Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 155271

Waters Of Castleton Skilled Nursing Facility, The

51 federal citations on record .

Record summary

Federal record · Q1 2026
51
Total citations
49
Last 3 years
1
Actual harm+
0
Federal penalties
$0
Total fines
2
Overall ★ rating

Most common violation categories here

Quality of Care14 Care Planning12 Resident Rights7 Medication & Pharmacy6 Abuse & Neglect3

Most common F-tags at this facility

F8423 F7402 F6892 F7552 F5502

Citation history

51 on record
SurveyF-TagViolationSeveritySource
Dec 16, 2025F880Provide and implement an infection prevention and control program.DStandard
Dec 16, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Dec 16, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Dec 16, 2025F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.DStandard
Dec 16, 2025F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Dec 16, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Dec 16, 2025F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Dec 16, 2025F685Assist a resident in gaining access to vision and hearing services.DStandard
Dec 16, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Dec 16, 2025F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DStandard
Dec 16, 2025F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DStandard
Oct 28, 2025F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DComplaint
Apr 16, 2025F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DComplaint
Apr 16, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Apr 16, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Apr 2, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Apr 2, 2025F692Provide enough food/fluids to maintain a resident's health.DComplaint
Apr 2, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Apr 2, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Apr 2, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Apr 2, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Oct 8, 2024F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.FComplaint
Oct 8, 2024F887Educate 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.EStandard
Oct 8, 2024F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.CStandard
Oct 8, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Oct 8, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard
Oct 8, 2024F641Ensure each resident receives an accurate assessment.BStandard
Oct 8, 2024F565Honor the resident's right to organize and participate in resident/family groups in the facility.DStandard
Oct 8, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Jan 25, 2024F641Ensure each resident receives an accurate assessment.DComplaint
Aug 11, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Aug 11, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Aug 11, 2023F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DComplaint
Aug 11, 2023F660Plan the resident's discharge to meet the resident's goals and needs.DComplaint
Aug 11, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Aug 11, 2023F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDComplaint
Aug 11, 2023F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.DStandard
Aug 11, 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.DStandard
Aug 11, 2023F759Ensure medication error rates are not 5 percent or greater.DStandard
Aug 11, 2023F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DStandard
Aug 11, 2023F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Aug 11, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Aug 11, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Aug 11, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
Aug 11, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GStandard
Aug 11, 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.EStandard
Aug 11, 2023F565Honor the resident's right to organize and participate in resident/family groups in the facility.EStandard
Jun 20, 2023F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
Jun 20, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Apr 12, 2023F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DComplaint
Apr 12, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
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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