A list of the most recent deficiencies for Falls City Care 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? |
|---|---|---|---|---|
| Implement emergency and standby power systems. | Fire Safety | 2023-05-30 | 2023-06-23 | 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 | 2023-05-30 | 2023-06-23 | 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 | 2023-05-30 | 2023-06-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-30 | 2023-06-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-30 | 2023-06-23 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-05-30 | 2023-06-23 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-05-30 | 2023-06-23 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2023-05-30 | 2023-06-23 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2023-05-24 | 2023-05-31 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-02-09 | 2022-03-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-02-09 | 2022-03-26 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-02-09 | 2022-03-26 | 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 | 2022-02-09 | 2022-03-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-09 | 2022-03-26 | N |
| Post nurse staffing information every day. | Health | 2022-02-09 | 2022-03-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-09 | 2022-03-26 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-02-09 | 2022-03-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-09 | 2022-03-26 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-02-09 | 2022-03-26 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-02-09 | 2022-03-26 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-02-09 | 2022-03-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-09 | 2022-03-26 | Y |
| 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 | 2022-02-07 | 2022-03-26 | 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 | 2022-02-07 | 2022-03-26 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-02-07 | 2022-03-26 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2022-02-07 | 2022-03-26 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2020-08-03 | 2020-09-17 | 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 | 2020-08-03 | 2020-09-17 | 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 | 2020-08-03 | 2020-09-17 | 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 | 2020-08-03 | 2020-09-17 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2020-08-03 | 2020-09-17 | 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 | 2020-07-30 | 2020-09-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-07-30 | 2020-09-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-07-30 | 2020-09-17 | N |
