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Deficiency Records for Auburn Ravine Terrace

A list of the most recent deficiencies for Auburn Ravine Terrace. 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 Auburn Ravine Terrace. 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?
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2024-07-19 2024-08-18 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-07-19 2024-08-18 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2024-07-19 2024-08-18 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 2024-07-19 2024-08-18 N
Ensure medication error rates are not 5 percent or greater. Health 2024-07-19 2024-08-18 N
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 2024-07-19 2024-08-18 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 2024-07-19 2024-08-18 N
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2024-07-19 2024-08-18 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-07-19 2024-08-18 N
Have a policy regarding use and storage of foods brought to residents by family and other visitors. Health 2024-07-19 2024-08-18 N
Dispose of garbage and refuse properly. Health 2024-07-19 2024-08-18 N
Employ staff that are licensed, certified, or registered in accordance with state laws. Health 2024-07-19 2024-08-18 N
Provide and implement an infection prevention and control program. Health 2024-07-19 2024-08-18 N
Implement a program that monitors antibiotic use. Health 2024-07-19 2024-08-18 N
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2024-07-19 2024-08-18 N
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Health 2024-07-19 2024-08-18 N
Conduct testing and exercise requirements. Fire Safety 2024-07-24 2024-08-12 N
Use approved construction type or materials. Fire Safety 2024-07-24 2024-08-12 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-07-24 2024-08-12 N
Provide a written emergency evacuation plan. Fire Safety 2024-07-24 2024-08-12 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-07-24 2024-08-12 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-07-24 2024-08-12 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-07-24 2024-08-12 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 2023-09-08 2023-10-08 N
Ensure that residents are free from significant medication errors. Health 2023-09-08 2023-10-08 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 2023-09-08 2023-10-08 N
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 2023-09-08 2023-10-08 N
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Health 2023-09-08 2023-10-08 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 2023-09-08 2023-10-08 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-09-08 2023-10-08 N
Dispose of garbage and refuse properly. Health 2023-09-08 2023-10-08 N
Provide and implement an infection prevention and control program. Health 2023-09-08 2023-10-08 N
Keep all essential equipment working safely. Health 2023-09-08 2023-10-08 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 2023-09-11 2023-09-25 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-09-11 2023-09-25 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-09-11 2023-09-25 N
Keep residents' personal and medical records private and confidential. Health 2022-09-02 2022-10-04 N
Assess the resident when there is a significant change in condition Health 2022-09-02 2022-10-04 N
Assure that each resident?s assessment is updated at least once every 3 months. Health 2022-09-02 2022-10-04 N
Ensure each resident receives an accurate assessment. Health 2022-09-02 2022-10-04 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 2022-09-02 2022-10-04 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-09-02 2022-10-04 N
Provide activities to meet all resident's needs. Health 2022-09-02 2022-10-04 N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2022-09-02 2022-10-04 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-09-02 2022-10-04 N
Provide and implement an infection prevention and control program. Health 2022-09-02 2022-10-04 N
List the names and contact information of those in the facility. Fire Safety 2022-09-08 2022-09-21 N
Provide emergency officials' contact information. Fire Safety 2022-09-08 2022-09-21 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2022-09-08 2022-09-21 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2022-09-08 2022-09-21 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-09-08 2022-09-21 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2022-09-08 2022-09-21 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-09-08 2022-09-21 N
Have restrictions on the use of portable space heaters. Fire Safety 2022-09-08 2022-09-21 N
Meet requirements for the use of electrical equipment. Fire Safety 2022-09-08 2022-09-21 N

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