Continental Falls

In the surveyor’s words

From the most serious findings on record at Continental Falls, in the surveyor’s own words.

• Actual harm, isolatedF600Apr 13, 2021

  Licensure Reference Number: 175 NAC 12-006.05(9) Based on record review and interviews, the facility failed to ensure 1 Resident (Resident 26) was free from abuse. The facility census was 50. Findings are: Review of Resident 26's medical record revealed Resident 26 had Delusional disorder, Mood disorder, Autistic disorder. Record review of Resident 26's Progress note dated 6/6/2020 at 12:18 PM revealed Resident 26 had been verbally abusive to staff during the shift. Registered Nurse (RN)-I did not document any interventions to calm Resident 26. RN-I called the on call healthcare provider and obtained an order for [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• Actual harm, isolatedF605Apr 13, 2021

  Licensure Reference Number 175 NAC 12-006.05(8) Based on record review and interview, the facility failed to ensure residents are free from chemical restraints for 1 resident (Resident 26). The facility census was 50. Findings are: Appendix PP Nursing Home Federal regulations define the following terms and examples related to a chemical restraint: - Chemical restraint is defined as any drug that is used for discipline or staff convenience and not required to treat medical symptoms. - Discipline is defined as any action taken by facility staff for the purpose of punishing or penalizing residents. - Staff have recommended to the practitioner that a resident be administered a medication in order to prevent a resident from displaying behaviors. […]

• Actual harm, isolatedF745Apr 13, 2021

  LICENSURE REFERENCE NUMBER 175 NAC 12-006.04E3 Based on observations, record review and interviews; the facility staff failed to provide medically related Social Services for indicators of Mental Health Distress for 1 (Resident 18) of 1 sampled resident. The facility staff identified a census of 50. Findings are: Record review of the Facility Social Services job description dated 5-2021 revealed the following information: -Job Summary: -Assist in planning, organizing, implementing, and directing the overall operation of the Social Services department. […]

• Actual harm, isolatedF867Apr 13, 2021

  LICENSURE REFERENCE NUMBER 175 NAC 12-006.07C Based on record review and staff interviews; the facility Quality Assessment Performance Improvement Plan (QAPI) failed to identify ongoing issues relevant to F578, F600, F605, F656, F676, F692, F732, F740, F745, F755, F756, F758, F759, F760 and F812 and implement plans of action to identify and correct the deficient practice. The QAPI failed to ensure repeated deficiencies at F584, F676, F689, and F698 were corrected and the correction maintained. This deficient practice had the potential to affect all residents who reside in the facility. […]

• No harm, potential for more than minimal, widespreadF880Oct 31, 2024

  Licensure Reference Number 175 NAC 12-006.18 Based on observation, record review and interview; the facility staff failed to implement a water management plan to prevent potential illness such as Legionella( a bacteria) and failed to ensure a urinary catheter bag was secured to prevent potential contamination for 1 (Resident 12) of 3 residents. The facility had a census of 52. Findings are: A. Record review of a undated Policy and Procedure for the facility Water Management Program revealed the following information. -1. A water management team has been established to develop and implement the facility's water management program, including facility leadership the Infection Preventionist, maintenance employees, safety officers, risk and quality management staff, and Director of Nursing. a. […]