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Deficiency Records for Avenue at Medina
A list of the most recent deficiencies for Avenue at Medina. 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 Avenue at Medina. 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? |
|---|---|---|---|---|
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-07-25 | 2024-08-15 | Y |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2024-07-25 | 2024-08-15 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-01-26 | 2024-02-15 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-01-26 | 2024-02-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-26 | 2024-02-15 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-01-26 | 2024-02-15 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-01-26 | 2024-02-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-01-26 | 2024-02-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-27 | 2023-04-12 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-23 | 2022-12-23 | 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 | 2022-11-23 | 2022-12-23 | 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 | 2022-11-23 | 2022-12-23 | 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 | 2022-11-23 | 2022-12-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-23 | 2022-12-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-23 | 2022-12-23 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-11-23 | 2022-12-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-11-23 | 2022-12-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-23 | 2022-12-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-12-15 | 2021-12-31 | Y |
| Provide activities to meet all resident's needs. | Health | 2019-12-28 | 2020-01-28 | 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 | 2019-12-28 | 2020-01-28 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-12-28 | 2020-01-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-12-28 | 2020-01-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-12-28 | 2020-01-28 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2019-12-28 | 2020-01-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-12-28 | 2020-01-28 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-10-11 | 2018-11-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-10-11 | 2018-11-16 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-10-11 | 2018-11-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-11 | 2018-11-16 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-10-09 | 2018-11-16 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2018-10-09 | 2018-11-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-10-09 | 2018-11-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-10-09 | 2018-11-16 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2018-10-09 | 2018-11-16 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-10-09 | 2018-11-16 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-10-09 | 2018-11-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-10-09 | 2018-11-16 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-10-09 | 2018-11-16 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2018-10-09 | 2018-11-16 | N |
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