Deficiency Records for Falcon Lake Nursing Home, LLC
Updated as of June 01, 2017
This is not the most recent data for Falcon Lake Nursing Home, LLC. For the most recent information, click here.
A list of the most recent deficiencies for Falcon Lake Nursing Home, LLC. 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? |
|---|---|---|---|---|
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-11-08 | 2016-12-01 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-11-08 | 2016-12-01 | Y |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2016-11-08 | 2016-12-01 | Y |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-11-08 | 2016-12-01 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-11-08 | 2016-12-01 | Y |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2016-11-08 | 2016-12-01 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2016-11-08 | 2016-11-30 | Y |
| Use a registered nurse at least 8 hours a day, 7 days a week. | Health | 2016-11-08 | 2016-11-30 | Y |
| Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2016-11-08 | 2016-11-30 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-11-08 | 2016-11-30 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2016-11-08 | 2016-11-30 | Y |
| Use a registered nurse at least 8 hours a day, 7 days a week. | Health | 2016-11-08 | 2016-11-30 | Y |
| Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2016-11-08 | 2016-11-30 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-11-08 | 2016-11-30 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-09-23 | 2016-10-21 | Y |
| Use a registered nurse at least 8 hours a day, 7 days a week. | Health | 2016-09-23 | 2016-10-21 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-09-23 | 2016-10-21 | Y |
| Use a registered nurse at least 8 hours a day, 7 days a week. | Health | 2016-09-23 | 2016-10-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-09-23 | 2016-10-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-09-23 | 2016-10-14 | Y |
| Assess in a timely manner the resident when the resident enters the nursing home. | Health | 2016-09-23 | 2016-09-28 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-09-23 | 2016-09-28 | Y |
| Assess in a timely manner the resident when the resident enters the nursing home. | Health | 2016-09-23 | 2016-09-28 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-09-23 | 2016-09-28 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-05-12 | 2016-05-13 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-05-12 | 2016-05-13 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-05-12 | 2016-05-13 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-05-12 | 2016-05-13 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-05-12 | 2016-05-13 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-05-12 | 2016-05-13 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-03-19 | 2016-04-20 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-03-19 | 2016-04-20 | Y |
| Provide activities to meet the interests and needs of each resident. | Health | 2016-03-19 | 2016-04-20 | Y |
| Ensure the activities program is directed by a qualified professional. | Health | 2016-03-19 | 2016-04-20 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-03-19 | 2016-04-20 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-03-19 | 2016-04-20 | Y |
| Provide activities to meet the interests and needs of each resident. | Health | 2016-03-19 | 2016-04-20 | Y |
| Ensure the activities program is directed by a qualified professional. | Health | 2016-03-19 | 2016-04-20 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-02-24 | 2016-03-11 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2016-02-24 | 2016-03-11 | N |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2016-02-24 | 2016-03-11 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2016-02-24 | 2016-03-11 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2016-02-24 | 2016-03-11 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-02-24 | 2016-03-11 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-02-24 | 2016-03-11 | N |
| Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2016-02-24 | 2016-03-11 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2016-02-24 | 2016-03-11 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-02-24 | 2016-03-11 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2016-02-24 | 2016-03-11 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-02-24 | 2016-03-11 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2016-02-24 | 2016-03-11 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-02-24 | 2016-03-11 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2016-02-24 | 2016-03-11 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-02-24 | 2016-03-11 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-02-24 | 2016-03-11 | N |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2016-02-24 | 2016-03-11 | N |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2016-02-24 | 2016-03-11 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-02-24 | 2016-03-11 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2016-02-24 | 2016-03-11 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-02-24 | 2016-03-11 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2016-02-24 | 2016-03-11 | N |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2016-02-24 | 2016-03-11 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2016-02-24 | 2016-03-11 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2016-02-24 | 2016-03-11 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-02-24 | 2016-03-11 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-02-24 | 2016-03-11 | N |
| Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2016-02-24 | 2016-03-11 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2016-02-24 | 2016-03-11 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-02-24 | 2016-03-11 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2016-02-24 | 2016-03-11 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-02-24 | 2016-03-11 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2016-02-24 | 2016-03-11 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-02-24 | 2016-03-11 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2016-02-24 | 2016-03-11 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-02-24 | 2016-03-11 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-02-24 | 2016-03-11 | N |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2016-02-24 | 2016-03-11 | N |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2016-02-24 | 2016-03-11 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-02-24 | 2016-03-11 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2016-02-24 | 2016-03-11 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2015-12-12 | 2016-01-05 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2015-12-12 | 2016-01-05 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2015-12-12 | 2016-01-05 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2015-12-12 | 2016-01-05 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2015-11-18 | 2015-12-10 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2015-11-18 | 2015-12-10 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2015-11-18 | 2015-12-10 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2015-11-18 | 2015-12-10 | Y |
| Use a registered nurse at least 8 hours a day, 7 days a week. | Health | 2015-10-29 | 2015-11-09 | Y |
| Use a registered nurse at least 8 hours a day, 7 days a week. | Health | 2015-10-29 | 2015-11-09 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2015-02-04 | 2015-03-05 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-02-04 | 2015-03-05 | N |
| Provide housekeeping and maintenance services. | Health | 2015-02-04 | 2015-03-05 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-02-04 | 2015-03-05 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2015-02-04 | 2015-03-05 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2015-02-04 | 2015-03-05 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-02-04 | 2015-03-05 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2015-02-04 | 2015-03-05 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-02-04 | 2015-03-05 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-02-04 | 2015-03-05 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2015-02-04 | 2015-03-05 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-02-04 | 2015-03-05 | N |
| Provide housekeeping and maintenance services. | Health | 2015-02-04 | 2015-03-05 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-02-04 | 2015-03-05 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2015-02-04 | 2015-03-05 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2015-02-04 | 2015-03-05 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-02-04 | 2015-03-05 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2015-02-04 | 2015-03-05 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-02-04 | 2015-03-05 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-02-04 | 2015-03-05 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2014-02-05 | 2014-03-05 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-02-05 | 2014-03-05 | N |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2014-02-05 | 2014-03-05 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2014-02-05 | 2014-03-05 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-02-05 | 2014-03-05 | N |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2014-02-05 | 2014-03-05 | N |
