Deficiency Records for Fallsview Nursing and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Fallsview Nursing and Rehabilitation 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? |
|---|---|---|---|---|
| Use approved construction type or materials. | Fire Safety | 2023-07-28 | 2023-11-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-07-28 | 2023-10-04 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-07-28 | 2023-09-28 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-07-28 | 2023-09-08 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-28 | 2023-08-02 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-07-28 | 2023-08-02 | 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 | 2023-07-28 | 2023-08-02 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-07-28 | 2023-08-02 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-07-28 | 2023-08-02 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-07-28 | 2023-08-02 | Y |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-07-28 | 2023-07-29 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-07-28 | 2023-07-29 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-03 | 2023-05-25 | Y |
| Use approved construction type or materials. | Fire Safety | 2021-06-01 | 2021-10-08 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-07-29 | 2019-08-21 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-07-29 | 2019-08-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-29 | 2019-08-21 | N |
| Use approved construction type or materials. | Fire Safety | 2019-07-29 | 2019-08-21 | N |
