All citations for Waters Edge Health and Rehabilitation

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Waters Edge Health and Rehabilitation

Last standard health inspection on record

May 30, 2025

Showing 1 to 22 of 22 citations

  1. No harm, with potential for more than minimal harm

    Develop and maintain an Emergency Preparedness Program (EP).

    Pattern (more than a few residents). CMS level E.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of May 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2025).

  2. No harm, with potential for more than minimal harm

    Conduct risk assessment and an All-Hazards approach.

    Pattern (more than a few residents). CMS level E.

    Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of May 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2025).

  3. No harm, with potential for more than minimal harm

    Include a process for Emergency Preparedness collaboration.

    Pattern (more than a few residents). CMS level E.

    Emergency preparedness citation E-0009, Emergency Preparedness Deficiencies. Inspection of May 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2025).

  4. No harm, with potential for more than minimal harm

    Develop Emergency Preparedness policies and procedures.

    Pattern (more than a few residents). CMS level E.

    Emergency preparedness citation E-0013, Emergency Preparedness Deficiencies. Inspection of May 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2025).

  5. No harm, with potential for more than minimal harm

    Address subsistence needs for staff and patients.

    Pattern (more than a few residents). CMS level E.

    Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of May 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2025).

  6. No harm, with potential for more than minimal harm

    Establish roles under a Waiver declared by secretary.

    Pattern (more than a few residents). CMS level E.

    Emergency preparedness citation E-0026, Emergency Preparedness Deficiencies. Inspection of May 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2025).

  7. No harm, with potential for more than minimal harm

    Develop a communication plan.

    Pattern (more than a few residents). CMS level E.

    Emergency preparedness citation E-0029, Emergency Preparedness Deficiencies. Inspection of May 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2025).

  8. No harm, with potential for more than minimal harm

    List the names and contact information of those in the facility.

    Pattern (more than a few residents). CMS level E.

    Emergency preparedness citation E-0030, Emergency Preparedness Deficiencies. Inspection of May 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2025).

  9. No harm, with potential for more than minimal harm

    Provide emergency officials' contact information.

    Pattern (more than a few residents). CMS level E.

    Emergency preparedness citation E-0031, Emergency Preparedness Deficiencies. Inspection of May 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2025).

  10. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of February 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 23, 2024).

  11. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of May 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 11, 2025).

  12. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of February 22, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 23, 2024).

  13. No harm, with potential for more than minimal harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of November 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 15, 2022).

  14. No harm, with potential for more than minimal harm

    Provide activities to meet all resident's needs.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0679, Quality of Life and Care Deficiencies. Inspection of November 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 15, 2022).

  15. No harm, with potential for more than minimal harm

    Provide 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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of November 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 15, 2022).

  16. No harm, with potential for more than minimal harm

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of November 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 15, 2022).

  17. No harm, with potential for more than minimal harm

    Provide enough food/fluids to maintain a resident's health.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of November 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 15, 2022).

  18. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of November 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 15, 2022).

  19. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0211, Egress Deficiencies. Inspection of November 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 8, 2022).

  20. No harm, with potential for more than minimal harm

    Have approved installation, maintenance and testing program for fire alarm systems.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of November 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 8, 2022).

  21. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of November 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 8, 2022).

  22. No harm, with potential for more than minimal harm

    Meet other general requirements.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0932, Smoke Deficiencies. Inspection of November 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 8, 2022).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.