Waters Edge Health And Rehabilitation Center
Inspection Findings
F-Tag F0583
Federal health inspectors cited WATERS EDGE HEALTH AND REHABILITATION CENTER in KENOSHA, WI for a deficiency under regulatory tag F-F0583 during a standard health inspection conducted on 2025-09-30.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Keep residents' personal and medical records private and confidential.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 27 deficiencies cited during this inspection of WATERS EDGE HEALTH AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-04.
F-Tag F0584
Federal health inspectors cited WATERS EDGE HEALTH AND REHABILITATION CENTER in KENOSHA, WI for a deficiency under regulatory tag F-F0584 during a complaint investigation conducted on 2025-09-30.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 27 deficiencies cited during this inspection of WATERS EDGE HEALTH AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-04.
F-Tag F0600
Federal health inspectors cited WATERS EDGE HEALTH AND REHABILITATION CENTER in KENOSHA, WI for a deficiency under regulatory tag F-F0600 during a complaint investigation conducted on 2025-09-30.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
The facility was found deficient in the following area: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Scope/Severity Level K: pattern, immediate jeopardy to resident health or safety.
This represents an immediate jeopardy situation, the most serious level of deficiency.
This was one of 27 deficiencies cited during this inspection of WATERS EDGE HEALTH AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-04.
F-Tag F0602
Federal health inspectors cited WATERS EDGE HEALTH AND REHABILITATION CENTER in KENOSHA, WI for a deficiency under regulatory tag F-F0602 during a standard health inspection conducted on 2025-09-30.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
The facility was found deficient in the following area: Protect each resident from the wrongful use of the resident's belongings or money.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 27 deficiencies cited during this inspection of WATERS EDGE HEALTH AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-04.
F-Tag F0609
Federal health inspectors cited WATERS EDGE HEALTH AND REHABILITATION CENTER in KENOSHA, WI for a deficiency under regulatory tag F-F0609 during a complaint investigation conducted on 2025-09-30.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
The facility was found deficient in the following area: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 27 deficiencies cited during this inspection of WATERS EDGE HEALTH AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-04.
F-Tag F0610
Federal health inspectors cited WATERS EDGE HEALTH AND REHABILITATION CENTER in KENOSHA, WI for a deficiency under regulatory tag F-F0610 during a complaint investigation conducted on 2025-09-30.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
The facility was found deficient in the following area: Respond appropriately to all alleged violations.
Scope/Severity Level K: pattern, immediate jeopardy to resident health or safety.
This represents an immediate jeopardy situation, the most serious level of deficiency.
This was one of 27 deficiencies cited during this inspection of WATERS EDGE HEALTH AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-04.
F-Tag F0628
Federal health inspectors cited WATERS EDGE HEALTH AND REHABILITATION CENTER in KENOSHA, WI for a deficiency under regulatory tag F-F0628 during a standard health inspection conducted on 2025-09-30.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 27 deficiencies cited during this inspection of WATERS EDGE HEALTH AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-04.
F-Tag F0644
Federal health inspectors cited WATERS EDGE HEALTH AND REHABILITATION CENTER in KENOSHA, WI for a deficiency under regulatory tag F-F0644 during a complaint investigation conducted on 2025-09-30.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 27 deficiencies cited during this inspection of WATERS EDGE HEALTH AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-04.
F-Tag F0657
Federal health inspectors cited WATERS EDGE HEALTH AND REHABILITATION CENTER in KENOSHA, WI for a deficiency under regulatory tag F-F0657 during a standard health inspection conducted on 2025-09-30.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 27 deficiencies cited during this inspection of WATERS EDGE HEALTH AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-04.
F-Tag F0677
Federal health inspectors cited WATERS EDGE HEALTH AND REHABILITATION CENTER in KENOSHA, WI for a deficiency under regulatory tag F-F0677 during a complaint investigation conducted on 2025-09-30.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide care and assistance to perform activities of daily living for any resident who is unable.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 27 deficiencies cited during this inspection of WATERS EDGE HEALTH AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-04.
F-Tag F0678
Federal health inspectors cited WATERS EDGE HEALTH AND REHABILITATION CENTER in KENOSHA, WI for a deficiency under regulatory tag F-F0678 during a complaint investigation conducted on 2025-09-30.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 27 deficiencies cited during this inspection of WATERS EDGE HEALTH AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-04.
F-Tag F0684
Federal health inspectors cited WATERS EDGE HEALTH AND REHABILITATION CENTER in KENOSHA, WI for a deficiency under regulatory tag F-F0684 during a complaint investigation conducted on 2025-09-30.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 27 deficiencies cited during this inspection of WATERS EDGE HEALTH AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-04.
F-Tag F0686
Federal health inspectors cited WATERS EDGE HEALTH AND REHABILITATION CENTER in KENOSHA, WI for a deficiency under regulatory tag F-F0686 during a complaint investigation conducted on 2025-09-30.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 27 deficiencies cited during this inspection of WATERS EDGE HEALTH AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-04.
F-Tag F0689
Federal health inspectors cited WATERS EDGE HEALTH AND REHABILITATION CENTER in KENOSHA, WI for a deficiency under regulatory tag F-F0689 during a complaint investigation conducted on 2025-09-30.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 27 deficiencies cited during this inspection of WATERS EDGE HEALTH AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-04.
F-Tag F0695
Federal health inspectors cited WATERS EDGE HEALTH AND REHABILITATION CENTER in KENOSHA, WI for a deficiency under regulatory tag F-F0695 during a standard health inspection conducted on 2025-09-30.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide safe and appropriate respiratory care for a resident when needed.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 27 deficiencies cited during this inspection of WATERS EDGE HEALTH AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-04.
F-Tag F0698
Federal health inspectors cited WATERS EDGE HEALTH AND REHABILITATION CENTER in KENOSHA, WI for a deficiency under regulatory tag F-F0698 during a standard health inspection conducted on 2025-09-30.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide safe, appropriate dialysis care/services for a resident who requires such services.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 27 deficiencies cited during this inspection of WATERS EDGE HEALTH AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-04.
F-Tag F0744
Federal health inspectors cited WATERS EDGE HEALTH AND REHABILITATION CENTER in KENOSHA, WI for a deficiency under regulatory tag F-F0744 during a complaint investigation conducted on 2025-09-30.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Scope/Severity Level G: isolated, actual harm that is not immediate jeopardy.
Actual harm to residents was documented as a result of this deficiency.
This was one of 27 deficiencies cited during this inspection of WATERS EDGE HEALTH AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-04.
F-Tag F0745
Federal health inspectors cited WATERS EDGE HEALTH AND REHABILITATION CENTER in KENOSHA, WI for a deficiency under regulatory tag F-F0745 during a standard health inspection conducted on 2025-09-30.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide medically-related social services to help each resident achieve the highest possible quality of life.
Scope/Severity Level G: isolated, actual harm that is not immediate jeopardy.
Actual harm to residents was documented as a result of this deficiency.
This was one of 27 deficiencies cited during this inspection of WATERS EDGE HEALTH AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-04.
F-Tag F0756
Federal health inspectors cited WATERS EDGE HEALTH AND REHABILITATION CENTER in KENOSHA, WI for a deficiency under regulatory tag F-F0756 during a complaint investigation conducted on 2025-09-30.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 27 deficiencies cited during this inspection of WATERS EDGE HEALTH AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-04.
F-Tag F0759
Federal health inspectors cited WATERS EDGE HEALTH AND REHABILITATION CENTER in KENOSHA, WI for a deficiency under regulatory tag F-F0759 during a standard health inspection conducted on 2025-09-30.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure medication error rates are not 5 percent or greater.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 27 deficiencies cited during this inspection of WATERS EDGE HEALTH AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-04.
F-Tag F0761
Federal health inspectors cited WATERS EDGE HEALTH AND REHABILITATION CENTER in KENOSHA, WI for a deficiency under regulatory tag F-F0761 during a standard health inspection conducted on 2025-09-30.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: 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.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 27 deficiencies cited during this inspection of WATERS EDGE HEALTH AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-04.
F-Tag F0825
Federal health inspectors cited WATERS EDGE HEALTH AND REHABILITATION CENTER in KENOSHA, WI for a deficiency under regulatory tag F-F0825 during a complaint investigation conducted on 2025-09-30.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide or get specialized rehabilitative services as required for a resident.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 27 deficiencies cited during this inspection of WATERS EDGE HEALTH AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-04.
F-Tag F0835
Federal health inspectors cited WATERS EDGE HEALTH AND REHABILITATION CENTER in KENOSHA, WI for a deficiency under regulatory tag F-F0835 during a complaint investigation conducted on 2025-09-30.
Category: Administration Deficiencies
The facility was found deficient in the following area: Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Scope/Severity Level K: pattern, immediate jeopardy to resident health or safety.
This represents an immediate jeopardy situation, the most serious level of deficiency.
This was one of 27 deficiencies cited during this inspection of WATERS EDGE HEALTH AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-04.
F-Tag F0880
Federal health inspectors cited WATERS EDGE HEALTH AND REHABILITATION CENTER in KENOSHA, WI for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-09-30.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Provide and implement an infection prevention and control program.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 27 deficiencies cited during this inspection of WATERS EDGE HEALTH AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-04.
F-Tag F0883
Federal health inspectors cited WATERS EDGE HEALTH AND REHABILITATION CENTER in KENOSHA, WI for a deficiency under regulatory tag F-F0883 during a standard health inspection conducted on 2025-09-30.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Develop and implement policies and procedures for flu and pneumonia vaccinations.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 27 deficiencies cited during this inspection of WATERS EDGE HEALTH AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-04.
F-Tag F0887
Federal health inspectors cited WATERS EDGE HEALTH AND REHABILITATION CENTER in KENOSHA, WI for a deficiency under regulatory tag F-F0887 during a standard health inspection conducted on 2025-09-30.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Educate 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.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 27 deficiencies cited during this inspection of WATERS EDGE HEALTH AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-04.
F-Tag F0925
Federal health inspectors cited WATERS EDGE HEALTH AND REHABILITATION CENTER in KENOSHA, WI for a deficiency under regulatory tag F-F0925 during a complaint investigation conducted on 2025-09-30.
Category: Environmental Deficiencies
The facility was found deficient in the following area: Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 27 deficiencies cited during this inspection of WATERS EDGE HEALTH AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-04.
WATERS EDGE HEALTH AND REHABILITATION CENTER in KENOSHA, WI inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.