Deficiency Records for Falls City Care Center
Updated as of September 01, 2021
This is not the most recent data for Falls City Care Center. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| 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 |
| Provide and implement an infection prevention and control program. | Health | 2020-06-15 | 2020-07-23 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-04-04 | 2019-05-19 | N |
| Meet other general requirements. | Fire Safety | 2019-04-04 | 2019-05-19 | 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 | 2019-04-04 | 2019-05-19 | 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 | 2019-04-04 | 2019-05-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-04-04 | 2019-05-19 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-04-04 | 2019-05-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-04 | 2019-05-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-04-04 | 2019-05-19 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2019-04-04 | 2019-05-19 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-04-04 | 2019-05-19 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2019-04-04 | 2019-05-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-04-04 | 2019-05-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-04-04 | 2019-05-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-04-04 | 2019-05-19 | 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 | 2019-04-04 | 2019-05-19 | 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 | 2019-04-04 | 2019-05-19 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-04-04 | 2019-05-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-04 | 2019-05-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-04 | 2019-05-19 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-04-04 | 2019-05-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-04-04 | 2019-05-19 | 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 | 2019-04-04 | 2019-05-19 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-04-04 | 2019-05-19 | 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 | 2019-04-04 | 2019-05-19 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-04-04 | 2019-05-19 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-04-04 | 2019-05-19 | 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 | 2019-04-04 | 2019-05-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-04 | 2019-05-19 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-04-04 | 2019-05-19 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-04-04 | 2019-05-19 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-04-04 | 2019-05-19 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-12-04 | 2018-01-19 | 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 | 2017-12-04 | 2018-01-19 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-12-04 | 2018-01-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-12-05 | 2018-01-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2017-12-05 | 2018-01-19 | N |
