Peaks Care Center the

A complaint survey, prompted by #CO36008 and #CO37036 was conducted on 8/19/24 to 8/20/24. One deficiency was cited. Based on record review and interviews, the facility failed to provide adequate supervision and assistance to prevent falls, and failed to assess, implement and monitor interventions consistent with resident needs for two (#3 and #9) of three residents reviewed for falls out of seven sample residents.Specifically, the facility failed to have a registered nurse (RN), nurse practitioner or physician assess the residents after unwitnessed falls, prior to the removal of the residents from off the floor. Findings include:I. Facility policyThe Falls and Fall Risk Managing policy, revised January 2024, was provided by the nursing home administrator (NHA) on 8/20/24 at 8:31 a.m. The policy revealed on previous evaluations and current data, the staff would identify interventions related to the resident' s specific risks/causes to try to prevent the resident from falling and to try to minimize complications from falling.According to the minimum data set, (MDS) a fall was defined as an unintentionally coming to rest on the ground, floor or other lower level, but not as a result of an overwhelming external force; such as a resident pushed by another resident. An episode where a resident lost his/her balance and would have fallen, if not for another person or if he or she had not caught him/herself, would be considered a fall. A fall without injury was still considered a fall. Unless there was evidence suggesting otherwise, when a resident was found on the floor, a fall was considered to have occurred.The staff, with the input of the attending physician, would implement a resident-centered fall prevention plan to reduce the specific risk factor(s) of falls for each resident at risk or with a history of falls.If a systematic evaluation of a resident' s fall risk identified several possible interventions, the staff might choose to prioritize interventions, such as trying one or a few at a time, rather than many at once.Examples of initial approaches might include exercise and balance training, rearrangement of room furniture, improving footwear, and/or changing the lighting.If falling recurred despite initial ..