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Deficiency Records for Aventura at Pembrooke
A list of the most recent deficiencies for Aventura at Pembrooke. 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 Pembrooke. 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 | 2024-03-21 | 2024-04-05 | Y |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-09-08 | 2023-11-05 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2023-09-08 | 2023-11-05 | N |
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-09-08 | 2023-11-05 | 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 | 2023-09-08 | 2023-11-05 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-08 | 2023-11-05 | Y |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-09-08 | 2023-11-05 | Y |
Install a two-hour-resistant firewall separation. | Fire Safety | 2022-10-20 | 2022-12-13 | N |
Use approved construction type or materials. | Fire Safety | 2022-10-20 | 2022-12-13 | N |
Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-10-20 | 2022-12-13 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-10-20 | 2022-12-13 | N |
Provide properly protected cooking facilities. | Fire Safety | 2022-10-20 | 2022-12-13 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-20 | 2022-12-13 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2022-10-20 | 2022-12-13 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-20 | 2022-12-13 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-10-20 | 2022-12-13 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-10-20 | 2022-12-13 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-10-20 | 2022-12-13 | N |
Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-10-20 | 2022-12-13 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-20 | 2022-12-13 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-10-20 | 2022-12-13 | N |
Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2022-10-20 | 2022-12-13 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-10-14 | 2022-11-20 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-10-14 | 2022-11-20 | N |
Respond appropriately to all alleged violations. | Health | 2022-10-14 | 2022-11-20 | N |
Ensure each resident receives an accurate assessment. | Health | 2022-10-14 | 2022-11-20 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-10-14 | 2022-11-20 | 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 | 2022-10-14 | 2022-11-20 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-14 | 2022-11-20 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-14 | 2022-11-20 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2022-10-14 | 2022-11-20 | N |
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-10-14 | 2022-11-20 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-10-14 | 2022-11-20 | N |
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-10-14 | 2022-11-20 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2022-10-14 | 2022-11-20 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-10-14 | 2022-11-20 | N |
Provide and implement an infection prevention and control program. | Health | 2022-10-14 | 2022-11-20 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-10-14 | 2022-11-20 | Y |
Reasonably accommodate the needs and preferences of each resident. | Health | 2022-08-04 | 2022-09-30 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-04 | 2022-09-30 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-27 | 2022-05-17 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-27 | 2022-05-17 | Y |
Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-04-27 | 2022-05-17 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-01 | 2022-03-15 | Y |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-02-01 | 2022-03-15 | Y |
Ensure each resident receives an accurate assessment. | Health | 2021-09-24 | 2021-11-05 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-24 | 2021-11-05 | N |
Assist a resident in gaining access to vision and hearing services. | Health | 2021-09-24 | 2021-11-05 | 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 | 2021-09-24 | 2021-11-05 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-09-24 | 2021-11-05 | N |
Provide and implement an infection prevention and control program. | Health | 2021-09-24 | 2021-11-05 | N |
Honor the resident's right to manage his or her financial affairs. | Health | 2023-08-03 | Not Fixed | Y |
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