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Deficiency Records for The Avenues Transitional Care Center
A list of the most recent deficiencies for The Avenues Transitional Care Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for The Avenues Transitional Care Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-05-21 | 2024-06-21 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-05-21 | 2024-06-21 | Y |
| Provide emergency officials' contact information. | Fire Safety | 2024-01-31 | 2024-02-29 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2024-01-31 | 2024-02-29 | N |
| Use approved construction type or materials. | Fire Safety | 2024-01-31 | 2024-02-29 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-01-31 | 2024-02-29 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-01-31 | 2024-02-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-31 | 2024-02-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-31 | 2024-02-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-01-31 | 2024-02-29 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-01-31 | 2024-02-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-31 | 2024-02-29 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-01-31 | 2024-02-29 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-01-26 | 2024-02-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-05 | 2023-05-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-05 | 2023-05-16 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-02-03 | 2023-05-08 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-02-03 | 2023-05-08 | Y |
| 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. | Health | 2023-02-03 | 2023-05-08 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-01-07 | 2022-03-17 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2021-04-09 | 2021-06-11 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-04-09 | 2021-06-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-04-09 | 2021-06-11 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2021-04-09 | 2021-06-11 | N |
| 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. | Health | 2021-04-09 | 2021-06-11 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2021-04-09 | 2021-06-11 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-04-13 | 2021-04-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-04-13 | 2021-04-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-04-13 | 2021-04-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-04-13 | 2021-04-27 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2019-05-17 | 2019-07-26 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-05-17 | 2019-07-26 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-05-17 | 2019-07-26 | N |
| 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. | Health | 2019-05-17 | 2019-07-26 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-05-17 | 2019-07-26 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-05-17 | 2019-07-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-17 | 2019-07-26 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-05-17 | 2019-07-26 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-07-16 | 2019-07-26 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-07-16 | 2019-07-26 | N |
| Use approved construction type or materials. | Fire Safety | 2019-07-16 | 2019-07-26 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-07-16 | 2019-07-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-07-16 | 2019-07-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-16 | 2019-07-26 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-07-16 | 2019-07-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-07-16 | 2019-07-26 | N |
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