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Deficiency Records for Fallbrook Rehabilitation and Care Center
A list of the most recent deficiencies for Fallbrook Rehabilitation and 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 Fallbrook Rehabilitation and 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-06 | 2024-03-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-02-06 | 2024-03-11 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-02-06 | 2024-03-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-02-06 | 2024-02-27 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-02-06 | 2024-02-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-02-06 | 2024-02-21 | N |
| Meet Health Care Facilities Code mechanical requirements. | Fire Safety | 2024-02-06 | 2024-02-17 | 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 | 2024-02-11 | 2024-02-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-11 | 2024-02-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-11 | 2024-02-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-11 | 2024-02-15 | Y |
| 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 | 2024-02-11 | 2024-02-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-11 | 2024-02-15 | Y |
| 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 | 2024-02-11 | 2024-02-15 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-02-11 | 2024-02-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-02-11 | 2024-02-15 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-02-06 | 2024-02-11 | N |
| 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 | 2024-02-06 | 2024-02-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-02-06 | 2024-02-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-06 | 2024-02-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-08-18 | 2023-08-21 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-18 | 2023-08-21 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-08-18 | 2023-08-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-08-18 | 2023-08-21 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-08 | 2023-08-09 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-07-05 | 2023-07-06 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-05 | 2023-07-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-07-05 | 2023-07-06 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-07-05 | 2023-07-06 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-03-15 | 2023-03-20 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-12-16 | 2023-01-16 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-12-16 | 2023-01-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-16 | 2023-01-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-12-16 | 2023-01-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-12-16 | 2023-01-16 | 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 | 2022-12-16 | 2023-01-16 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-12-16 | 2023-01-16 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-12-16 | 2023-01-16 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-12-16 | 2023-01-16 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2022-12-13 | 2023-01-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-12-13 | 2023-01-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-12-13 | 2023-01-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-12-13 | 2023-01-16 | 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 | 2022-10-20 | 2022-11-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-10-20 | 2022-11-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-04 | 2022-09-16 | 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 | 2022-08-04 | 2022-09-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-08-04 | 2022-09-16 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-08-04 | 2022-09-16 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-04 | 2022-09-16 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-08-04 | 2022-09-16 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-04 | 2022-09-16 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2022-08-04 | 2022-09-16 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-02-16 | 2022-03-16 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-02-16 | 2022-03-16 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-02-16 | 2022-03-16 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-02-16 | 2022-03-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-10-19 | 2021-11-18 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-10-19 | 2021-11-11 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2021-10-01 | 2021-10-25 | Y |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2021-09-29 | 2021-10-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-09-29 | 2021-10-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-09-29 | 2021-10-25 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-09-29 | 2021-10-25 | 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 | 2021-09-29 | 2021-10-25 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-09-29 | 2021-10-25 | N |
| Post nurse staffing information every day. | Health | 2021-09-29 | 2021-10-25 | 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 | 2021-09-29 | 2021-10-25 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2021-09-29 | 2021-10-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-29 | 2021-10-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-29 | 2021-10-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-09-23 | 2021-10-15 | N |
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