Deficiency Records for Highland Manor of Fallon
Updated as of June 01, 2019
This is not the most recent data for Highland Manor of Fallon. For the most recent information, click here.
A list of the most recent deficiencies for Highland Manor of Fallon. 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 | 2019-02-27 | 2019-04-15 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-02-27 | 2019-04-15 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-02-27 | 2019-04-15 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-02-27 | 2019-04-15 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2019-02-27 | 2019-04-15 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2019-02-27 | 2019-04-15 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-02-27 | 2019-04-15 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-02-27 | 2019-04-15 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-02-27 | 2019-04-15 | N |
| Meet other general requirements. | Fire Safety | 2019-02-27 | 2019-04-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-02-27 | 2019-04-15 | 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 | 2019-02-27 | 2019-04-15 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-02-27 | 2019-04-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-02-27 | 2019-04-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-02-27 | 2019-04-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-02-27 | 2019-04-15 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2019-02-27 | 2019-04-15 | N |
| Ensure proper storage of liquid oxygen. | Fire Safety | 2019-02-27 | 2019-04-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-02-28 | 2019-04-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-02-27 | 2019-04-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-02-27 | 2019-04-05 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-02-28 | 2019-04-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-28 | 2019-04-05 | 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 | 2019-02-28 | 2019-04-05 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2019-02-28 | 2019-04-05 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-02-28 | 2019-04-05 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2019-02-28 | 2019-04-05 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2019-02-28 | 2019-04-05 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-02-28 | 2019-04-04 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2019-02-27 | 2019-04-03 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-02-28 | 2019-04-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-02-27 | 2019-03-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-02-27 | 2019-02-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-02-27 | 2019-02-28 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-02-28 | 2019-02-28 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-02-28 | 2019-02-28 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-02-28 | 2019-02-28 | Y |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2019-02-27 | 2019-02-27 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-02-27 | 2019-02-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-03-01 | 2018-04-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-03-01 | 2018-04-20 | 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 | 2018-03-01 | 2018-04-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-03-01 | 2018-04-20 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-03-01 | 2018-04-20 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2018-03-01 | 2018-04-20 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-03-01 | 2018-04-20 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-09-15 | 2017-10-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-09-27 | 2017-10-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-09-27 | 2017-10-20 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2017-09-27 | 2017-10-13 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2017-09-27 | 2017-10-13 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2017-09-27 | 2017-10-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-09-27 | 2017-10-13 | N |
| Provide timely notification to the resident before transfer or discharge. | Health | 2017-09-15 | 2017-10-13 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-09-15 | 2017-10-13 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-09-15 | 2017-10-13 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2017-09-15 | 2017-10-13 | N |
| Protect a residents' right to refuse some types of non-requested transfers within the nursing home. | Health | 2017-09-15 | 2017-10-13 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-09-15 | 2017-10-13 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-09-27 | 2017-10-11 | N |
