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Deficiency Records for Aviva at Fitzsimons

A list of the most recent deficiencies for Aviva at Fitzsimons. 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 Aviva at Fitzsimons. 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?
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-10-11 2023-10-12 Y
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-08-24 2023-09-11 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2023-08-24 2023-09-11 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-08-24 2023-09-11 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 2023-07-31 2023-08-03 N
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Health 2023-07-31 2023-08-03 Y
Provide activities to meet all resident's needs. Health 2023-07-31 2023-08-03 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2023-07-31 2023-08-03 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-07-31 2023-08-03 Y
Keep all essential equipment working safely. Health 2023-07-31 2023-08-03 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-07-31 2023-08-03 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-07-31 2023-08-03 Y
Ensure that residents are free from significant medication errors. Health 2023-07-31 2023-08-03 Y
Let each resident or the resident's legal representative access or purchase copies of all the resident's records. Health 2023-04-06 2023-04-07 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-04-06 2023-04-07 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-04-06 2023-04-07 Y
Provide and implement an infection prevention and control program. Health 2023-04-06 2023-04-07 Y
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2020-01-02 2020-02-13 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 2020-01-02 2020-02-13 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2020-01-02 2020-02-13 N
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Fire Safety 2020-01-02 2020-02-13 N
Install corridor and hallway doors that block smoke. Fire Safety 2020-01-02 2020-02-13 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2020-01-02 2020-02-13 N
Have proper medical gas storage and administration areas. Fire Safety 2020-01-02 2020-02-13 N
Ensure proper storage of liquid oxygen. Fire Safety 2020-01-02 2020-02-13 N
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Health 2019-12-10 2020-01-09 N
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. Health 2019-12-10 2020-01-07 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 2019-12-10 2020-01-02 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2019-12-10 2019-12-30 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-12-10 2019-12-30 N

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