CONTACT INFORMATION REVIEWS & MORE DATA

Deficiency Records for Aventura at Terrace View

A list of the most recent deficiencies for Aventura at Terrace View. 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 Terrace View. 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?
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2024-06-14 2024-08-16 N
Provide and implement an infection prevention and control program. Health 2024-06-14 2024-08-16 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-06-14 2024-08-16 Y
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 2024-06-14 2024-08-16 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-02-09 2024-08-16 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-05-29 2024-08-15 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-06-14 2024-08-14 Y
Ensure that residents are free from significant medication errors. Health 2024-06-14 2024-08-14 Y
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Health 2024-06-14 2024-08-14 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2024-02-09 2024-08-14 Y
Keep residents' personal and medical records private and confidential. Health 2024-06-25 2024-07-31 Y
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 2024-06-25 2024-07-31 Y
Keep all essential equipment working safely. Health 2024-06-25 2024-07-31 Y
Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Health 2024-05-29 2024-07-31 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 2024-04-18 2024-07-31 Y
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2024-04-18 2024-07-31 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-06-14 2024-07-31 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 2024-06-14 2024-07-31 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-06-14 2024-07-31 N
Protect each resident from the wrongful use of the resident's belongings or money. Health 2024-06-14 2024-07-31 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2024-06-14 2024-07-31 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-06-14 2024-07-31 N
Respond appropriately to all alleged violations. Health 2024-06-14 2024-07-31 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-06-14 2024-07-31 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2024-06-14 2024-07-31 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 2024-06-14 2024-07-31 N
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2024-06-14 2024-07-31 N
Dispose of garbage and refuse properly. Health 2024-06-14 2024-07-31 N
Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. Health 2024-06-14 2024-07-31 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-06-14 2024-07-31 Y
Provide activities to meet all resident's needs. Health 2024-06-14 2024-07-31 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 2024-06-14 2024-07-31 Y
Ensure that the resident and his/her doctor meet face-to-face at all required visits. Health 2024-06-14 2024-07-31 Y
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2024-06-14 2024-07-31 Y
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2024-06-14 2024-07-31 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-02-09 2024-07-31 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-02-09 2024-07-31 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 2024-02-09 2024-07-31 N
Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Health 2024-02-09 2024-07-31 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-02-09 2024-07-31 Y
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2024-02-09 2024-07-31 Y
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2024-02-09 2024-07-31 Y
Use approved construction type or materials. Fire Safety 2024-06-26 2024-07-28 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2024-06-26 2024-07-28 N
Have an enclosure around a vertical opening shaft. Fire Safety 2024-06-26 2024-07-28 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 2024-06-26 2024-07-28 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2024-06-26 2024-07-28 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2024-06-26 2024-07-28 N
Allow resident to participate in the development and implementation of his or her person-centered plan of care. Health 2024-02-09 2024-04-18 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2024-02-09 2024-04-18 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2024-02-09 2024-04-18 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 2024-02-09 2024-04-18 N
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2024-02-09 2024-04-18 N
Ensure each resident receives an accurate assessment. Health 2024-02-09 2024-04-18 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-02-09 2024-04-18 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 2024-02-09 2024-04-18 N
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2024-02-09 2024-04-18 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-02-09 2024-04-18 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2024-02-09 2024-04-18 N
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. Health 2024-02-09 2024-04-18 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. Health 2024-02-09 2024-04-18 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 2024-02-09 2024-04-18 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 2024-02-09 2024-04-18 N
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. Health 2024-02-09 2024-04-18 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2024-02-09 2024-04-18 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2024-02-09 2024-04-18 N
Have policies on smoking. Health 2024-02-09 2024-04-18 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-02-09 2024-04-18 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-02-09 2024-04-18 Y
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2024-02-21 2024-04-15 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 2024-02-21 2024-04-15 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 2024-02-21 2024-04-15 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-02-21 2024-04-15 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2024-02-21 2024-04-15 N
Install properly constructed and protected linen or trash chutes. Fire Safety 2024-02-21 2024-04-15 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-02-21 2024-04-15 N
Have proper medical gas storage and administration areas. Fire Safety 2024-02-21 2024-04-15 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-12-28 2024-01-30 Y
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 2023-12-28 2024-01-30 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-12-28 2024-01-30 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-12-28 2024-01-30 Y
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2023-12-28 2024-01-30 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-12-05 2023-12-28 Y
Provide and implement an infection prevention and control program. Health 2023-12-05 2023-12-28 Y
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. Health 2023-12-05 2023-12-28 Y
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 2023-10-18 2023-11-15 Y
Ensure that residents are free from significant medication errors. Health 2023-10-18 2023-11-15 Y
Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Health 2023-10-18 2023-11-15 Y
Develop, implement, and/or maintain an effective training program for all new and existing staff members. Health 2023-10-18 2023-11-15 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-09-21 2023-10-18 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-09-21 2023-10-18 Y
Respond appropriately to all alleged violations. Health 2023-09-21 2023-10-18 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-09-21 2023-10-18 Y
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 2023-02-15 2023-07-11 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-02-15 2023-07-11 N
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2023-02-15 2023-07-11 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2023-02-15 2023-07-11 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 2023-02-15 2023-07-11 N
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. Health 2023-02-15 2023-07-11 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-02-15 2023-07-11 N
Provide and implement an infection prevention and control program. Health 2023-02-15 2023-07-11 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 2023-02-15 2023-07-11 Y
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Health 2023-02-15 2023-07-11 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2023-02-15 2023-07-11 Y
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2023-02-15 2023-07-11 Y
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2023-02-15 2023-07-11 Y
Ensure each resident receives an accurate assessment. Health 2023-05-04 2023-06-14 Y
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2023-04-27 2023-06-14 Y
Provide enough food/fluids to maintain a resident's health. Health 2023-04-27 2023-06-14 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-04-27 2023-06-14 Y
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 2023-04-27 2023-06-14 Y
Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Health 2023-04-27 2023-06-14 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-03-23 2023-06-14 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-03-23 2023-06-14 Y
Post nurse staffing information every day. Health 2023-03-23 2023-06-14 Y
Provide timely, quality laboratory services/tests to meet the needs of residents. Health 2023-03-23 2023-06-14 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-03-23 2023-06-14 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-02-15 2023-06-14 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-02-15 2023-06-14 N
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Health 2023-02-15 2023-06-14 N
Assure that each resident?s assessment is updated at least once every 3 months. Health 2023-02-15 2023-06-14 N
Ensure each resident receives an accurate assessment. Health 2023-02-15 2023-06-14 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 2023-02-15 2023-06-14 N
Plan the resident's discharge to meet the resident's goals and needs. Health 2023-02-15 2023-06-14 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 2023-02-15 2023-06-14 N
Provide enough food/fluids to maintain a resident's health. Health 2023-02-15 2023-06-14 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-02-15 2023-06-14 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2023-02-15 2023-06-14 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-02-15 2023-06-14 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 2023-02-15 2023-06-14 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2023-02-15 2023-06-14 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 2023-02-15 2023-06-14 N
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. Health 2023-02-15 2023-06-14 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2023-02-15 2023-06-14 N
Implement a program that monitors antibiotic use. Health 2023-02-15 2023-06-14 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2023-02-15 2023-06-14 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 2023-02-15 2023-06-14 N
Ensure staff are vaccinated for COVID-19 Health 2023-02-15 2023-06-14 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-02-15 2023-06-14 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2023-02-15 2023-06-14 N
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Health 2023-02-15 2023-06-14 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2023-02-15 2023-06-14 Y
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2023-02-15 2023-06-14 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-02-15 2023-06-14 Y
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2023-02-15 2023-06-14 Y
Ensure that the resident and his/her doctor meet face-to-face at all required visits. Health 2023-02-15 2023-06-14 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 2023-02-15 2023-06-14 Y
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2023-02-27 2023-04-18 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2023-02-27 2023-04-18 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-02-27 2023-04-18 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2023-02-27 2023-04-18 N
Install properly constructed and protected linen or trash chutes. Fire Safety 2023-02-27 2023-04-18 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2023-02-27 2023-04-18 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2022-11-22 2023-01-10 Y
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2022-11-22 2022-12-20 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-11-22 2022-12-20 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-11-22 2022-12-20 Y
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2022-11-22 2022-12-20 Y
Post nurse staffing information every day. Health 2022-10-17 2022-11-22 Y
Ensure that residents are free from significant medication errors. Health 2022-10-17 2022-11-22 Y
Provide timely, quality laboratory services/tests to meet the needs of residents. Health 2022-10-17 2022-11-22 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-09-21 2022-11-22 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 2022-09-21 2022-11-22 Y
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2022-09-21 2022-11-22 Y
Provide and implement an infection prevention and control program. Health 2022-09-21 2022-11-22 Y
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 2022-09-07 2022-11-22 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-09-07 2022-11-22 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-09-07 2022-11-22 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-08-12 2022-11-22 Y
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2022-08-12 2022-11-22 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-08-12 2022-11-22 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-06-09 2022-07-26 Y
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 2022-06-09 2022-07-26 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-06-09 2022-07-26 Y
Ensure that each resident is free from medications that restrain them, unless needed for medical treatment. Health 2022-06-09 2022-07-26 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-06-09 2022-07-26 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-06-09 2022-07-26 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-06-09 2022-07-26 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 2022-06-09 2022-07-26 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 2022-06-09 2022-07-26 Y
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2022-06-09 2022-07-26 Y
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2022-06-09 2022-07-26 Y
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2022-06-09 2022-07-26 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-04-28 2022-07-26 Y
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 2022-04-28 2022-07-26 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-04-28 2022-07-26 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-04-28 2022-07-26 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 2022-04-28 2022-07-26 Y
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2022-04-28 2022-07-26 Y
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2022-04-28 2022-07-26 Y
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 2022-03-04 2022-07-26 Y
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Health 2022-05-19 2022-06-09 Y
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2022-04-28 2022-06-09 Y
Ensure each resident receives an accurate assessment. Health 2022-04-28 2022-06-09 Y
Provide activities to meet all resident's needs. Health 2022-04-28 2022-06-09 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-04-28 2022-06-09 Y
Ensure that the resident and his/her doctor meet face-to-face at all required visits. Health 2022-04-28 2022-06-09 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 2022-04-28 2022-06-09 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-04-28 2022-06-09 Y
Provide and implement an infection prevention and control program. Health 2022-04-28 2022-06-09 Y
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2022-04-28 2022-06-09 Y
Provide enough food/fluids to maintain a resident's health. Health 2022-03-04 2022-04-28 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-12-05 Not Fixed Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-11-15 Not Fixed Y
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 2023-11-15 Not Fixed 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 2023-11-15 Not Fixed Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-11-15 Not Fixed Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-11-15 Not Fixed Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-11-15 Not Fixed Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-11-15 Not Fixed Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2023-11-15 Not Fixed Y
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2023-11-15 Not Fixed Y
Keep all essential equipment working safely. Health 2023-11-15 Not Fixed Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-10-18 Not Fixed Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2023-10-18 Not Fixed Y
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Health 2023-04-27 Not Fixed Y
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2023-04-27 Not Fixed Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-04-27 Not Fixed Y

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