Deficiency Records for Highland Manor of Fallon
Updated as of November 01, 2022
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? |
---|---|---|---|---|
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-08-04 | 2022-09-09 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-04 | 2022-09-09 | Y |
Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2021-12-21 | 2022-01-21 | Y |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-10-05 | 2021-11-08 | 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 | 2021-10-05 | 2021-11-08 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-10-05 | 2021-11-08 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2021-10-05 | 2021-11-08 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-10-05 | 2021-11-08 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-10-05 | 2021-11-08 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-10-05 | 2021-11-08 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2021-10-05 | 2021-11-08 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-10-05 | 2021-11-08 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-10-05 | 2021-11-08 | N |
Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-10-05 | 2021-11-08 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-04 | 2021-11-05 | N |
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-10-04 | 2021-10-29 | 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 | 2021-10-04 | 2021-10-29 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-04 | 2021-10-29 | N |
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-10-04 | 2021-10-29 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-04 | 2021-10-29 | N |
Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-10-04 | 2021-10-29 | N |
Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2021-10-04 | 2021-10-29 | N |
Implement a program that monitors antibiotic use. | Health | 2021-10-04 | 2021-10-29 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2021-10-04 | 2021-10-29 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-10-04 | 2021-10-29 | Y |
Provide and implement an infection prevention and control program. | Health | 2021-10-04 | 2021-10-29 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-10-04 | 2021-10-29 | Y |
Respond appropriately to all alleged violations. | Health | 2021-10-04 | 2021-10-29 | Y |
Provide and implement an infection prevention and control program. | Health | 2020-11-13 | 2020-12-21 | N |
Establish policies and procedures for volunteers. | Fire Safety | 2020-11-13 | 2020-12-21 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-03-12 | 2020-05-10 | N |
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2020-03-12 | 2020-05-10 | N |
Ensure each resident receives an accurate assessment. | Health | 2020-03-12 | 2020-05-10 | N |
Ensure a qualified health professional conducts resident assessments. | Health | 2020-03-12 | 2020-05-10 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-03-12 | 2020-05-10 | N |
Provide activities to meet all resident's needs. | Health | 2020-03-12 | 2020-05-10 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-03-12 | 2020-05-10 | N |
Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2020-03-12 | 2020-05-10 | 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 | 2020-03-12 | 2020-05-10 | 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 | 2020-03-12 | 2020-05-10 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-03-12 | 2020-05-10 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-03-12 | 2020-05-10 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-03-12 | 2020-05-10 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-03-12 | 2020-05-10 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-01-03 | 2020-02-01 | Y |
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 |
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 |
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 |
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 |
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 |
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 | 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 |
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 |