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🔎 Potomac Falls Health And Rehab Center

Inspection Results


Inspection Overview

Potomac Falls Health And Rehab Center has been cited for a total of 42 deficiencies since we began saving each survey.

In Virginia, the average facility has **43.98 deficiencies** in our database. This profile shows the longer-term view.

Tip: Surveys happen throughout the year. Always check the official Medicare Care Compare site for the most recent data.



Understanding Deficiency Severity (A-L Scale)

The farther along in the alphabet (A through L) the Scope value is, the more severe the deficiency. **A through F means no actual harm has happened.**

Severity (Harm)Scope (Widespread?)Code Range
No Actual HarmIsolated to PatternA - C
No Actual HarmWidespreadD - F
**Actual Harm**IsolatedG
**Actual Harm**PatternH
**Actual Harm**WidespreadI
**Immediate Jeopardy**IsolatedJ
**Immediate Jeopardy**PatternK
**Immediate Jeopardy**WidespreadL


Detailed Deficiency List (Most Recent First)

Scope/Severity: D

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Survey Date: 2021-12-02
Correction Date: 2022-01-11
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: D

Reasonably accommodate the needs and preferences of each resident.

Survey Date: 2021-12-02
Correction Date: 2022-01-11
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: D

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Survey Date: 2021-12-02
Correction Date: 2022-01-11
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: D

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Survey Date: 2021-12-02
Correction Date: 2022-01-11
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: D

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Survey Date: 2021-12-02
Correction Date: 2022-01-11
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: D

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Survey Date: 2021-12-02
Correction Date: 2022-01-11
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: D

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Survey Date: 2021-12-02
Correction Date: 2022-01-11
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: E

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey Date: 2021-12-02
Correction Date: 2022-01-11
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: D

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Survey Date: 2021-12-02
Correction Date: 2022-01-11
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: E

Ensure that residents are free from significant medication errors.

Survey Date: 2021-12-02
Correction Date: 2022-01-11
Category: Pharmacy Service Deficiencies
From Complaint: N

Scope/Severity: E

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.

Survey Date: 2021-12-02
Correction Date: 2022-01-11
Category: Pharmacy Service Deficiencies
From Complaint: N

Scope/Severity: D

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey Date: 2021-12-02
Correction Date: 2022-01-11
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: D

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey Date: 2021-12-02
Correction Date: 2022-01-11
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: D

Make sure that a working call system is available in each resident's bathroom and bathing area.

Survey Date: 2021-12-02
Correction Date: 2022-01-11
Category: Environmental Deficiencies
From Complaint: N

Scope/Severity: E

Ensure services provided by the nursing facility meet professional standards of quality.

Survey Date: 2021-08-19
Correction Date: 2021-09-28
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: Y

Scope/Severity: E

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey Date: 2021-08-19
Correction Date: 2021-09-28
Category: Quality of Life and Care Deficiencies
From Complaint: Y

Scope/Severity: E

Ensure that residents are free from significant medication errors.

Survey Date: 2021-08-19
Correction Date: 2021-09-28
Category: Pharmacy Service Deficiencies
From Complaint: Y

Scope/Severity: D

Provide and implement an infection prevention and control program.

Survey Date: 2020-12-16
Correction Date: 2021-01-21
Category: Infection Control Deficiencies
From Complaint: N

Scope/Severity: D

Provide appropriate foot care.

Survey Date: 2020-10-30
Correction Date: 2020-12-08
Category: Quality of Life and Care Deficiencies
From Complaint: Y

Scope/Severity: D

Reasonably accommodate the needs and preferences of each resident.

Survey Date: 2018-10-11
Correction Date: 2018-11-23
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: D

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

Survey Date: 2018-10-11
Correction Date: 2018-11-23
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: D

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Survey Date: 2018-10-11
Correction Date: 2018-11-23
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: D

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Survey Date: 2018-10-11
Correction Date: 2018-11-23
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: D

Ensure each resident receives an accurate assessment.

Survey Date: 2018-10-11
Correction Date: 2018-11-23
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey Date: 2018-10-11
Correction Date: 2018-11-23
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: D

Plan the resident's discharge to meet the resident's goals and needs.

Survey Date: 2018-10-11
Correction Date: 2018-11-23
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: D

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey Date: 2018-10-11
Correction Date: 2018-11-23
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey Date: 2018-10-11
Correction Date: 2018-11-23
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Survey Date: 2018-10-11
Correction Date: 2018-11-23
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Survey Date: 2018-10-11
Correction Date: 2018-11-23
Category: Nursing and Physician Services Deficiencies
From Complaint: N

Scope/Severity: D

Provide and implement an infection prevention and control program.

Survey Date: 2018-10-11
Correction Date: 2018-11-23
Category: Infection Control Deficiencies
From Complaint: N

Scope/Severity: D

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey Date: 2017-03-23
Correction Date: 2017-05-12
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: D

Reasonably accommodate the needs and preferences of each resident.

Survey Date: 2017-03-23
Correction Date: 2017-05-11
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: E

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Survey Date: 2017-03-23
Correction Date: 2017-05-12
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: E

Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.

Survey Date: 2017-03-23
Correction Date: 2017-05-11
Category: Environmental Deficiencies
From Complaint: N

Scope/Severity: G

Provide necessary care and services to maintain or improve the highest well being of each resident .

Survey Date: 2017-03-23
Correction Date: 2017-05-11
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: K

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

Survey Date: 2017-03-23
Correction Date: 2017-05-11
Category: Environmental Deficiencies
From Complaint: N

Scope/Severity: D

Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.

Survey Date: 2017-03-23
Correction Date: 2017-05-11
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: F

Store, cook, and serve food in a safe and clean way.

Survey Date: 2017-03-23
Correction Date: 2017-05-11
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: E

Have a program that investigates, controls and keeps infection from spreading.

Survey Date: 2017-03-23
Correction Date: 2017-05-11
Category: Environmental Deficiencies
From Complaint: N

Scope/Severity: E

Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs.

Survey Date: 2017-03-23
Correction Date: 2017-05-11
Category: Nursing and Physician Services Deficiencies
From Complaint: N

Scope/Severity: D

Train all employees on what to do in an emergency, and carry out unannounced staff drills.

Survey Date: 2017-03-23
Correction Date: 2017-05-11
Category: Administration Deficiencies
From Complaint: N


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All deficiency data is sourced directly from the **Centers for Medicare & Medicaid Services (CMS)**.
Data Aggregation and Review provided by **The Nursing Home Site.**