Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

WATERVILLE RESIDENTIAL CARE CENTER

WATERVILLE, NY · 92 certified beds · Last Life Safety survey October 10, 2024

CMS Certification Number 335585 · first certified January 1977

Ownership

Independently operated (no chain recorded by CMS) · For profit - Partnership

No change of ownership on CMS record since January 1, 2016, when the records begin.

27
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
6
Tags cited more than once
Across separate surveys
9
Inspection & testing records
Of the citations on file

Position within NY

27 citations — more than 87% of the 593 certified nursing homes in NY. Compared within NY rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 14 citations; the earlier surveys in the window averaged 6.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: April 2026 to November 2026. This facility’s last Life Safety survey was October 2024. Facilities in NY are typically surveyed 18–25 months after the last one (median 22), measured over 523 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

2 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 27 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0584 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.

How that compares

Citations on file over three years

Compared with the median facility in NY, and nationally. Surveyors differ markedly between states, so the NY figure is the meaningful one.

This facility27NY median13National median11
Citations on file over three years, compared
MeasureCitations
This facility27
Median facility in NY13
Median facility nationally11

Survey history

Citations at each Life Safety survey
72020-0962023-03142024-10
Citations at each Life Safety survey
Survey dateCitations
September 11, 20207
March 7, 20236
October 10, 202414

Most-cited tags

Most-cited tags at this facility
K-03213K-09183K-02113K-09212K-09202K-03242K-03631K-02221
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.32024-10-10
K-0918Have generator or other power source capable of supplying service within 10 seconds.32024-10-10
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.32024-10-10
K-0921Ensure that testing and maintenance of electrical equipment is performed.22024-10-10
K-0920Ensure proper usage of power strips and extension cords.22023-03-07
K-0324Provide properly protected cooking facilities.22024-10-10
K-0363Install corridor and hallway doors that block smoke.12024-10-10
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.12024-10-10

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 11
  • Gas, Vacuum, and Electrical Systems Deficiencies 8
  • Egress Deficiencies 5
  • Services Deficiencies 1
  • Other 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies11
Gas, Vacuum, and Electrical Systems Deficiencies8
Egress Deficiencies5
Services Deficiencies1
Electrical Deficiencies1
Construction Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

October 10, 2024 — 14 citations

Citations issued on October 10, 2024
TagWhat the surveyor checksStatus
K-0163Install noncombustible or limited-combustible interior walls.Deficient, Provider has date of correction (November 22, 2024)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (November 29, 2024)
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (November 22, 2024)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (November 29, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (November 22, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (November 22, 2024)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (November 22, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (November 22, 2024)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (November 29, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (November 22, 2024)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (December 18, 2024)
K-0531Have elevators that firefighters can control in the event of a fire.Deficient, Provider has date of correction (November 22, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (November 22, 2024)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (November 22, 2024)

March 7, 2023 — 6 citations

Citations issued on March 7, 2023
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (March 29, 2023)
K-0281Install proper backup exit lighting.Deficient, Provider has date of correction (March 29, 2023)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (March 30, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (April 14, 2023)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (March 23, 2023)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (March 30, 2023)

September 11, 2020 — 7 citations

Citations issued on September 11, 2020
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (November 6, 2020)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (September 28, 2020)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (November 15, 2020)
K-0901Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.Deficient, Provider has date of correction (September 29, 2020)
K-0916Have a battery powered remote alarm panel in a location accessible by operating personnel.Deficient, Provider has date of correction (October 23, 2020)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (October 28, 2020)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (September 29, 2020)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.