A list of the most recent deficiencies for Avantara Aurora. 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 special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-05-31 | 2023-06-12 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-05-31 | 2023-06-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-31 | 2023-06-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-31 | 2023-06-12 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-05-31 | 2023-06-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-05-31 | 2023-06-12 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-05-19 | 2023-06-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-19 | 2023-06-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-19 | 2023-06-07 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-05-19 | 2023-06-07 | 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 | 2023-05-19 | 2023-06-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-19 | 2023-06-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-03 | 2022-04-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-03 | 2022-04-01 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-03-03 | 2022-03-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-03 | 2022-03-23 | 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 | 2022-03-03 | 2022-03-23 | 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 | 2022-03-03 | 2022-03-23 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-03-03 | 2022-03-23 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2022-03-03 | 2022-03-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-03 | 2022-03-23 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-03-03 | 2022-03-23 | 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 | 2022-03-08 | 2022-03-16 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-03-08 | 2022-03-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-08 | 2022-03-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-08 | 2022-03-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-03-08 | 2022-03-16 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-04-15 | 2021-05-01 | 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 | 2021-04-15 | 2021-05-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-04-15 | 2021-05-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-04-15 | 2021-05-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-04-15 | 2021-05-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-04-15 | 2021-05-01 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2021-04-15 | 2021-05-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-04-15 | 2021-05-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-04-15 | 2021-05-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-04-15 | 2021-05-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-08 | 2021-04-20 | 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 | 2021-04-08 | 2021-04-20 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2021-04-08 | 2021-04-20 | N |
