Deficiency Records for Falcon Heights Health and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Falcon Heights Health and Rehabilitation Center. 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? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-21 | 2023-09-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-21 | 2023-09-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-21 | 2023-04-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-21 | 2023-04-12 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-03-21 | 2023-04-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-03-21 | 2023-04-06 | N |
| Add 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. | Fire Safety | 2023-03-21 | 2023-04-03 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-03-21 | 2023-04-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-21 | 2023-04-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-21 | 2023-04-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-03-21 | 2023-03-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-22 | 2023-03-18 | N |
| Respond appropriately to all alleged violations. | Health | 2023-02-22 | 2023-03-18 | Y |
| Have an alternate power supply for its alarm system. | Fire Safety | 2021-12-07 | 2022-06-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-12-07 | 2022-04-08 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-12-07 | 2022-01-06 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-12-07 | 2021-12-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-12-07 | 2021-12-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-12-07 | 2021-12-26 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-11-18 | 2021-12-18 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2021-11-18 | 2021-12-18 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2021-11-18 | 2021-12-18 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-11-18 | 2021-12-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-11-18 | 2021-12-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-18 | 2021-12-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-11-18 | 2021-12-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-11-18 | 2021-12-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-11-18 | 2021-12-18 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-11-18 | 2021-12-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-18 | 2021-12-18 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-11-18 | 2021-12-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-18 | 2021-12-18 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-11-18 | 2021-12-18 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-11-18 | 2021-12-18 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2021-05-24 | 2021-06-11 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2021-05-24 | 2021-06-11 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-08-23 | 2019-09-17 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-08-23 | 2019-09-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-23 | 2019-09-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-23 | 2019-09-17 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-08-23 | 2019-09-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-08-23 | 2019-09-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-08-23 | 2019-09-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-08-01 | 2019-08-19 | 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 | 2019-08-01 | 2019-08-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-01 | 2019-08-19 | N |
