WATERS OF WAKARUSA SKILLED NURSING FACILITY, THE in WAKARUSA, IN was fined $14,661 by CMS following 30 deficiency citations identified during federal surveys.

WATERS OF WAKARUSA SKILLED NURSING FACILITY, THE (WAKARUSA, IN) — $14,661 in CMS Fines

Outcome: WATERS OF WAKARUSA SKILLED NURSING FACILITY, THE in WAKARUSA, IN was fined $14,661 by CMS following 30 deficiency citations identified during federal surveys.

Deficiency areas cited:

• Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.


• Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.


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


• Provide safe, appropriate dialysis care/services for a resident who requires such services.


• Implement 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.


• 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.


• Provide timely, quality laboratory services/tests to meet the needs of residents.


• Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.