Fall Creek Rehabilitation and Healthcare Center
State inspectors recorded 7 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
Serious inspection findings
2025-04-13 — IMMEDIATE JEOPARDY (tag F0580, severity K)
Resident Rights Deficiencies · correction not recorded in CMS data
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
2025-04-13 — IMMEDIATE JEOPARDY (tag F0691, severity K)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
2025-02-05 — IMMEDIATE JEOPARDY (tag F0656, severity J)
Resident Assessment and Care Planning Deficiencies · correction not recorded in CMS data
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
2025-02-05 — IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-03-13 — IMMEDIATE JEOPARDY (tag F0600, severity K)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2024-03-13 — IMMEDIATE JEOPARDY (tag F0761, severity K)
Pharmacy Service Deficiencies · correction not recorded in CMS data
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.
2024-03-13 — IMMEDIATE JEOPARDY (tag F0602, severity K)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from the wrongful use of the resident's belongings or money.
Staffing, from payroll records
Nursing hours / resident / day
2.62
state median 2.67
Weekend staffing gap
−10%
fewer nursing hours on weekends · state median −7%
RN hours / resident / day
0.04
registered nurses only
Contract (agency) staff
10%
share of all nursing hours
Days with zero RN hours reported
58
with residents present
Nursing staff turnover
66%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
2 enforcement action(s), totaling $48,555 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-04-13 | Fine | $33,683 |
| 2025-02-05 | Fine | $14,872 |
Ownership
Ownership type: For profit - Limited Liability company.
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-04-01 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2026-04-01 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-07-08 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2025-05-30 | F0583 | Resident Rights Deficiencies | D | not recorded |
| 2025-05-30 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-05-30 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-05-30 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-05-30 | F0759 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-04-13 | F0550 | Resident Rights Deficiencies | E | not recorded |
| 2025-04-13 | F0580 | Resident Rights Deficiencies | K | not recorded |
| 2025-04-13 | F0691 | Quality of Life and Care Deficiencies | K | not recorded |
| 2025-02-05 | F0656 | Resident Assessment and Care Planning Deficiencies | J | not recorded |
| 2025-02-05 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2024-03-13 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | K | not recorded |
| 2024-03-13 | F0602 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | K | not recorded |
| 2024-03-13 | F0761 | Pharmacy Service Deficiencies | K | not recorded |
| 2024-03-07 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-03-07 | F0692 | Quality of Life and Care Deficiencies | E | not recorded |
| 2022-12-08 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2022-12-08 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2022-12-08 | F0814 | Nutrition and Dietary Deficiencies | C | not recorded |