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Deficiency Records for Avamere Health Services of Rogue Valley
A list of the most recent deficiencies for Avamere Health Services of Rogue Valley. 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 Avamere Health Services of Rogue Valley. 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? |
|---|---|---|---|---|
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-04-16 | 2024-06-08 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-04-16 | 2024-06-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-16 | 2024-06-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-04-16 | 2024-06-08 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-04-16 | 2024-06-08 | 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 | 2024-04-19 | 2024-06-04 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-04-19 | 2024-06-04 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-04-19 | 2024-06-04 | 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 | 2024-04-19 | 2024-06-04 | N |
| Assess the resident when there is a significant change in condition | Health | 2024-04-19 | 2024-06-04 | 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 | 2024-04-19 | 2024-06-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-19 | 2024-06-04 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-04-19 | 2024-06-04 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-04-19 | 2024-06-04 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-04-19 | 2024-06-04 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2024-04-19 | 2024-06-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-19 | 2024-06-04 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-04-19 | 2024-06-04 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-04-19 | 2024-06-04 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-04-19 | 2024-06-04 | Y |
| 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 | 2024-04-19 | 2024-06-04 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-04-19 | 2024-06-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-19 | 2024-06-04 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-04-19 | 2024-06-04 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-04-19 | 2024-06-04 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-04-19 | 2024-06-04 | Y |
| Post nurse staffing information every day. | Health | 2024-04-19 | 2024-06-04 | Y |
| 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 | 2023-08-01 | 2023-09-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-01 | 2023-09-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-01 | 2023-09-05 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-08-01 | 2023-09-05 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-08-01 | 2023-09-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-01 | 2023-09-05 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-02-24 | 2023-03-29 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2023-02-24 | 2023-03-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-24 | 2023-03-29 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-02-24 | 2023-03-29 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-02-24 | 2023-03-29 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-02-24 | 2023-03-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-24 | 2023-03-29 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-02-24 | 2023-03-29 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-02-24 | 2023-03-29 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-02-24 | 2023-03-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-24 | 2023-03-29 | Y |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-03-01 | 2023-03-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-01 | 2023-03-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-03-01 | 2023-03-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-01 | 2023-03-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-03-01 | 2023-03-15 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-11-23 | 2023-01-12 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-11-23 | 2023-01-12 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-11-23 | 2023-01-12 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-11-23 | 2023-01-12 | Y |
| 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 | 2023-01-12 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-23 | 2023-01-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-23 | 2023-01-12 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-23 | 2023-01-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-23 | 2023-01-12 | Y |
| 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 | 2023-01-12 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-11-23 | 2023-01-12 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-11-23 | 2023-01-12 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-11-23 | 2023-01-12 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-11-23 | 2023-01-12 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-11-23 | 2023-01-12 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-11-23 | 2023-01-12 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-01-04 | 2022-03-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-04 | 2022-03-02 | 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 | 2022-01-13 | 2022-03-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-13 | 2022-03-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-01-13 | 2022-03-01 | N |
| 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 | 2022-01-13 | 2022-03-01 | 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 | 2022-01-13 | 2022-03-01 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-01-13 | 2022-03-01 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-01-13 | 2022-03-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-13 | 2022-03-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-13 | 2022-03-01 | N |
| Keep all essential equipment working safely. | Health | 2022-01-13 | 2022-03-01 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-01-04 | 2022-02-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-01-04 | 2022-02-24 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-01-04 | 2022-02-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-01-04 | 2022-02-24 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-01-04 | 2022-02-24 | N |
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