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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.

Abuse Icon Special Focus Status 4 Immediate Jeopardy

Record summary

Federal record · Q1 2026
74
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
SurveyF-TagViolationSeveritySource
Sep 30, 2025F825Provide or get specialized rehabilitative services as required for a resident.DComplaint
Sep 30, 2025F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DComplaint
Sep 30, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint
Sep 30, 2025F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.DComplaint
Sep 30, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Sep 30, 2025F887Educate 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.DStandard
Sep 30, 2025F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Sep 30, 2025F880Provide and implement an infection prevention and control program.EStandard
Sep 30, 2025F761Ensure 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.EStandard
Sep 30, 2025F759Ensure medication error rates are not 5 percent or greater.DStandard
Sep 30, 2025F745Provide medically-related social services to help each resident achieve the highest possible quality of life.GStandard
Sep 30, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Sep 30, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Sep 30, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Sep 30, 2025F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.EStandard
Sep 30, 2025F602Protect each resident from the wrongful use of the resident's belongings or money.DStandard
Sep 30, 2025F583Keep residents' personal and medical records private and confidential.EStandard
Sep 30, 2025F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.FComplaint
Sep 30, 2025F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.KComplaint
Sep 30, 2025F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.GComplaint
Sep 30, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Sep 30, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Sep 30, 2025F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DComplaint
Sep 30, 2025F610Respond appropriately to all alleged violations.KComplaint
Sep 30, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint
Sep 30, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.KComplaint
Sep 30, 2025F584Honor 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.EComplaint
Aug 20, 2025F760Ensure that residents are free from significant medication errors.DComplaint
Aug 20, 2025F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DComplaint
Jul 8, 2025F880Provide and implement an infection prevention and control program.DComplaint
May 15, 2025F584Honor 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.EComplaint
Oct 30, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Sep 11, 2024F610Respond appropriately to all alleged violations.DComplaint
Aug 5, 2024F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EComplaint
Aug 5, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Aug 5, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Aug 5, 2024F584Honor 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.DComplaint
Aug 5, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EStandard
Aug 5, 2024F693Ensure 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.DStandard
Aug 5, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Aug 5, 2024F688Provide 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.DStandard
Aug 5, 2024F685Assist a resident in gaining access to vision and hearing services.DStandard
Aug 5, 2024F641Ensure each resident receives an accurate assessment.BStandard
Aug 5, 2024F637Assess the resident when there is a significant change in conditionDStandard
May 20, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint
May 20, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
May 20, 2024F692Provide enough food/fluids to maintain a resident's health.DComplaint
May 20, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.GComplaint
May 20, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
May 20, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.JComplaint
May 20, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
May 20, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
May 20, 2024F646Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.DComplaint
May 20, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint
May 20, 2024F572Give residents a notice of rights, rules, services and charges.EComplaint
May 20, 2024F565Honor the resident's right to organize and participate in resident/family groups in the facility.EComplaint
May 20, 2024F559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.DComplaint
Dec 6, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Dec 6, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Dec 6, 2023F660Plan the resident's discharge to meet the resident's goals and needs.DComplaint
Dec 6, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Dec 6, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Oct 4, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Oct 4, 2023F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DComplaint
Oct 4, 2023F558Reasonably accommodate the needs and preferences of each resident.DComplaint
May 24, 2023F692Provide enough food/fluids to maintain a resident's health.DComplaint
May 24, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
May 24, 2023F585Honor 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.DComplaint
May 24, 2023F880Provide and implement an infection prevention and control program.DStandard
May 24, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
May 24, 2023F761Ensure 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.EStandard
May 24, 2023F759Ensure medication error rates are not 5 percent or greater.DStandard
May 24, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
May 24, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard

Federal enforcement history

Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $54,055 .

DateTypeFinePayment denial
May 20, 2024Fine$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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