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Inspection visit

Inspection

WATERS OF MARTINSVILLE, THECMS #15518332 citations on this visit
32 citations recorded

Citations

32 citations recorded*CMS

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0039GeneralS&S Fpotential for harm

    Conduct testing and exercise requirements.

  • 0041GeneralS&S Fpotential for harm

    Implement emergency and standby power systems.

  • 0100GeneralS&S Dpotential for harm

    Meet other general requirements.

  • 0211GeneralS&S Epotential for harm

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

  • 0222GeneralS&S Fpotential for harm

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

  • 0271GeneralS&S Epotential for harm

    Have exits that are accessible at all times.

  • 0293GeneralS&S Epotential for harm

    Have properly located and lighted "Exit" signs.

  • 0300GeneralS&S Fpotential for harm

    Meet other general requirements that are deficient.

  • 0321GeneralS&S Epotential for harm

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

  • 0324GeneralS&S Fpotential for harm

    Provide properly protected cooking facilities.

  • 0341GeneralS&S Epotential for harm

    Install a fire alarm system that can be heard throughout the facility.

  • 0374GeneralS&S Epotential for harm

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

  • 0511GeneralS&S Epotential for harm

    Have properly installed electrical wiring and gas equipment.

  • 0521GeneralS&S Fpotential for harm

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

  • 0711GeneralS&S Fpotential for harm

    F711 - Physician Visits

    Provide a written emergency evacuation plan.

  • 0712GeneralS&S Cno actual harm

    F712 - Frequency of physician visits

    Have simulated fire drills held at unexpected times.

  • 0741GeneralS&S Epotential for harm

    F741 - The facility must have sufficient staff who provide direct services to

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

  • 0916GeneralS&S Fpotential for harm

    F916 - Have a floor at or above grade level

    Have a battery powered remote alarm panel in a location accessible by operating personnel.

  • 0918GeneralS&S Fpotential for harm

    F918 - Bathroom Facilities

    Have generator or other power source capable of supplying service within 10 seconds.

  • 0920GeneralS&S Epotential for harm

    F920 - Dining and Resident Activities

    Ensure proper usage of power strips and extension cords.

  • 0623GeneralS&S Dpotential for harm

    F623 - Transfer and discharge-

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

  • 0625GeneralS&S Dpotential for harm

    F625 - Transfer and discharge-

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

  • 0641GeneralS&S Dpotential for harm

    F641 - Accuracy of Assessments

    Ensure each resident receives an accurate assessment.

  • 0686SeriousS&S Gactual harm

    F686 - Skin Integrity

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  • 0695GeneralS&S Dpotential for harm

    F695 - Respiratory care, including tracheostomy care and tracheal suctioning

    Provide safe and appropriate respiratory care for a resident when needed.

  • 0760GeneralS&S Dpotential for harm

    F760 - Residents are free of any significant medication errors

    Ensure that residents are free from significant medication errors.

  • 0921GeneralS&S Epotential for harm

    F921 - Other Environmental Conditions

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

  • 0037GeneralS&S Fpotential for harm

    Establish staff and initial training requirements.

  • 0351GeneralS&S Epotential for harm

    Install an approved automatic sprinkler system.

  • 0353GeneralS&S Epotential for harm

    Inspect, test, and maintain automatic sprinkler systems.

  • 0355GeneralS&S Epotential for harm

    Properly select, install, inspect, or maintain portable fire extinguishes.

  • 0363GeneralS&S Epotential for harm

    Install corridor and hallway doors that block smoke.

FAQ · About this visit

Common questions about this visit

What happened during the August 2, 2024 survey of WATERS OF MARTINSVILLE, THE?

This was a inspection survey of WATERS OF MARTINSVILLE, THE on August 2, 2024. The surveyor cited 32 deficiencies, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at WATERS OF MARTINSVILLE, THE on August 2, 2024?

Yes, 32 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Conduct testing and exercise requirements."

What type of survey was this?

This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.

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Next steps

Concerned about a resident’s care?Find your local ombudsman through the Eldercare Locatoror file a complaint with your state survey agency.

Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.

Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.