Falcon Point Post Acute

In the surveyor’s words

From the most serious findings on record at Falcon Point Post Acute, in the surveyor’s own words.

• Actual harm, isolatedF698Mar 5, 2021

  Based on interview and record review, the facility failed to ensure that residents who required [MEDICAL TREATMENT] received such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals for one of seven residents (CR #1) reviewed for [MEDICAL TREATMENT]. The facility failed to timely complete CR #1's STAT laboratory physician orders [REDACTED]. CR #1 [MEDICAL TREATMENT] treatment was held for 5 days instead of 4 because the STAT lab was not timely completed, and he was transferred to the hospital for altered mental status and diagnosed with [REDACTED]. This failure placed residents at risk of not receiving proper coordination of [MEDICAL TREATMENT] services which could cause a decline in health. […]

• Actual harm, isolatedF770Mar 5, 2021

  Based on interview and record review, the facility failed to obtain timely laboratory services to meet the needs of residents for 1 of 7 residents (CR #1) reviewed for laboratory services. LVN A did not have Resident CR #1's STAT CBC and CMP lab test obtained as ordered by the physician resulting to CR #1's [MEDICAL TREATMENT] being held for 5 days. CR #1 had a change in condition of altered mental status, vomiting and was transferred to the hospital where he had critical lab levels, [MEDICAL CONDITION] (brain damage), responded to only painful stimulus, and required a NG tube and [MEDICAL TREATMENT] treatment. This failure could place residents at risk of medical emergencies, delay in treatment, and hospitalization . […]

• No harm, potential for more than minimal, widespreadF880Nov 17, 2023

  Based on observation, interview, and record review, the facility did not maintain an infection prevention program designed to provide a safe, sanitary, and comfortable environment to help prevent the development and transmission of communicable diseases and infections for 11 of 11 Staff (CNA W, CNA L, CNA M, Dietary aide H, Housekeeper E, CNA T, Wound care Nurse, CNA P, ADON, Administrator and Maintenance director) reviewed for infection control. - The facility failed to ensure CNA W followed proper hand hygiene and infection control procedures while passing hydration on hall 500. - The facility failed to ensure CNA L and CNA M did not wear gloves on the hallway. […]

• No harm, potential for more than minimal, patternF679Mar 27, 2026

  Based on observation, interview and record review the facility failed to provide, based on the comprehensive assessment and care plan and the preferences of each resident, an ongoing program to support residents in their choice of activities, both facility-sponsored group and individual activities and independent activities, designed to meet the interests of and support the physical, mental, psychosocial well-being of each resident, encouraging both independences and interaction in the community for 1 of 3 (Resident #29) residents and 1 of 3 (Unit A) units reviewed for activities .1. The facility failed to ensure residents in Unit A had activities provided that followed the facility schedule on 03/24/2026 at 10:30 AM and 03/27/2026 at 10:30 AM and 2:00 PM. 2. […]

• No harm, potential for more than minimal, patternF759Mar 27, 2026

  Based on observation, interview and record review the facility failed to ensure that the medication error rate was not five percent or greater. The facility had a medication error rate of 20% based on 9 errors out of 45 opportunities of medication observation, which involved 2 of 5 residents (Resident #81, Resident #78 and Resident #34) and 1 of 7 staff (RN F) observed during medication administration reviewed for medication errors. 1. RN F failed to administer Lacosamide Oral Tablet 150 MG (Lacosamide) (to treat partial-onset seizures), to Resident #81 on 3/24/26.2. RN F failed to administer MiraLAX Oral Powder 17 GM(grams)/SCOOP(Used to treat occasional constipation) to Resident #81 on 3/24/26.3. […]