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Fall Creek Rehabilitation And Healthcare Center
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Ratings Deep Dive
5 Deficiencies found in last inspections
2 Penalties in last 3 years
2 Fines issued
| Citation | Date | Description | Severity |
|---|---|---|---|
| — | Jul 8, 2025 | Provide and implement an infection prevention and control program. | E |
| — | May 30, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| — | May 30, 2025 | Keep residents' personal and medical records private and confidential. | D |
| — | May 30, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| — | May 30, 2025 | Provide safe and appropriate respiratory care for a resident when needed. | D |
0.2 RN Hours / Resident / Day
3.2 Total Nurse Hours / Resident / Day
60.0% RN Turnover Rate
2.0 Long-Stay QM Rating
3.0 Short-Stay QM Rating
76.6 Avg Residents Per Day
| Measure | Score | Type |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | — | Long Stay |
| Percentage of long-stay residents who lose too much weight | — | Long Stay |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | — | Long Stay |
| Percentage of long-stay residents with a urinary tract infection | — | Long Stay |
| Percentage of long-stay residents who have depressive symptoms | — | Long Stay |
| Percentage of long-stay residents who were physically restrained | — | Long Stay |
| Percentage of long-stay residents experiencing one or more falls with major injury | — | Long Stay |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | — | Long Stay |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | — | Short Stay |
| Percentage of short-stay residents who newly received an antipsychotic medication | — | Short Stay |
Ownership & Compliance
Ownership Info
5% OR GREATER DIRECT OWNERSHIP INTEREST BULLPEN ONE, LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST EDAWS INVESTMENT GROUP, LP
5% OR GREATER INDIRECT OWNERSHIP INTEREST BULLPEN FAMILY VENTURE, LP
5% OR GREATER INDIRECT OWNERSHIP INTEREST REED, MICHAEL
5% OR GREATER INDIRECT OWNERSHIP INTEREST REED, STACIE
5% OR GREATER INDIRECT OWNERSHIP INTEREST THREADGILL, FORREST
5% OR GREATER INDIRECT OWNERSHIP INTEREST THREADGILL, MORGAN
5% OR GREATER INDIRECT OWNERSHIP INTEREST THREADGILL, SHARLYN
OPERATIONAL/MANAGERIAL CONTROL SUTER, RACHEL
OPERATIONAL/MANAGERIAL CONTROL THREADGILL, SHARLYN
Recent Penalties
| Date | Type | Fine |
|---|---|---|
| Apr 13, 2025 | Fine | $33,683 |
| Feb 5, 2025 | Fine | $14,872 |
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