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Deficiency Records for Avamere Court at Keizer

A list of the most recent deficiencies for Avamere Court at Keizer. 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 Court at Keizer. 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?
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-05-31 2024-07-03 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-05-31 2024-07-03 Y
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2024-05-31 2024-07-03 Y
Give residents a notice of rights, rules, services and charges. Health 2024-05-31 2024-07-03 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 2024-05-31 2024-07-03 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 2024-05-31 2024-07-03 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-05-31 2024-07-03 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 2024-05-31 2024-07-03 Y
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 2024-05-31 2024-07-03 Y
Ensure medication error rates are not 5 percent or greater. Health 2024-05-31 2024-07-03 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 2024-05-31 2024-07-03 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-05-31 2024-07-03 Y
Provide and implement an infection prevention and control program. Health 2024-05-31 2024-07-03 Y
Have properly located and lighted "Exit" signs. Fire Safety 2024-05-30 2024-07-03 N
Provide properly protected cooking facilities. Fire Safety 2024-05-30 2024-07-03 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2024-05-30 2024-07-03 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2024-05-30 2024-07-03 N
Have proper medical gas storage and administration areas. Fire Safety 2024-05-30 2024-07-03 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2023-04-21 2023-05-31 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 2023-04-21 2023-05-31 N
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 2023-04-21 2023-05-31 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2023-04-21 2023-05-31 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 2023-04-20 2023-05-31 N
Have properly installed hallway dispensers for alcohol-based hand rub. Fire Safety 2023-04-20 2023-05-31 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-04-27 2022-06-16 N
Establish procedures for tracking staff and patients during an emergency. Fire Safety 2022-04-27 2022-06-10 N
Provide primary/alternate means for communication. Fire Safety 2022-04-27 2022-06-10 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-04-27 2022-06-10 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-04-27 2022-06-10 N
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 2022-04-19 2022-05-31 N
Observe each nurse aide's job performance and give regular training. Health 2022-04-19 2022-05-31 N
Protect each resident from the wrongful use of the resident's belongings or money. Health 2022-04-19 2022-05-31 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-04-19 2022-05-31 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-04-19 2022-05-31 Y
Provide enough food/fluids to maintain a resident's health. Health 2022-04-19 2022-05-31 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-04-19 2022-04-20 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-01-10 2022-02-22 Y
Plan the resident's discharge to meet the resident's goals and needs. Health 2022-01-10 2022-02-22 Y
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2022-01-10 2022-02-22 Y
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2022-01-10 2022-02-22 Y

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