A list of the most recent deficiencies for Avenues at Springfield. 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? |
---|---|---|---|---|
Respond appropriately to all alleged violations. | Health | 2024-01-31 | 2024-02-19 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-01-31 | 2024-02-19 | 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 | 2023-10-02 | 2023-10-04 | Y |
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2023-08-14 | 2023-08-23 | Y |
Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2023-08-14 | 2023-08-23 | Y |
Have exits that are accessible at all times. | Fire Safety | 2023-07-06 | 2023-07-25 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-12 | 2023-07-24 | Y |
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 | 2023-07-24 | Y |
Keep all essential equipment working safely. | Health | 2023-07-12 | 2023-07-24 | Y |
Establish staff and initial training requirements. | Fire Safety | 2023-07-06 | 2023-07-21 | N |
Conduct testing and exercise requirements. | Fire Safety | 2023-07-06 | 2023-07-21 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-07-06 | 2023-07-21 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-07-06 | 2023-07-21 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-06 | 2023-07-21 | N |
Have an externally vented heating system. | Fire Safety | 2023-07-06 | 2023-07-21 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-06 | 2023-07-21 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-06-15 | 2023-06-28 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-15 | 2023-06-28 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2023-06-15 | 2023-06-28 | N |
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-06-15 | 2023-06-28 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-15 | 2023-06-28 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-06-15 | 2023-06-28 | N |
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2023-06-15 | 2023-06-28 | N |
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-05-30 | 2023-06-09 | Y |
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2023-05-30 | 2023-06-09 | Y |
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 | 2023-01-11 | 2023-02-08 | Y |
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 | 2022-12-15 | 2022-12-17 | Y |
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 | 2022-12-01 | 2022-12-16 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-31 | 2022-11-17 | N |
Respond appropriately to all alleged violations. | Health | 2022-08-31 | 2022-11-17 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-31 | 2022-11-17 | 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 | 2022-08-31 | 2022-11-17 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-31 | 2022-11-17 | N |
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-08-31 | 2022-11-17 | 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 | 2022-08-31 | 2022-11-17 | 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 | 2022-08-31 | 2022-11-17 | 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 | 2022-08-31 | 2022-11-17 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-31 | 2022-11-17 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-08-31 | 2022-11-17 | N |
Have exits that are accessible at all times. | Fire Safety | 2022-09-02 | 2022-09-23 | 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 | 2022-09-02 | 2022-09-23 | N |
Provide properly protected cooking facilities. | Fire Safety | 2022-09-02 | 2022-09-23 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-09-02 | 2022-09-23 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-02 | 2022-09-23 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2022-09-02 | 2022-09-23 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-09-02 | 2022-09-23 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2022-09-02 | 2022-09-23 | N |
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2022-08-31 | 2022-09-20 | N |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-08-11 | 2022-08-26 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-21 | 2022-08-03 | Y |
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 | 2022-07-21 | 2022-08-03 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-07-08 | 2022-07-15 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-07-08 | 2022-07-15 | Y |
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 | 2022-07-08 | 2022-07-15 | Y |
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-07-08 | 2022-07-15 | Y |
Create arrangements with other facilities to receive patients. | Fire Safety | 2021-07-30 | 2021-08-31 | N |
List the names and contact information of those in the facility. | Fire Safety | 2021-07-30 | 2021-08-31 | N |
Provide emergency officials' contact information. | Fire Safety | 2021-07-30 | 2021-08-31 | N |
Provide primary/alternate means for communication. | Fire Safety | 2021-07-30 | 2021-08-31 | N |
Provide a means of sharing information on occupancy/needs. | Fire Safety | 2021-07-30 | 2021-08-31 | N |
Provide family notifications of emergency plan. | Fire Safety | 2021-07-30 | 2021-08-31 | N |
Establish staff and initial training requirements. | Fire Safety | 2021-07-30 | 2021-08-31 | N |
Conduct testing and exercise requirements. | Fire Safety | 2021-07-30 | 2021-08-31 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-07-30 | 2021-08-31 | 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 | 2021-07-30 | 2021-08-31 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-30 | 2021-08-31 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2021-07-30 | 2021-08-31 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-07-30 | 2021-08-31 | 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 | 2021-07-29 | 2021-08-25 | N |
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-07-29 | 2021-08-25 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-29 | 2021-08-25 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-07-29 | 2021-08-25 | 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 | 2021-07-29 | 2021-08-25 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-29 | 2021-08-25 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2021-07-29 | 2021-08-25 | 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 | 2021-07-29 | 2021-08-25 | N |
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2021-07-29 | 2021-08-25 | N |
Implement a program that monitors antibiotic use. | Health | 2021-07-29 | 2021-08-25 | N |
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2021-07-29 | 2021-08-25 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-07-29 | 2021-08-25 | N |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-07-29 | 2021-08-25 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-05-19 | 2021-06-08 | Y |