A list of the most recent deficiencies for Fall River Healthcare. 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-27 | 2024-02-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-27 | 2024-02-28 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2023-05-01 | 2023-06-07 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-05-01 | 2023-06-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-01 | 2023-06-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-04-14 | 2023-06-02 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-04-14 | 2023-06-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-04-14 | 2023-06-01 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-05-01 | 2023-06-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-14 | 2023-05-31 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-04-14 | 2023-05-21 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-04-14 | 2023-05-21 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-14 | 2023-05-21 | N |
| Respond appropriately to all alleged violations. | Health | 2023-04-14 | 2023-05-21 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-04-14 | 2023-05-21 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-04-14 | 2023-05-21 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-04-14 | 2023-05-21 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-04-14 | 2023-05-21 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-04-14 | 2023-05-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-04-14 | 2023-05-19 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-04-14 | 2023-05-19 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-04-14 | 2023-05-19 | N |
| 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 | 2023-04-14 | 2023-05-19 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-04-14 | 2023-05-19 | N |
| Provide activities to meet all resident's needs. | Health | 2023-04-14 | 2023-05-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-14 | 2023-05-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-04-14 | 2023-05-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-14 | 2023-05-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-04-14 | 2023-05-19 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2023-04-14 | 2023-05-19 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2023-04-14 | 2023-05-19 | 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 | 2023-04-14 | 2023-05-19 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-04-14 | 2023-05-19 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-04-14 | 2023-05-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-14 | 2023-05-19 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-04-14 | 2023-05-19 | N |
| Report COVID19 data to residents and families. | Health | 2023-04-14 | 2023-05-19 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2023-04-14 | 2023-05-19 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2023-04-14 | 2023-05-19 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2023-02-06 | 2023-03-10 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-25 | 2022-10-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-25 | 2022-10-26 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2020-01-29 | 2020-02-27 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2020-01-29 | 2020-02-27 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2020-01-29 | 2020-02-27 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2020-01-29 | 2020-02-27 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2020-01-29 | 2020-02-27 | N |
| Implement emergency and standby power systems. | Fire Safety | 2020-01-29 | 2020-02-27 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2020-01-29 | 2020-02-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-01-29 | 2020-02-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-29 | 2020-02-27 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-11-26 | 2020-01-20 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-11-26 | 2020-01-20 | N |
| 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 | 2019-11-26 | 2020-01-20 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2019-11-26 | 2020-01-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-11-26 | 2020-01-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-26 | 2020-01-20 | 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 | 2019-11-26 | 2020-01-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-11-26 | 2020-01-20 | N |
| Provide activities to meet all resident's needs. | Health | 2019-11-26 | 2020-01-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-11-26 | 2020-01-20 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2019-11-26 | 2020-01-20 | 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 | 2019-11-26 | 2020-01-20 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-11-26 | 2020-01-20 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2019-11-26 | 2020-01-20 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-11-26 | 2020-01-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-26 | 2020-01-20 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2019-11-26 | 2020-01-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-11-06 | 2018-12-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-11-06 | 2018-12-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-11-06 | 2018-12-16 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2018-11-06 | 2018-12-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-11-06 | 2018-12-16 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-11-06 | 2018-12-16 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2018-11-06 | 2018-12-16 | N |
