A list of the most recent deficiencies for Avantara Palos Heights. 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 that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-29 | 2024-02-14 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-09 | 2024-01-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-09 | 2024-01-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-01-09 | 2024-01-16 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-12-29 | 2024-01-12 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-12-29 | 2024-01-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-12-29 | 2024-01-12 | 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 | 2023-12-29 | 2024-01-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-29 | 2024-01-12 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-12-29 | 2024-01-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-01 | 2023-09-08 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-09-01 | 2023-09-08 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-22 | 2023-07-02 | 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 | 2023-03-02 | 2023-03-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-03-02 | 2023-03-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-02 | 2023-03-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-02 | 2023-03-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-03-02 | 2023-03-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-02 | 2023-03-23 | 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 | 2023-03-08 | 2023-03-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-08 | 2023-03-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-08 | 2023-03-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-08 | 2023-03-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-03-08 | 2023-03-17 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-03-08 | 2023-03-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-08 | 2023-03-17 | N |
| Ensure proper storage of liquid oxygen. | Fire Safety | 2023-03-08 | 2023-03-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-15 | 2023-02-25 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-02-15 | 2023-02-25 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-27 | 2023-02-07 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-27 | 2023-02-07 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-27 | 2023-02-07 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-01-27 | 2023-02-07 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-01 | 2022-09-20 | 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 | 2022-07-07 | 2022-07-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-19 | 2022-03-08 | 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 | 2022-02-19 | 2022-03-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-13 | 2022-02-18 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-01-13 | 2022-02-18 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-01-13 | 2022-02-18 | 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 | 2022-01-13 | 2022-02-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-13 | 2022-02-18 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-01-13 | 2022-02-18 | 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 | 2022-01-13 | 2022-02-18 | Y |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-01-13 | 2022-02-11 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-01-13 | 2022-02-11 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2022-01-13 | 2022-02-11 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-01-13 | 2022-02-11 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2022-01-13 | 2022-02-11 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2022-01-13 | 2022-02-11 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2022-01-13 | 2022-02-11 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2022-01-13 | 2022-02-11 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-01-13 | 2022-02-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-01-13 | 2022-02-11 | 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 | 2022-01-13 | 2022-02-11 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-01-13 | 2022-02-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-01-13 | 2022-02-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-13 | 2022-02-11 | N |
| Ensure proper storage of liquid oxygen. | Fire Safety | 2022-01-13 | 2022-02-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-11-10 | 2021-12-01 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-07-31 | 2021-08-12 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-07-09 | 2021-07-30 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-07-09 | 2021-07-30 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-07-09 | 2021-07-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-07 | 2021-06-24 | Y |
