A list of the most recent deficiencies for Fallbrook Skilled Nursing. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-07-20 | 2023-08-20 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-07-20 | 2023-08-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-20 | 2023-08-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-07-20 | 2023-08-20 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-07-20 | 2023-08-20 | N |
| 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. | Health | 2023-07-20 | 2023-08-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-20 | 2023-08-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-20 | 2023-08-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-24 | 2023-08-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-07-24 | 2023-08-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-07-24 | 2023-08-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-24 | 2021-09-24 | Y |
| Provide emergency officials' contact information. | Fire Safety | 2019-10-23 | 2019-11-12 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-10-23 | 2019-11-12 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-10-23 | 2019-11-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-10-23 | 2019-11-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-23 | 2019-11-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-10-23 | 2019-11-12 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-10-23 | 2019-11-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-23 | 2019-11-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-10-23 | 2019-11-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-09-18 | 2019-10-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-18 | 2019-10-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-09-18 | 2019-10-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-18 | 2019-10-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-20 | 2018-12-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-09-21 | 2018-10-24 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-09-21 | 2018-10-24 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-09-21 | 2018-10-24 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2018-09-21 | 2018-10-24 | N |
