Deficiency Records for Falls City Care Center
Updated as of August 01, 2022
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? |
|---|---|---|---|---|
| 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 |
| Provide and implement an infection prevention and control program. | Health | 2020-06-15 | 2020-07-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-02-24 | 2020-03-20 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-02-24 | 2020-03-20 | Y |
| 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 |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-04-04 | 2019-05-19 | 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 | 2019-04-04 | 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 |
| 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 Health Care Facilities Code mechanical requirements. | 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 |
