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Deficiency Records for Little Falls Care Center
A list of the most recent deficiencies for Little Falls Care Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Little Falls Care 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? |
|---|---|---|---|---|
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-07-26 | 2024-08-20 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-04-18 | 2024-05-24 | 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 | 2024-04-18 | 2024-05-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-18 | 2024-05-24 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-04-18 | 2024-05-24 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-04-18 | 2024-05-24 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2024-04-18 | 2024-05-24 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-04-18 | 2024-05-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-18 | 2024-05-24 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-04-18 | 2024-05-24 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-04-18 | 2024-05-24 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-04-18 | 2024-05-24 | Y |
| Establish emergency prep training and testing. | Fire Safety | 2024-04-18 | 2024-05-24 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-03-06 | 2024-04-08 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-03-06 | 2024-04-08 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-06 | 2024-04-08 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-03-06 | 2024-04-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-03-06 | 2024-04-08 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-01-25 | 2024-03-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-25 | 2024-03-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-25 | 2024-03-03 | Y |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2024-01-25 | 2024-03-03 | Y |
| Post nurse staffing information every day. | Health | 2023-09-14 | 2023-10-27 | Y |
| Provide or obtain dental services for each resident. | Health | 2023-09-14 | 2023-10-27 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-06-29 | 2023-08-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-29 | 2023-08-28 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-06-29 | 2023-08-28 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-06-29 | 2023-08-28 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-29 | 2023-08-28 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-06-29 | 2023-08-28 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-06-29 | 2023-08-28 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-06-28 | 2023-08-12 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-04 | 2023-05-09 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-04-04 | 2023-05-09 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-03-31 | 2023-05-05 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-02-22 | 2023-03-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-12-19 | 2023-01-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-17 | 2022-12-08 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-06-30 | 2022-08-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-30 | 2022-08-03 | 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 | 2022-06-30 | 2022-08-03 | Y |
| Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. | Fire Safety | 2022-06-29 | 2022-08-03 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-06-29 | 2022-08-03 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-06-29 | 2022-08-03 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-06-29 | 2022-08-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-06-29 | 2022-08-03 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2022-06-29 | 2022-08-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-16 | 2022-03-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-12 | 2021-11-22 | Y |
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