A list of the most recent deficiencies for Aviston Countryside Manor. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-18 | 2023-09-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-18 | 2023-09-18 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-08-18 | 2023-09-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-18 | 2023-09-18 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-08-18 | 2023-09-18 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-08-16 | 2023-09-08 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-08-16 | 2023-09-08 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-08-16 | 2023-09-08 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-08-16 | 2023-09-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-08-16 | 2023-09-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-16 | 2023-09-08 | 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 | 2023-07-12 | 2023-08-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-02 | 2023-05-26 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-19 | 2023-01-20 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-11-29 | 2022-12-22 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-07-15 | 2022-08-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-15 | 2022-08-10 | N |
| 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 | 2022-07-15 | 2022-08-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-15 | 2022-08-10 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-07-14 | 2022-08-10 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-07-14 | 2022-08-10 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2022-07-14 | 2022-08-10 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2022-07-14 | 2022-08-10 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-07-14 | 2022-08-10 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-07-14 | 2022-08-10 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-07-14 | 2022-08-10 | 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 | 2022-07-14 | 2022-08-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-07-14 | 2022-08-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-14 | 2022-08-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-07-14 | 2022-08-10 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-07-01 | 2022-07-15 | Y |
| 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 | 2021-09-02 | 2021-09-27 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-09-02 | 2021-09-27 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-06-29 | 2021-07-16 | N |
| Respond appropriately to all alleged violations. | Health | 2021-06-29 | 2021-07-16 | 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 | 2021-06-29 | 2021-07-16 | 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 | 2021-06-29 | 2021-07-16 | N |
| 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 | 2021-06-29 | 2021-07-16 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2021-06-29 | 2021-07-16 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-06-29 | 2021-07-16 | 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 | 2021-06-29 | 2021-07-16 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-06-29 | 2021-07-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-29 | 2021-07-16 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2021-06-25 | 2021-07-16 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-06-25 | 2021-07-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-06-25 | 2021-07-16 | N |
