Above average — CMS composite of the measures below.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Waterview Pointe Nursing & Rehabilitation during CMS and state inspections, most recent first.
Beneficiary notices failed to identify what skilled services or therapy services were being terminated for three residents. The notices stated that current skilled or therapy services were ending, but the records did not specify the exact services. The DON said the facility had no policy for beneficiary notifications and would follow federal guidelines, and the Administrator verified the notices did not state what services were being terminated.
Failure to notify the State Ombudsman of a resident discharge. A resident with Alzheimer's disease, delusional disorder, anxiety disorder, and tremors was discharged after a short respite stay, but the SSD's monthly discharge email to the Ombudsman did not include the resident even though all discharges, including respite stays, were supposed to be reported.
A resident with Lewy body dementia, psoriasis, and seborrheic dermatitis continued to have facial rash and skin-picking behavior, but records and psychiatric/physician notes did not address the ongoing behavior or document new skin interventions. Observations showed active redness, flaking, and new facial areas while the resident continued picking at her skin. In a separate issue, another resident with severe cognitive impairment and agitation was observed in a reclining wheelchair with feet dangling because footrests were not in place; staff reported the footrests were hard to locate, standard footrests did not fit, and a cushioned box footrest had not been tried.
Unsupervised Medications Left at Bedside: An LPN left a resident's morning meds on an overbed table without staying to administer them, even though there was no order or evidence the resident could self-administer. The resident said she was waiting for breakfast before taking the meds, and the LPN later confirmed he had left the resident and medications unattended but was coming back.
Physician Did Not Address All Pharmacist Medication Review Recommendations: The facility failed to ensure the attending physician responded to all irregularities identified during the pharmacist’s monthly med regimen review for two residents. For one resident with schizo-affective disorder, anxiety, and depression, the physician only addressed the Zyprexa GDR recommendation and did not document a resident-specific rationale for not addressing Remeron, Buspar, or Paxil. For another resident with dementia, depression, bipolar disorder, hallucinations, and psychosis, the physician reduced duloxetine but did not address the Seroquel GDR recommendation. The DON confirmed the recommendations were not fully addressed.
A facility failed to follow physician-ordered medication parameters for two residents. One resident received Norco outside the ordered pain ranges and did not receive Tylenol as ordered for lower pain levels, while another resident received metoprolol despite DBP readings below the hold parameter and received hydrocodone for pain below the ordered range. The second resident’s ciprofloxacin eye drops for blepharitis were also delayed because the order was not entered into the pharmacy system in time for timely delivery, and the DON and pharmacy staff confirmed the timing issue.
Infection Control Lapses During Medication Administration: An RN failed to maintain adequate infection control practices while giving morning meds to two residents. The RN used the same gloved hands to handle the med cart, trash can, keyboard, and resident meds, then entered resident rooms and administered the meds without changing gloves or performing hand hygiene until after the meds were given. The RN later confirmed the observations, and facility policy required hand hygiene after glove removal and before and after resident contact.
A resident with psoriasis did not receive appropriate evaluation and treatment for a skin condition, as there was no physician's order for the redness on the chin. Despite reports of itching and dry skin, the facility failed to address the red, blotchy area. A tube of Desonide lotion was found in the resident's room without a current order or self-medication assessment, contrary to facility policy.
A resident with a history of falls and unsteady balance experienced two falls in the bathroom due to inadequate supervision. Despite requiring substantial assistance, staff left the resident unattended, leading to a fall with head injury. Observations confirmed staff did not follow the care plan, which required them to stay with the resident during bathroom use.
A facility failed to monitor a dialysis site per the care plan for a resident with chronic kidney disease and other health issues. The care plan required monitoring of the permacath every shift for bleeding, but there was no documentation of such monitoring or the site location. The resident reported that staff did not check the bandage at night, and the DON confirmed the lack of documentation.
The facility failed to evaluate and address PTSD in two residents, lacking assessments to identify causes and triggers, and did not implement care plans to minimize re-traumatization. Staff interviews revealed a lack of awareness and education on trauma-informed care, and the facility lacked a policy on PTSD management.
A resident with multiple health conditions did not receive her prescribed morning medications on days she attended dialysis. The facility's records and interviews confirmed that the medications were not administered on several occasions, as verified by the DON.
Beneficiary notices did not identify terminated skilled services
Penalty
Summary
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered was deficient when the facility failed to document what skilled services were ending for three residents reviewed for beneficiary notifications. Resident #83 had a Notice of Medicare Non-Coverage dated 04/28/25 stating skilled services were ending on 04/30/25, but the record did not identify which skilled services were ending. Resident #20 had a Notice of Medicare Non-Coverage dated 04/08/25 stating current services were ending on 04/10/25, but the record did not identify which skilled services were ending. Resident #2 had a Notice of Medicare Non-Coverage dated 04/04/25 stating current therapy services were ending on 04/07/25, but the record did not identify which therapy services were ending. During interview, the DON stated the facility did not have a policy regarding beneficiary notifications and was to follow federal guidelines, and the Administrator verified the notices did not indicate what skilled services were being terminated.
Failure to Notify State Ombudsman of Resident Discharge
Penalty
Summary
The facility failed to ensure the State Ombudsman was notified of a resident's discharge from the facility. Resident #81 was admitted with diagnoses including Alzheimer's disease, delusional disorder, anxiety disorder, and tremors, and had a discharge to home after a five-day respite stay. Review of the facility's email correspondence to the State Ombudsman showed that the social service designee sent a list of June 2025 discharges, but Resident #81 was not included on that list even though she had been discharged on 06/13/25. During interview, the social service designee confirmed that Resident #81 should have been included because all discharges, including respite stays, were to be reported.
Failure to Address Ongoing Skin Issues and Wheelchair Positioning
Penalty
Summary
The facility failed to attempt new interventions for Resident #42’s skin conditions and behaviors related to picking at her skin. Resident #42 was admitted with diagnoses including neurocognitive disorder with Lewy bodies, seborrheic dermatitis, and psoriasis. Her care plans identified that she was at risk for altered skin integrity, that her facial rash and seborrheic dermatitis came and went, and that she picked at her skin on her face. Records showed prior treatment with ketoconazole and later econazole to the face, but psychiatric notes in April, May, and July did not address the skin-picking behavior, and physician notes in May and July listed psoriasis but left the skin assessment blank. The DON confirmed the psychiatric notes did not address the behavior and that physician notes did not always include a complete skin assessment. Observations showed Resident #42 continued to have active skin issues. On one observation she was resting in bed with a quarter-size red, flaky area on her forehead and was picking at her skin. On another observation she was ambulating in her room and had patchy, dry skin on her forehead and a bright red bridge of the nose. During interview, the resident stated that rashes on her skin were normal for her and requested cream for her skin while she had a breakout across her forehead, a bright red area on the bridge of her nose, and a new small area on her chin. Staff interviews confirmed she had been picking at her skin for a long time and that she received a facial cream daily or when requested. The facility also failed to ensure Resident #45 was positioned appropriately in her wheelchair. Resident #45 had diagnoses including Alzheimer’s disease, restlessness and agitation, and history of falling, and her MDS showed severely impaired cognition, physical behaviors, worsening behaviors, and dependence on staff for activities of daily living. Her care plan identified fall risk, impaired mobility, incontinence, and impaired cognition and communication, with an intervention not to use footrests when in a recliner. However, observation showed her in a reclining wheelchair in the dining room with her feet dangling because no footrests were in place. Staff interviews revealed the footrests were not being used, were difficult to locate, and standard footrests did not fit her wheelchair. A COTA stated padded box footrests had not been tried, and later a CNA found a cushioned box footrest and stated it would work well so her feet would not dangle.
Unsupervised Medications Left at Bedside
Penalty
Summary
The facility failed to provide a safe environment for a resident when medications were left unattended. Resident #28 was admitted with diagnoses including rheumatoid arthritis, anxiety disorder, chronic pain, and cerebral infarction without residual deficits. The electronic Order Summary Report dated 07/31/25 showed no evidence that the resident was capable of self-administering medications, and there was no physician order allowing medications to be left at bedside unsupervised by the nurse. On 07/31/25 at 7:45 A.M., the surveyor observed an LPN preparing medications at the medication cart while Resident #28 was in her room. The resident was sitting in a wheelchair in front of her overbed table, where a medication cup containing twelve medications and a clear plastic water cup containing a plastic spoon and a thick white liquid medication were observed. The resident stated the LPN brought her morning medications and that she was waiting for breakfast to take them, and she verified the nurse had left the medications for her to take later and was not in the room. At 7:49 A.M., the LPN entered the room and verified he had left the resident and her medications unsupervised but was coming back. The facility policy stated medications were to be administered by authorized and trained persons, staff were to remain with the resident while medication was swallowed, and medications were never to be left in a resident's room without an order to do so.
Physician Did Not Address All Pharmacist Medication Review Recommendations
Penalty
Summary
The facility failed to ensure the attending physician addressed all recommendations made by the consulting pharmacist during monthly medication regimen reviews for irregularities identified in the residents’ medication regimens. The facility’s policy required that all irregularities and recommendations from the medication regimen review be provided to the attending physician, DON, and Medical Director, and that the facility and physician document what irregularity was reviewed, what action was taken, and the rationale for accepting or declining the recommendation. Based on record review and staff interview, the physician did not fully respond to the pharmacist’s recommendations for two residents reviewed for unnecessary medications. For one resident with schizo-affective disorder, generalized anxiety disorder, and major depressive disorder, the pharmacist recommended considering a gradual dose reduction for Zyprexa, Remeron, Buspar, and Paxil. The physician agreed only to reduce Zyprexa from 10 mg to 5 mg daily and did not address the other three medications or provide a resident-specific rationale for why gradual dose reduction was contraindicated. For another resident with Alzheimer’s disease, major depression, anxiety disorder, bipolar disorder, hallucinations, and unspecified psychosis, the pharmacist recommended gradual dose reduction for duloxetine and Seroquel. The physician reduced duloxetine but did not address the recommendation for Seroquel. The DON confirmed the physician did not fully address the pharmacist’s recommendations for all listed medications.
Failure to Follow Physician-Ordered Medication Parameters
Penalty
Summary
The facility failed to follow physician-ordered parameters for medication administration for two residents. Resident #3 had diagnoses including Parkinson’s disease, diabetes mellitus, colon cancer, schizo-affective disorder, and mild intellectual disabilities. His orders included Norco 5-325 mg for pain rated 5-10 and Tylenol Extra Strength 500 mg, two tablets for pain rated 1-5. In June 2025, the eMAR showed he received two Norco tablets four times when his pain was documented as 7 on a 1-10 scale, rather than receiving one tablet as ordered for that pain level. In July 2025, he received Norco for pain levels of 2 and 4, and there was no evidence he received Tylenol Extra Strength as ordered for pain levels between 1-5. Resident #5 had diagnoses including Parkinson’s disease with dyskinesia, end stage renal disease, hypertension, diabetes mellitus with diabetic peripheral angiopathy, dialysis dependence, unspecified dementia, polyneuropathy, and anxiety disorder. His metoprolol succinate XR order included a parameter to hold the medication if diastolic blood pressure was less than 60 mmHg, yet the eMAR showed administrations when DBP readings were 45, 56, 54, 58, 58, and 56. He also had an order for Hydrocodone-Acetaminophen 7.5-325 mg for pain rated 6 to 10, but the eMAR showed doses given when pain was rated 4 out of 10 in June and July 2025. Resident #5 also had a blepharitis-related order for Ciprofloxacin 0.3% eye drops, but the order was not entered into the electronic ordering system in time for timely pharmacy processing. The medication was discontinued and re-entered multiple times, and the first documented dose was not administered until several days after the infection report identified green-brown eye discharge and blepharitis. Interviews with the DON, LPN, and pharmacy technician confirmed the medication was not timely because the order was entered after the pharmacy cutoff and was not requested as a STAT delivery. The facility policy required medications to be administered in accordance with physician orders.
Infection Control Lapses During Medication Administration
Penalty
Summary
Provide and implement an infection prevention and control program was deficient when RN #200 did not maintain adequate infection control practices during morning medication administration for two residents, #35 and #51. During observation on 07/29/25, RN #200 applied gloves, opened the medication cart, removed pharmacy-packaged and over-the-counter medications from multiple drawers, dispensed the medications into a gloved hand, and placed them into medication cups. Twice during the observation, RN #200 opened the trash can lid to discard a wasted medication and trash, used the electronic keyboard to document the medication, locked the cart, and then entered each resident room wearing the same gloves used at the cart to administer the medications. After administering the medications, RN #200 removed the gloves, discarded them in the resident room trash, and used hand sanitizer. RN #200 later verified these actions during interview. Facility policies on glove technique and hand hygiene stated that clean gloves should be worn when contact with blood, urine, or feces may occur and that hand hygiene should be performed after gloves are removed and before and after resident contact and contact with contaminated surfaces.
Failure to Evaluate and Treat Resident's Skin Condition
Penalty
Summary
The facility failed to evaluate and treat a resident's skin condition, specifically affecting a resident with a diagnosis of psoriasis. The resident required assistance with personal hygiene and had an order for Ketoconazole shampoo for Seborrhea, which was administered as prescribed. However, there was no physician's order to address the resident's psoriasis or redness noted on the chin. Nursing progress notes documented the resident's report of itching and dry skin on the neck and face, leading to an order for hydrocortisone cream. Despite this, the notes did not address the red, blotchy area on the resident's chin. Observations confirmed the presence of a bright red, blotchy area on the resident's chin, which the resident reported as itchy. The Director of Nursing confirmed that no residents self-administered medications, yet a tube of Desonide lotion was found in the resident's bedside table without a current order or self-medication assessment. Interviews with staff confirmed the lack of a current treatment order for the resident's skin condition and the absence of a self-medication assessment. The facility's policy allowed for bedside storage of medications with a physician's order and periodic reassessment, but no policy for non-pressure related skin impairment was provided.
Inadequate Supervision Leads to Resident Falls
Penalty
Summary
The facility failed to ensure adequate supervision for Resident #12, who was at risk for falls due to morbid obesity, chronic obstructive pulmonary disease, and chronic respiratory failure. The resident had a history of falls and was assessed as having unsteady balance, requiring substantial assistance for transfers and walking. Despite these assessments, the resident experienced two falls in the bathroom. On one occasion, the resident attempted to transfer herself back to her recliner after being left alone, resulting in a fall with no injury. On another occasion, the resident fell after becoming dizzy and hit her head, requiring emergency room evaluation and staples for an open wound. Observations and interviews revealed that staff did not consistently follow the care plan, which required them to stay with the resident while in the bathroom. A nursing assistant was observed leaving the resident unattended in the bathroom, contrary to the care plan's instructions. Interviews with staff confirmed that the resident should not have been left alone due to her fall risk and history. The Director of Nursing also confirmed that staff were expected to remain close by when the resident was in the bathroom, highlighting a lapse in adherence to the care plan designed to prevent such accidents.
Failure to Monitor Dialysis Site as Per Care Plan
Penalty
Summary
The facility failed to monitor a dialysis site according to the resident-centered care plan for a resident receiving dialysis. The resident, who was admitted with diagnoses including type 2 diabetes mellitus with diabetic neuropathy, heart failure, chronic kidney disease stage 4, and dysphagia, had a central venous line (CVL) placed for dialysis. The care plan required monitoring of the permacath every shift for bleeding, but there was no documentation of such monitoring or the location of the site in the resident's records. An interview with the resident revealed that the facility staff did not check the bandage at night, and the resident had to inform them if there was an issue. An observation confirmed that the dressing was clean and dry, but the Director of Nursing verified that there was no documentation of monitoring or site location in the resident's records, indicating a failure to adhere to the care plan requirements.
Failure to Provide Trauma-Informed Care for Residents with PTSD
Penalty
Summary
The facility failed to ensure that residents with Post Traumatic Stress Disorder (PTSD) were appropriately evaluated to identify the cause of their PTSD and minimize triggers and/or re-traumatization. This deficiency affected two residents, both of whom were identified by the facility as having PTSD. For Resident #24, the medical record indicated diagnoses including major depressive disorder, anxiety disorder, bipolar disorder, and PTSD. Despite being cognitively intact, the resident's care plan did not address the cause of PTSD, potential triggers, or interventions to reduce the risk of re-traumatization. Interviews with staff revealed a lack of awareness and education regarding the resident's PTSD and trauma-informed care. Similarly, Resident #23 was diagnosed with PTSD and other conditions such as generalized anxiety disorder and paraplegia. The resident's care plan lacked any assessment or interventions related to PTSD until a verbal confirmation of triggers was made, without a formal assessment. Interviews confirmed that no assessment had been completed to identify the cause of PTSD or potential triggers for this resident. The facility's Director of Nursing acknowledged the absence of a policy on PTSD or trauma-informed care, and the Regional Nurse verified the lack of a comprehensive assessment and care plan for Resident #23.
Failure to Administer Medications Post-Dialysis
Penalty
Summary
The facility failed to administer medications as ordered for a resident undergoing dialysis treatments. The resident, who has a complex medical history including type 2 diabetes mellitus, heart failure, chronic kidney disease stage 4, anxiety, depression, Parkinson's disease, and dysphasia, was not given her prescribed morning medications on the days she attended dialysis. This issue was identified through a review of the resident's medical records and confirmed by interviews with the resident and the Director of Nursing (DON). The resident's Medication Administration Record (MAR) showed that on multiple occasions, the medications scheduled for administration at 7:00 A.M. were not given on dialysis days. The resident reported not receiving her morning medications even after returning from dialysis. The DON verified this lapse in medication administration, acknowledging that the medications were not provided on the specified dates, which included several days in May 2024.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Marietta
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Harmar Place Nursing And Rehabilitation | 0.3 mi | ★★★★★ | 1 | 0 |
| Arbors At Marietta | 0.9 mi | ★★★★★ | 5 | 0 |
| Marietta Heights Post Acute | 1.1 mi | — | 63 | 2 |
| Worthington Healthcare Center | 9.4 mi | ★★★★★ | 0 | 0 |
| Eagle Pointe Healthcare Center | 10.1 mi | ★★★★★ | 2 | 0 |
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