Deficiency Records for Potomac Falls Health and Rehab Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Potomac Falls Health and Rehab 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? |
|---|---|---|---|---|
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-12-15 | 2022-01-28 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2021-12-15 | 2022-01-28 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2021-12-02 | 2022-01-11 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-12-02 | 2022-01-11 | 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 | 2021-12-02 | 2022-01-11 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-12-02 | 2022-01-11 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-12-02 | 2022-01-11 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2021-12-02 | 2022-01-11 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2021-12-02 | 2022-01-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-02 | 2022-01-11 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-12-02 | 2022-01-11 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-12-02 | 2022-01-11 | 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 | 2021-12-02 | 2022-01-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-02 | 2022-01-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-12-02 | 2022-01-11 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-12-02 | 2022-01-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-08-19 | 2021-09-28 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-08-19 | 2021-09-28 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-08-19 | 2021-09-28 | Y |
| Meet other general requirements that are deficient. | Fire Safety | 2018-11-20 | 2019-01-31 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-11-20 | 2019-01-31 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-11-20 | 2019-01-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-11-20 | 2019-01-31 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-10-11 | 2018-11-23 | N |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2018-10-11 | 2018-11-23 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-10-11 | 2018-11-23 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-10-11 | 2018-11-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-10-11 | 2018-11-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-11 | 2018-11-23 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2018-10-11 | 2018-11-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-10-11 | 2018-11-23 | 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 | 2018-10-11 | 2018-11-23 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-10-11 | 2018-11-23 | 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 | 2018-10-11 | 2018-11-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-11 | 2018-11-23 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-03-23 | 2017-05-12 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2017-03-23 | 2017-05-12 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-03-23 | 2017-05-11 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2017-03-23 | 2017-05-11 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-03-23 | 2017-05-11 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-03-23 | 2017-05-11 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-03-23 | 2017-05-11 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-03-23 | 2017-05-11 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-03-23 | 2017-05-11 | N |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2017-03-23 | 2017-05-11 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2017-03-23 | 2017-05-11 | 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 | 2017-04-07 | 2017-05-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-04-07 | 2017-05-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-04-07 | 2017-05-10 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-04-07 | 2017-05-10 | N |
