CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Fallbrook Commons
View the most recent health deficiencies and inspection results for Fallbrook Commons. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Fallbrook Commons. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that residents are free from significant medication errors. | Health | 2025-03-04 | 2025-04-18 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-03-04 | 2025-04-18 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-08-22 | 2024-11-18 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-08-22 | 2024-11-07 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-08-22 | 2024-11-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-08-22 | 2024-11-07 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-08-22 | 2024-11-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-08-22 | 2024-11-07 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-08-22 | 2024-11-07 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-08-22 | 2024-11-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-22 | 2024-11-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-08-22 | 2024-11-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-08-22 | 2024-11-07 | 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 | 2024-08-22 | 2024-11-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-08-22 | 2024-11-07 | 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 | 2024-08-22 | 2024-11-07 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-08-22 | 2024-10-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-08-22 | 2024-10-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-08-22 | 2024-10-06 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2024-08-22 | 2024-10-06 | 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 | 2024-08-22 | 2024-10-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-22 | 2024-10-06 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-08-22 | 2024-10-06 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-08-22 | 2024-10-06 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-08-22 | 2024-10-06 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-08-22 | 2024-10-06 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-08-22 | 2024-10-06 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2024-08-22 | 2024-10-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-08-22 | 2024-10-06 | 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 | 2024-08-22 | 2024-10-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-22 | 2024-10-06 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-08-22 | 2024-10-06 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-08-22 | 2024-10-06 | Y |
| 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. | Health | 2023-06-15 | 2023-07-31 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-06-15 | 2023-07-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-15 | 2023-07-31 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-06-15 | 2023-07-31 | 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 | 2023-06-15 | 2023-07-31 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-06-15 | 2023-07-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-15 | 2023-07-31 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-06-15 | 2023-07-24 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-06-15 | 2023-07-24 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2023-06-15 | 2023-07-24 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-06-15 | 2023-07-24 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2023-06-15 | 2023-07-24 | 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 | 2023-06-15 | 2023-07-24 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-06-15 | 2023-07-24 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-06-15 | 2023-07-24 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-06-15 | 2023-07-24 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2021-08-18 | 2021-09-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-08-18 | 2021-09-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-18 | 2021-09-30 | 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 | 2021-08-18 | 2021-09-30 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-08-18 | 2021-09-30 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-08-18 | 2021-09-30 | N |
| Use approved construction type or materials. | Fire Safety | 2021-08-18 | 2021-09-30 | N |