Deficiency Records for Fallbrook Skilled Nursing
Updated as of November 01, 2019
This is not the most recent data for Fallbrook Skilled Nursing. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| Provide care for each resident in a way that maintains or improves their quality of life. | Health | 2017-08-17 | 2017-09-13 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-08-17 | 2017-09-13 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-08-17 | 2017-09-13 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-08-17 | 2017-09-13 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-08-17 | 2017-09-13 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-08-17 | 2017-09-13 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-08-17 | 2017-09-13 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-08-17 | 2017-09-13 | N |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2017-08-16 | 2017-09-13 | Y |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2017-06-20 | 2017-07-25 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-05-10 | 2017-06-01 | Y |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2016-08-24 | 2016-09-13 | N |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2016-08-24 | 2016-09-13 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-08-24 | 2016-09-13 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-08-05 | 2016-09-01 | N |
| Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | Health | 2016-08-05 | 2016-09-01 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-08-05 | 2016-09-01 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2016-08-05 | 2016-09-01 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-08-05 | 2016-09-01 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-08-05 | 2016-09-01 | N |
