Falcon Heights Rehabilitation and Nursing LLC

In the surveyor’s words

From the most serious findings on record at Falcon Heights Rehabilitation and Nursing LLC, in the surveyor’s own words.

• Immediate jeopardy, widespreadF886Nov 18, 2021

  Based on observation, and interviews the facility failed to follow infection control measures to prevent the potential cross contamination of [CONDITION(S)]-CoV-2 COVID-19, during testing procedures while the facility was in outbreak. Observations and interviews revealed the facility failed to follow infection control procedures per Centers for Disease Control (CDC) guidance while performing polymerase chain reaction (PCR) testing for [CONDITION(S)]-CoV-2 COVID-19, on both resident and staff. […]

• Actual harm, isolatedF600Jul 23, 2026

  Based on observations, record review, and interviews, the facility failed to ensure two (#62 and #80) of eight residents reviewed for abuse out of 42 sample residents were kept free from physical abuse.Resident #80 was admitted on [DATE] with a diagnosis of dementia. Resident #80 resided in the memory care unit. On 5/13/26, Resident #80 was ambulating through the secured unit when Resident #10 approached her from behind and pushed her. Resident #80 fell to the ground and sustained a laceration to her left eyebrow measuring 1.4 centimeters (cm) by 0.2 cm, a skin tear to her left forearm measuring 6 cm by 0.4 cm and she had significant swelling and bruising to her left finger. […]

• Actual harm, isolatedF550Jul 31, 2024

  Based on observations, record review and interviews, the facility failed to promote and maintain resident dignity for two (#35 and #51) of three residents reviewed out of 49 sample residents by providing care in a dignified, respectful and individualized manner. Specifically, the facility failed to: -Ensure Resident #35 was provided meal assistance in a dignified manner; and, -Ensure Resident #51 was treated with dignity and respect when asking for assistance. Findings include: I. Facility policy The Dignity policy, revised February 2021, was provided by the nursing home administrator (NHA) on 7/31/24 at 4:44 p.m. […]

• Actual harm, isolatedF686Nov 18, 2021

  Based on observations, record review and interviews, the facility failed to ensure one (#50) of one out of 32 sample residents received care consistent with professional standards of practice, to prevent the development of pressure ulcers, and to promote healing of pressure injuries. The facility's failure to provide necessary interventions to prevent Resident #50 from developing pressure ulcers, promote healing of the pressure ulcers and prevent worsening of the pressure ulcers. The resident was a significant risk for the development of pressure ulcers based on her compromised health, being treated for [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• Actual harm, isolatedF697Nov 18, 2021

  Based on observations, record review and interviews, the facility failed to ensure that a resident received timely assessment and treatment for [MEDICAL RECORD OR PHYSICIAN ORDER] . Record review and interviews revealed the facility failed to recognize and effectively assess the resident's continued expression of uncontrolled pain as symptoms of major injuries sustained following a fall in the facility. This failure led to the resident experiencing severe pain for 48-hour delay in treatment for [MEDICAL RECORD OR PHYSICIAN ORDER] Resident #109 was admitted to the facility after experiencing a decline in ability and weakness in motor skills and functional ability. […]