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Deficiency Records for Falling Water Healthcare Center
A list of the most recent deficiencies for Falling Water Healthcare 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 Falling Water Healthcare 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-10 | 2024-06-03 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-04-15 | 2024-04-30 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-04-15 | 2024-04-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-10-05 | 2023-10-18 | Y |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-07-10 | 2023-07-28 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-07-10 | 2023-07-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-07-10 | 2023-07-28 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-07-10 | 2023-07-28 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-09-23 | 2022-10-04 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-23 | 2022-10-04 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-04-18 | 2022-04-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-18 | 2022-04-28 | Y |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2022-04-18 | 2022-04-28 | Y |
| 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 | 2022-04-18 | 2022-04-28 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-01-20 | 2022-02-09 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-01-20 | 2022-02-09 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-01-20 | 2022-02-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-20 | 2022-02-09 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-12-17 | 2022-02-09 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-12-17 | 2022-02-09 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2021-12-17 | 2022-02-09 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-17 | 2022-02-09 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-12-17 | 2022-02-09 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-17 | 2022-02-09 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-12-17 | 2022-02-09 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-12-17 | 2022-02-09 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-12-17 | 2022-02-09 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2021-12-17 | 2022-02-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-12-17 | 2022-02-09 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-01-09 | 2020-01-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-01-09 | 2020-01-29 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2020-01-09 | 2020-01-29 | N |
| Use approved construction type or materials. | Fire Safety | 2020-01-06 | 2020-01-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-01-06 | 2020-01-29 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2020-01-06 | 2020-01-29 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-01-06 | 2020-01-29 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2020-01-06 | 2020-01-29 | 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 | 2018-11-07 | 2018-11-27 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-11-07 | 2018-11-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-07 | 2018-11-27 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-11-05 | 2018-11-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-11-05 | 2018-11-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-05 | 2018-11-27 | N |
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