Inspection Reports for Waterview Villa Rehabilitation and Health Care Center
RI, 02914
Back to Facility Profile
Inspection Report
Annual Inspection
Census: 123
Capacity: 132
Deficiencies: 11
Jan 31, 2025
Visit Reason
A recertification survey was conducted at Waterview Villa Rehabilitation and Healthcare Center from 1/27/2025 through 1/31/2025 to determine compliance with federal regulations including Long Term Care Facilities, State licensure, and emergency preparedness surveys.
Findings
Multiple deficiencies were identified related to personal funds notification, professional standards of care, medication administration, wound care, activity programs, nutrition and hydration, behavioral health services, drug storage, infection control, and resident records. The facility was found to be out of compliance in several areas requiring corrective actions.
Deficiencies (11)
| Description |
|---|
| Facility failed to notify residents or representatives when Medicaid account balances reached $200 less than SSI resource limit for 4 residents. |
| Facility failed to meet professional standards of quality related to medication refusals, insulin orders, and wound care. |
| Facility failed to provide an ongoing activity program to support resident choice. |
| Facility failed to provide necessary treatment and services to prevent pressure ulcers for 1 resident. |
| Facility failed to ensure residents with limited range of motion received appropriate treatment and services. |
| Facility failed to maintain acceptable nutritional status for 4 residents including failure to obtain weights and monitor weight loss. |
| Facility failed to provide behavioral health services to a resident with suicidal ideation. |
| Facility failed to store drugs and biologicals in locked compartments and failed to maintain medication cart security. |
| Facility failed to maintain food safety and sanitation standards in the kitchen. |
| Facility failed to maintain medical records accurately and confidentially for residents. |
| Facility failed to establish and maintain an infection prevention and control program. |
Report Facts
Resident Medicaid Account Balances: 4
Resident Census: 123
Facility Capacity: 132
Weight Loss: 8
Wound Measurement: 3.5
Wound Measurement: 0.1
Wound Measurement: 2
Wound Measurement: 0.2
Blood Sugar Readings: 400
Inspection Report
Re-Inspection
Deficiencies: 0
Mar 14, 2024
Visit Reason
A revisit survey was conducted on March 14, 2024, for all previous deficiencies cited on February 14, 2024, related to the Re-certification/Licensure Life Safety Code survey.
Findings
The deficiencies have been corrected and no new noncompliance was identified. The facility is in compliance with all regulations surveyed.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Eric W Kiernan | Surveyor | Named as the surveyor conducting the revisit survey on March 14, 2024. |
Inspection Report
Plan of Correction
Census: 113
Capacity: 133
Deficiencies: 4
Feb 16, 2024
Visit Reason
A Recertification Survey and complaint investigation survey were conducted to determine compliance with 42 CFR Part 483 requirements for Long Term Care Facilities, including state licensure and emergency preparedness surveys.
Findings
Deficiencies were cited related to food procurement, storage, and labeling, infection prevention and control, and life safety code violations including emergency lighting, sprinkler system installation, and fire drills. The facility failed to maintain compliance with professional standards and regulatory requirements in these areas.
Severity Breakdown
Level D: 1
Level F: 3
Deficiencies (4)
| Description | Severity |
|---|---|
| Food safety requirements not met: unmarked or unlabeled food items in refrigerators and freezers, condensation issues in walk-in freezer, and lack of in-service education on food safety. | — |
| Infection prevention and control program deficiencies including failure to maintain isolation precautions and hand hygiene compliance for residents on Contact Plus Precautions for C. difficile. | Level D |
| Life Safety Code deficiencies including failure to maintain emergency lighting, sprinkler system obstructions, and failure to conduct required fire drills as scheduled. | Level F |
| Failure to properly label and segregate oxygen cylinders in accordance with NFPA standards. | Level F |
Report Facts
Capacity: 133
Census: 113
Deficiencies cited: 4
Dates of fire drills failed: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing Services | Director of Nursing Services | Interviewed regarding infection control practices and expectations for staff compliance |
| Physical Plant Director | Physical Plant Director | Interviewed regarding emergency lighting, sprinkler system, fire drills, and oxygen cylinder storage |
| Food Service Director | Food Service Director | Present during kitchen observations and responsible for food safety compliance |
Inspection Report
Annual Inspection
Deficiencies: 4
Nov 28, 2022
Visit Reason
The annual Federal Life Safety Code survey was conducted by the State Survey Agency at Waterview Villa Rehabilitation and Health Care Center pursuant to the National Fire Protection Association 101 Life Safety Code, 2012 Edition.
Findings
Life Safety Code deficiencies were identified related to means of egress, doors with self-closing devices, portable fire extinguishers, and rubbish chutes. The facility provided plans of correction including audits, education, and maintenance to ensure ongoing compliance.
Deficiencies (4)
| Description |
|---|
| Facility failed to maintain means of egress free of all obstructions; combustible storage found in exit stairwells consisting of wooden and upholstered chairs. |
| Rated doors to laundry chute rooms were wedged open, failing to self-close as required. |
| Portable fire extinguishers were not being visually inspected monthly as required; some extinguishers were past due for annual maintenance. |
| Laundry chute door hinge on third floor was repaired but second floor door had damaged hinge preventing proper closing. |
Report Facts
Date of survey completion: Nov 28, 2022
Number of pages: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maintenance Director | Acknowledged combustible items stored in exit stairwells and wedged laundry chute doors; responsible for ensuring compliance and conducting audits. |
Inspection Report
Annual Inspection
Deficiencies: 2
Sep 10, 2021
Visit Reason
A Recertification Survey was conducted at Waterview Villa Rehabilitation from 09/07/2021 through 09/10/2021 to determine compliance with 42 CFR Part 483 requirements for Long Term Care Facilities, including state licensure and emergency preparedness surveys.
Findings
The facility was determined not to be in compliance with requirements, with deficiencies noted in the development and implementation of comprehensive person-centered care plans for residents and infection preventionist specialized training. Residents #25 and #80 had no ill effects from the deficiencies. The facility completed audits and updated care plans and care cards as part of corrective actions.
Deficiencies (2)
| Description |
|---|
| Failure to develop and implement a comprehensive person-centered care plan for each resident, including measurable objectives and timeframes to meet medical, nursing, and psychosocial needs. |
| Failure to ensure the Infection Preventionist completed specialized training in infection prevention and control. |
Report Facts
Missed 30-minute checks: 38
Missed 30-minute checks: 48
Missed 30-minute checks: 34
Missed 30-minute checks: 45
Missed 30-minute checks: 32
Missed 30-minute checks: 39
Missed 30-minute checks: 35
Missed 30-minute checks: 25
Missed 30-minute checks: 29
Missed 30-minute checks: 48
Missed 30-minute checks: 48
Missed 30-minute checks: 48
Missed 30-minute checks: 37
Missed 30-minute checks: 48
Missed 30-minute checks: 48
Missed 30-minute checks: 48
Missed 30-minute checks: 48
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Nurse | Acknowledged that 30-minute checks were not completed consistently in the log during surveyor interview on 9/9/2021 |
| Staff B | Nursing Assistant | Indicated that nursing assistants should be filling out the 30-minute check form during surveyor interview on 9/10/2021 |
| Staff C | Nurse | Stated that 15-minute checks were initiated on 8/6/2021 during surveyor interview on 9/10/2021 |
Loading inspection reports...
