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Deficiency Records for Aventura at Shiloh Springs
A list of the most recent deficiencies for Aventura at Shiloh Springs. 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 Aventura at Shiloh Springs. 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? |
|---|---|---|---|---|
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-09-27 | 2024-10-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-08-02 | 2024-08-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-03 | 2024-08-16 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-07-03 | 2024-08-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-30 | 2023-12-01 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-11-30 | 2023-12-01 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-30 | 2023-12-01 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-11-30 | 2023-12-01 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-11-30 | 2023-12-01 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-30 | 2023-12-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-30 | 2023-12-01 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-18 | 2023-11-06 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-18 | 2023-11-06 | Y |
| 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 | 2023-08-16 | 2023-08-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-08-16 | 2023-08-18 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2022-12-07 | 2023-02-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-12-07 | 2023-02-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-07 | 2023-02-20 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-13 | 2023-02-01 | N |
| Respond appropriately to all alleged violations. | Health | 2022-12-13 | 2023-02-01 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-12-13 | 2023-02-01 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-12-13 | 2023-02-01 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-12-13 | 2023-02-01 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-12-13 | 2023-02-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-12-13 | 2023-02-01 | 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 | 2022-12-13 | 2023-02-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-12-13 | 2023-02-01 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-12-13 | 2023-02-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-12-07 | 2023-02-01 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-12-07 | 2023-02-01 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-12-07 | 2023-02-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-07 | 2023-02-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-28 | 2022-09-29 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-05-19 | 2022-05-20 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-04-11 | 2022-04-22 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-04-11 | 2022-04-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-04-11 | 2022-04-22 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-03 | 2021-11-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-03 | 2021-11-19 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-12-05 | 2020-03-18 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2019-12-05 | 2020-03-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-05 | 2020-03-18 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-12-03 | 2020-03-18 | 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 | 2019-12-03 | 2020-03-18 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2019-12-03 | 2020-03-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-03 | 2020-03-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-12-03 | 2020-03-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-12-03 | 2020-03-18 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-12-05 | 2020-02-06 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-12-05 | 2020-02-06 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-12-05 | 2020-02-06 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-12-05 | 2020-02-06 | 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 | 2019-12-05 | 2020-02-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-05 | 2020-02-06 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-12-05 | 2020-02-06 | 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 | 2019-12-05 | 2020-02-06 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-12-03 | 2020-02-06 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-12-03 | 2020-02-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-12-03 | 2020-02-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-12-03 | 2020-02-06 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-12-03 | 2020-02-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-12-03 | 2020-02-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-03 | 2020-02-06 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-12-03 | 2020-01-10 | 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 | 2018-11-15 | 2019-02-26 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-11-15 | 2019-01-15 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-11-15 | 2019-01-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-11-15 | 2019-01-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-15 | 2019-01-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-11-15 | 2019-01-15 | 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 | 2018-11-15 | 2019-01-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-15 | 2019-01-15 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-11-13 | 2019-01-15 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-11-13 | 2019-01-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-11-13 | 2019-01-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-11-13 | 2019-01-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-11-13 | 2019-01-15 | N |
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