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Deficiency Records for Avalon Place Kirbyville

A list of the most recent deficiencies for Avalon Place Kirbyville. 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 Avalon Place Kirbyville. 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?
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2024-09-10 2024-10-11 N
Keep all essential equipment working safely. Health 2024-09-11 2024-10-08 N
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2024-09-11 2024-09-12 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 2024-09-11 2024-09-12 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-09-10 2024-09-12 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 2023-08-22 2023-09-22 N
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2023-08-23 2023-09-01 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2023-08-23 2023-09-01 N
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2023-08-23 2023-09-01 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-08-23 2023-09-01 N
Ensure medication error rates are not 5 percent or greater. Health 2023-08-23 2023-09-01 N
Ensure that residents are free from significant medication errors. Health 2023-08-23 2023-09-01 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 2023-08-23 2023-09-01 N
Provide and implement an infection prevention and control program. Health 2023-08-23 2023-09-01 N
Conduct testing and exercise requirements. Fire Safety 2023-08-22 2023-08-28 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2023-08-22 2023-08-24 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-09-04 2022-09-23 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-09-04 2022-09-23 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-09-04 2022-09-23 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2022-06-22 2022-06-24 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-06-23 2022-06-24 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 2022-06-22 2022-06-23 N
Provide routine and 24-hour emergency dental care for each resident. Health 2022-06-22 2022-06-23 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2022-06-22 2022-06-23 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-06-22 2022-06-23 Y
Ensure medication error rates are not 5 percent or greater. Health 2022-06-22 2022-06-23 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-04-15 2022-05-19 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-04-15 2022-05-19 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-04-06 2022-05-19 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 2022-04-15 2022-04-22 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 2021-12-12 2021-12-15 Y

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