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Deficiency Records for Aviara Healthcare Center
A list of the most recent deficiencies for Aviara Healthcare Center. 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 Aviara Healthcare Center. 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 treatment and care according to orders, resident?s preferences and goals. | Health | 2024-09-26 | 2024-10-25 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-07-03 | 2024-08-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-03 | 2024-08-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-07-03 | 2024-08-01 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-07-03 | 2024-08-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-07-03 | 2024-08-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-07-03 | 2024-08-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-03 | 2024-08-01 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-07-03 | 2024-08-01 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-07-10 | 2024-07-26 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2024-07-10 | 2024-07-26 | N |
| Provide emergency officials' contact information. | Fire Safety | 2024-07-10 | 2024-07-26 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-07-10 | 2024-07-26 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-07-10 | 2024-07-26 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-07-10 | 2024-07-26 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-07-10 | 2024-07-26 | N |
| 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 | 2024-07-10 | 2024-07-26 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-07-10 | 2024-07-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-07-10 | 2024-07-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-07-10 | 2024-07-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-10 | 2024-07-26 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-07-10 | 2024-07-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-07-10 | 2024-07-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-07-10 | 2024-07-26 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-07-10 | 2024-07-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-10 | 2024-07-26 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-07-10 | 2024-07-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-06-25 | 2024-07-22 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-06-06 | 2024-07-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-05-31 | 2024-06-25 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-05-15 | 2024-06-11 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-25 | 2023-11-06 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-09-05 | 2023-09-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-05 | 2023-09-27 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-06-21 | 2023-07-03 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-06-13 | 2023-06-20 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-04-27 | 2023-05-01 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2023-01-11 | 2023-02-14 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-01-11 | 2023-02-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-01-11 | 2023-02-14 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-01-10 | 2023-01-31 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-01-10 | 2023-01-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-10 | 2023-01-31 | Y |
| 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 | 2023-01-10 | 2023-01-31 | Y |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2022-12-19 | 2023-01-23 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-12-19 | 2023-01-23 | Y |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-12-19 | 2023-01-23 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-05 | 2023-01-19 | 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 | 2022-12-02 | 2023-01-02 | 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 | 2022-11-29 | 2022-12-22 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-02 | 2022-11-21 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-10-20 | 2022-11-20 | 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 | 2022-10-20 | 2022-11-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-20 | 2022-11-20 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-09-20 | 2022-10-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-08-31 | 2022-10-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-24 | 2022-09-01 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-12-17 | 2022-01-07 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-06-10 | 2021-07-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-06-10 | 2021-07-23 | 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 | 2021-06-10 | 2021-07-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-10 | 2021-07-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-10 | 2021-07-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-06-10 | 2021-07-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-10 | 2021-07-23 | 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 | 2021-06-10 | 2021-07-23 | 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 | 2021-06-10 | 2021-07-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-06-10 | 2021-07-23 | 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 | 2021-06-10 | 2021-07-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-10 | 2021-07-23 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2021-06-15 | 2021-07-15 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-06-15 | 2021-07-15 | N |
| Use approved construction type or materials. | Fire Safety | 2021-06-15 | 2021-07-15 | 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 | 2021-06-15 | 2021-07-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-06-15 | 2021-07-15 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2021-06-15 | 2021-07-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-15 | 2021-07-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-06-15 | 2021-07-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-06-15 | 2021-07-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-15 | 2021-07-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-06-15 | 2021-07-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-05-16 | 2019-07-02 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-05-16 | 2019-07-02 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-05-16 | 2019-07-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-16 | 2019-07-02 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-05-16 | 2019-07-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-05-16 | 2019-07-02 | 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 | 2019-05-16 | 2019-07-02 | 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 | 2019-05-16 | 2019-07-02 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-05-30 | 2019-06-26 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-05-30 | 2019-06-26 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-05-30 | 2019-06-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-05-30 | 2019-06-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-05-30 | 2019-06-26 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-08-25 | Not Fixed | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-25 | Not Fixed | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-12 | Not Fixed | Y |
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