Facility profile · CCN 525281
Waters Edge Health And Rehabilitation Center
74 federal citations on record , including 4 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $54,055.
Record summary
Federal record · Q1 202674
Total citations
74
Last 3 years
8
Actual harm+
1
Federal penalties
$54,055
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
74 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Sep 30, 2025 | F825 | Provide or get specialized rehabilitative services as required for a resident. | D | Complaint |
| Sep 30, 2025 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Complaint |
| Sep 30, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint |
| Sep 30, 2025 | F678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | D | Complaint |
| Sep 30, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Sep 30, 2025 | F887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | Standard |
| Sep 30, 2025 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard |
| Sep 30, 2025 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Sep 30, 2025 | F761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard |
| Sep 30, 2025 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Sep 30, 2025 | F745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | G | Standard |
| Sep 30, 2025 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard |
| Sep 30, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Sep 30, 2025 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Sep 30, 2025 | F628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | Standard |
| Sep 30, 2025 | F602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Standard |
| Sep 30, 2025 | F583 | Keep residents' personal and medical records private and confidential. | E | Standard |
| Sep 30, 2025 | F925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | Complaint |
| Sep 30, 2025 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | K | Complaint |
| Sep 30, 2025 | F744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | G | Complaint |
| Sep 30, 2025 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint |
| Sep 30, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Sep 30, 2025 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Complaint |
| Sep 30, 2025 | F610 | Respond appropriately to all alleged violations. | K | Complaint |
| Sep 30, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint |
| Sep 30, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | Complaint |
| Sep 30, 2025 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Complaint |
| Aug 20, 2025 | F760 | Ensure that residents are free from significant medication errors. | D | Complaint |
| Aug 20, 2025 | F726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Complaint |
| Jul 8, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| May 15, 2025 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Complaint |
| Oct 30, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Sep 11, 2024 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Aug 5, 2024 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint |
| Aug 5, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Aug 5, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint |
| Aug 5, 2024 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Complaint |
| Aug 5, 2024 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard |
| Aug 5, 2024 | F693 | 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. | D | Standard |
| Aug 5, 2024 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard |
| Aug 5, 2024 | F688 | 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. | D | Standard |
| Aug 5, 2024 | F685 | Assist a resident in gaining access to vision and hearing services. | D | Standard |
| Aug 5, 2024 | F641 | Ensure each resident receives an accurate assessment. | B | Standard |
| Aug 5, 2024 | F637 | Assess the resident when there is a significant change in condition | D | Standard |
| May 20, 2024 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint |
| May 20, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint |
| May 20, 2024 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint |
| May 20, 2024 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | G | Complaint |
| May 20, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| May 20, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J | Complaint |
| May 20, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| May 20, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| May 20, 2024 | F646 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | D | Complaint |
| May 20, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint |
| May 20, 2024 | F572 | Give residents a notice of rights, rules, services and charges. | E | Complaint |
| May 20, 2024 | F565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Complaint |
| May 20, 2024 | F559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | Complaint |
| Dec 6, 2023 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint |
| Dec 6, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Dec 6, 2023 | F660 | Plan the resident's discharge to meet the resident's goals and needs. | D | Complaint |
| Dec 6, 2023 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Dec 6, 2023 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint |
| Oct 4, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Oct 4, 2023 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Complaint |
| Oct 4, 2023 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint |
| May 24, 2023 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint |
| May 24, 2023 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| May 24, 2023 | F585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Complaint |
| May 24, 2023 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| May 24, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| May 24, 2023 | F761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard |
| May 24, 2023 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| May 24, 2023 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| May 24, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
Federal enforcement history
Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $54,055 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| May 20, 2024 | Fine | $54,055 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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