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 treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-28 | 2022-11-27 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-10-28 | 2022-11-27 | 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 | 2022-10-28 | 2022-11-27 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-10-28 | 2022-11-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-28 | 2022-11-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-28 | 2022-11-27 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-10-28 | 2022-11-27 | Y |
| Meet other general requirements that are deficient. | Fire Safety | 2022-10-25 | 2022-11-24 | 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 | 2022-10-25 | 2022-11-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-20 | 2022-06-19 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-05-20 | 2022-06-19 | Y |
| 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 | 2022-03-25 | 2022-04-24 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-02 | 2022-01-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-10-20 | 2021-11-19 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-07-09 | 2021-08-08 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-07-09 | 2021-08-08 | N |
| 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 | 2021-07-09 | 2021-08-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-09 | 2021-08-08 | 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 | 2021-07-09 | 2021-08-08 | 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 | 2021-07-09 | 2021-08-08 | 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 | 2021-07-09 | 2021-08-08 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2021-07-09 | 2021-08-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-09 | 2021-08-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-09 | 2021-08-08 | 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 | 2021-07-07 | 2021-08-06 | 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 | 2021-07-07 | 2021-08-06 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2021-07-07 | 2021-08-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-07-07 | 2021-08-06 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-07-07 | 2021-08-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-01-17 | 2020-02-18 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-01-17 | 2020-02-17 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-01-17 | 2020-02-17 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2020-01-17 | 2020-02-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-01-17 | 2020-02-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-17 | 2020-02-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-17 | 2020-02-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-01-14 | 2020-02-17 | N |
