A list of the most recent deficiencies for Avalon Health Care - San Andreas. 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? |
---|---|---|---|---|
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-02-13 | 2024-03-07 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-13 | 2024-03-07 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-12 | 2024-01-11 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-10 | 2023-11-29 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-10 | 2023-11-29 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-03 | 2023-11-14 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-03 | 2023-11-14 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-27 | 2023-10-09 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-05 | 2023-09-22 | 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 | 2023-05-23 | 2023-06-06 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-12 | 2023-04-12 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-02 | 2023-03-14 | Y |
Ensure that residents are free from significant medication errors. | Health | 2023-03-02 | 2023-03-14 | Y |
Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-03-02 | 2023-03-14 | Y |
Provide enough food/fluids to maintain a resident's health. | Health | 2023-02-01 | 2023-02-22 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-20 | 2022-11-01 | Y |
Dispose of garbage and refuse properly. | Health | 2022-10-20 | 2022-11-01 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-09-10 | 2022-10-02 | Y |
Provide and implement an infection prevention and control program. | Health | 2022-08-24 | 2022-09-09 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-20 | 2022-08-18 | Y |
Have properly located and lighted "Exit" signs. | Fire Safety | 2022-06-17 | 2022-07-15 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-17 | 2022-07-15 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-06-17 | 2022-07-15 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-17 | 2022-07-15 | N |
Meet requirements for the use of electrical equipment. | Fire Safety | 2022-06-17 | 2022-07-15 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-06-17 | 2022-07-15 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2022-06-17 | 2022-07-15 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2022-06-09 | 2022-07-09 | N |
Honor the resident's right to manage his or her financial affairs. | Health | 2022-06-09 | 2022-07-09 | 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 | 2022-06-09 | 2022-07-09 | N |
Keep residents' personal and medical records private and confidential. | Health | 2022-06-09 | 2022-07-09 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-09 | 2022-07-09 | 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 | 2022-06-09 | 2022-07-09 | N |
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-06-09 | 2022-07-09 | N |
Assist a resident in gaining access to vision and hearing services. | Health | 2022-06-09 | 2022-07-09 | N |
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 | 2022-06-09 | 2022-07-09 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-09 | 2022-07-09 | N |
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2022-06-09 | 2022-07-09 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-06-09 | 2022-07-09 | N |
Post nurse staffing information every day. | Health | 2022-06-09 | 2022-07-09 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-06-09 | 2022-07-09 | N |
Ensure that residents are free from significant medication errors. | Health | 2022-06-09 | 2022-07-09 | 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 | 2022-06-09 | 2022-07-09 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-09 | 2022-07-09 | N |
Provide and implement an infection prevention and control program. | Health | 2022-06-09 | 2022-07-09 | N |
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-06-09 | 2022-07-09 | N |
Keep all essential equipment working safely. | Health | 2022-06-09 | 2022-07-09 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-06-09 | 2022-07-09 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-02-14 | 2022-03-08 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-02-14 | 2022-03-08 | Y |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-12-14 | 2022-01-26 | Y |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-12-14 | 2022-01-26 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-07 | 2021-12-14 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-10-12 | 2021-11-04 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-10-12 | 2021-11-04 | Y |
Provide and implement an infection prevention and control program. | Health | 2021-10-12 | 2021-11-02 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-09-27 | 2021-10-15 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-25 | 2021-08-27 | Y |
Keep all essential equipment working safely. | Health | 2021-08-12 | 2021-08-12 | Y |
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-08-22 | 2019-09-09 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-22 | 2019-09-09 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-08-22 | 2019-09-09 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-08-09 | 2019-08-29 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-08-09 | 2019-08-29 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2019-08-09 | 2019-08-29 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-08-09 | 2019-08-29 | N |
Provide and implement an infection prevention and control program. | Health | 2019-08-09 | 2019-08-29 | N |
Use approved construction type or materials. | Fire Safety | 2018-08-28 | 2018-09-12 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-08-28 | 2018-09-12 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2018-08-28 | 2018-09-12 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-08-28 | 2018-09-12 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2018-08-28 | 2018-09-12 | N |
Give the resident's representative the ability to exercise the resident's rights. | Health | 2018-08-03 | 2018-08-28 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-08-03 | 2018-08-28 | N |
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-08-03 | 2018-08-28 | N |
Ensure each resident receives an accurate assessment. | Health | 2018-08-03 | 2018-08-28 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-03 | 2018-08-28 | 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 | 2018-08-03 | 2018-08-28 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-08-03 | 2018-08-28 | N |