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Deficiency Records for Avantara Groton
A list of the most recent deficiencies for Avantara Groton. 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 Avantara Groton. 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? |
|---|---|---|---|---|
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-07-31 | 2024-08-27 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-07-31 | 2024-08-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-31 | 2024-08-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-07-31 | 2024-08-27 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-07-31 | 2024-08-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-04-14 | 2023-05-29 | N |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2023-04-14 | 2023-05-29 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-04-14 | 2023-05-29 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-04-14 | 2023-05-29 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-04-14 | 2023-05-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-04-14 | 2023-05-29 | 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 | 2023-04-14 | 2023-05-29 | 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 | 2023-04-14 | 2023-05-29 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-04-14 | 2023-05-29 | 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 | 2023-04-13 | 2023-05-23 | 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 | 2023-04-13 | 2023-04-15 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2021-11-02 | 2022-01-25 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-11-04 | 2021-12-03 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-11-04 | 2021-12-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-04 | 2021-12-03 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-11-04 | 2021-12-03 | 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 | 2021-11-04 | 2021-12-03 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-11-04 | 2021-12-03 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-11-04 | 2021-12-03 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-11-04 | 2021-12-03 | Y |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2021-11-04 | 2021-12-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-04 | 2021-12-03 | Y |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2021-11-04 | 2021-12-03 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-11-02 | 2021-11-19 | N |
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