Inspection visit
Health inspection
Citations
14 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.
- 0514GeneralS&S Epotential for harm
Keep accurate, complete and organized clinical records on each resident that meet professional standards.
- 0241GeneralS&S Dpotential for harm
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
- 0246GeneralS&S Dpotential for harm
Reasonably accommodate the needs and preferences of each resident.
- 0253GeneralS&S Epotential for harm
Provide housekeeping and maintenance services.
- 0272GeneralS&S Dpotential for harm
Conduct initial and periodic assessments of each resident's functional capacity.
- 0279GeneralS&S Dpotential for harm
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0280GeneralS&S Dpotential for harm
Allow residents the right to participate in the planning or revision of care and treatment.
- 0311GeneralS&S Dpotential for harm
Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves.
- 0332GeneralS&S Epotential for harm
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
- 0371GeneralS&S Epotential for harm
Store, cook, and serve food in a safe and clean way.
- 0428GeneralS&S Dpotential for harm
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.
- 0431GeneralS&S Dpotential for harm
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
- 0441GeneralS&S Epotential for harm
Have a program that investigates, controls and keeps infection from spreading.
- 0458GeneralS&S Dpotential for harm
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
FAQ · About this visit
Common questions about this visit
What happened during the November 1, 2017 survey of Hidden Waters Rehabilitation and Wellness Center?
This was a inspection survey of Hidden Waters Rehabilitation and Wellness Center on November 1, 2017. The surveyor cited 14 deficiencies, recorded on the federal Form 2567 statement of deficiencies.
Were any deficiencies cited at Hidden Waters Rehabilitation and Wellness Center on November 1, 2017?
Yes, 14 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Keep accurate, complete and organized clinical records on each resident that meet professional standards."
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.
SourceView on CMS Care Compare
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.