-compliant in medication administration records, service plan updates, and water temperature safety. Specifically, medication orders were not fully transcribed, service plans were not updated or reviewed timely, and hot water temperatures exceeded safe limits in multiple locations.
Severity Breakdown
Class III: 1
Deficiencies (3)
| Description | Severity |
|---|---|
| Failed to ensure all medications ordered by a duly authorized licensed practitioner were transcribed on the Medication Administration Records for 1 of 2 consumer records reviewed. | Class III |
| Failed to update a consumer service plan after identified changes for 1 of 2 consumer records reviewed and failed to have evidence of service plan updates at least every six months for 1 of 2 consumer records reviewed. | — |
| Failed to ensure water temperatures in consumer areas were between 105°F and 120°F; observed temperatures exceeded 120°F in multiple locations. | — |
Report Facts
Census: 36
Total Capacity: 38
Medication orders missing on MAR: 4
Water temperature: 121.3
Water temperature: 123.1
Water temperature: 125.1
Inspection Report
Plan of Correction
Census: 36
Capacity: 38
Deficiencies: 3
Jul 21, 2025
Visit Reason
The document is a Plan of Correction for a Biennial Survey of Park Residences of Waterville, addressing deficiencies found during the inspection related to medication administration, consumer service plans, and water temperature.
Findings
The facility was found non-compliant with medication administration record keeping, failed to update consumer service plans timely, and did not maintain water temperatures within the required range. Specific deficiencies included incomplete transcription of medication orders, outdated service plans, and hot water temperatures exceeding 120°F in multiple locations.
Severity Breakdown
Class III: 1
Deficiencies (3)
| Description | Severity |
|---|---|
| Medication/treatment administration records were incomplete; all medications ordered by a duly authorized licensed practitioner were not transcribed on the Medication Administration Records for 1 of 2 consumer records reviewed. | Class III |
| Facility failed to update a consumer service plan after identified changes for 1 of 2 consumer records reviewed and failed to have evidence of service plan updates every six months for 1 of 2 consumer records reviewed. | — |
| Hot water temperature for consumer use exceeded the required maximum of 120°F, with measurements up to 125.1°F in multiple consumer areas. | — |
Report Facts
Census: 36
Total Capacity: 38
Medication orders reviewed: 2
Consumer service plans reviewed: 2
Water temperature measurements: 125.1
Inspection Report
Biennial Survey
Census: 37
Capacity: 39
Deficiencies: 4
Jun 13, 2023
Visit Reason
The visit was a biennial survey to assess compliance with the Regulations Governing the Licensing and Functioning of Assisted Housing Programs; Assisted Living Programs.
Findings
The facility was found non-compliant in several areas including medication administration record documentation, failure to complete reassessments and service plan reviews every six months, and water temperature exceeding safe limits in consumer areas.
Severity Breakdown
Class III: 1
Deficiencies (4)
| Description | Severity |
|---|---|
| Failed to document medication administration records (MAR) for 2 of 5 consumer records reviewed. | Class III |
| Failed to complete reassessments every six months for a consumer. | — |
| Failed to have evidence that the service plan was reviewed and revised every six months for a consumer. | — |
| Hot water temperature in consumer areas exceeded 120 degrees Fahrenheit (127°F in Café sink and 124.9°F in room 101). | — |
Report Facts
Census: 37
Total Capacity: 39
Medication administration records missing: 2
Hot water temperature: 127
Hot water temperature: 124.9
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Benjamin Smith | Administrator | Confirmed findings and involved in plan to ensure water temperature safety |
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