Fallsview Nursing and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Fallsview Nursing and Rehabilitation Center, in the surveyor’s own words.

• Actual harm, patternF760Jul 28, 2023

  Complaint # NJ00164623 Based on interviews, record review, and review of pertinent facility documents, it was determined that the facility failed to ensure that a resident was free of significant medication errors regarding the administration of anti-anxiety medication in accordance with the physician's order to prevent an adverse outcome for Resident #390. The facility failed to ensure that nurses administered medication to Resident #390 in accordance with professional standards of nursing practice. […]

• No harm, potential for more than minimal, widespreadF806Mar 19, 2026

  Complaint: 423561Repeat DeficiencyBased on observations, interviews, record review, and review of pertinent facility documents, it was determined that the facility failed to ensure that resident's dietary preferences were consistently provided for 5 of 6 residents (Resident #47, #68, #75, #78, and #106) reviewed for dietary preferences during meal observations. This deficient practice was evidenced as follows:1. On 3/15/26 at 9:20 AM, the surveyor observed Resident #47 in their room, sitting in a wheelchair (WC) eating breakfast. Resident #47 stated they were missing items from their tray. Surveyor observed Resident #47's breakfast tray ticket and tray. Resident #47 was missing a biscuit, one packet (pkt) of pepper and one pkt of ketchup. […]

• No harm, potential for more than minimal, widespreadF806Oct 2, 2024

  Based on observations, interviews, record review, and review of pertinent facility documents, it was determined that the facility failed to ensure that resident's dietary preferences were consistently implemented and correct diet consistency was followed for 3 of 5 residents (Resident #8, #19, and #51) reviewed for dietary preferences. This deficient practice was evidenced as follows: 1. On 9/26/24 at 08:35 AM, the surveyor observed Resident #8 in their room, awake in bed. During the interview, Resident #8 stated their meal trays are usually missing items and/or have incorrect items. Resident #8's breakfast tray arrived during the interview. […]

• No harm, potential for more than minimal, widespreadF812Oct 2, 2024

  Based on observation, interview, and review of facility policies, it was determined that the facility failed to maintain proper kitchen sanitation practices in a manner that would prevent food borne illnesses. This deficient practice was observed and evidenced by the following: On 9/25/24 at 09:41 AM, the surveyor in the presence of the Food Service Director (FSD) observed the following during the kitchen tour: 1. The juice dispensing machine was observed with 3 of 6 juice plastic tubes that lead from the juice concentrate to the juice dispenser, with a sticky substance covering the tubes. The FSD stated the tubing should always be clean and free of any debris. 2. In walk-in refrigerator #1, the surveyor observed the fans, fan grates and panels with a dark colored dust like debris. 3. […]

• No harm, potential for more than minimal, patternF640Mar 19, 2026

  Based on the interview and record review, it was determined that the facility failed to complete and transmit a Minimum Data Set (MDS, an assessment tool used to facilitate the management of care) in accordance with federal guidelines. This deficient practice was identified for 4 of 24 residents (Resident #13, #14, #49, and #54) during the review of resident assessment. This deficient practice was evidenced by the following: The MDS is a comprehensive tool, a federally mandated process for clinical assessment of all residents that must be completed and transmitted to the Quality Measure System. The facility must electronically transmit the MDS within 14 days of completing the assessment. […]