Deficiency Records for The Springs of Avalon
Updated as of November 01, 2019
This is not the most recent data for The Springs of Avalon. For the most recent information, click here.
A list of the most recent deficiencies for The Springs of Avalon. 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 care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-05-10 | 2019-05-30 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-12-21 | 2019-02-05 | Y |
| Use approved construction type or materials. | Fire Safety | 2018-12-19 | 2019-01-20 | 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 | 2018-12-19 | 2019-01-20 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-12-19 | 2019-01-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-12-19 | 2019-01-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-12-19 | 2019-01-20 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-12-19 | 2019-01-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-12-19 | 2019-01-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-12-21 | 2019-01-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-12-21 | 2019-01-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-12-21 | 2019-01-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-12-21 | 2019-01-20 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2018-12-21 | 2018-12-21 | 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 | 2018-01-30 | 2018-03-04 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-01-30 | 2018-03-04 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-01-30 | 2018-03-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-02-02 | 2018-03-04 | N |
| Provide appropriate foot care. | Health | 2018-02-02 | 2018-03-04 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-02-02 | 2018-02-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-02-02 | 2018-02-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-02-02 | 2018-02-02 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-10-19 | 2017-11-13 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-10-19 | 2017-11-13 | Y |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-10-19 | 2017-11-13 | Y |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-10-27 | 2016-11-27 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-10-27 | 2016-11-27 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-10-27 | 2016-11-27 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-10-28 | 2016-11-27 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2016-10-28 | 2016-11-27 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-10-28 | 2016-11-27 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2016-10-28 | 2016-11-27 | N |
| Provide housekeeping and maintenance services. | Health | 2016-10-28 | 2016-10-28 | N |
