Deficiency Records for Falcon Lake Nursing Home, LLC
Updated as of July 01, 2018
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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-04-06 | 2017-05-15 | 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 | 2017-04-06 | 2017-05-15 | 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 | 2017-04-06 | 2017-05-15 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2017-04-06 | 2017-05-15 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2017-04-06 | 2017-05-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-04-06 | 2017-05-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-04-06 | 2017-05-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-04-06 | 2017-05-15 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2017-04-06 | 2017-05-15 | N |
| Tell 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 | 2017-04-06 | 2017-05-15 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2017-04-06 | 2017-05-15 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-04-06 | 2017-05-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-04-06 | 2017-05-15 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-04-06 | 2017-05-15 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2017-04-06 | 2017-05-15 | 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 | 2017-04-06 | 2017-05-15 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-04-06 | 2017-05-15 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-04-06 | 2017-05-15 | N |
| 1) Receive registry verification that a nurse aide has met the required training and skills that the State requires; and 2) ensure nurse aides receive the required retraining after 24 months if nursing related services were not provided for monetary compe | Health | 2017-04-06 | 2017-05-15 | N |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2017-04-06 | 2017-05-15 | N |
| Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility. | Health | 2017-04-06 | 2017-05-15 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-04-06 | 2017-05-15 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-04-06 | 2017-05-15 | 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 |
| 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 |
| 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 |
| 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 |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2016-02-24 | 2016-04-05 | N |
| Portable fire extinguishers. | Fire Safety | 2016-02-24 | 2016-04-05 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 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 | 2015-11-18 | 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 |
| 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 |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2015-02-03 | 2015-02-05 | N |
