A list of the most recent deficiencies for Wellbrooke of Avon. 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-12-08 | 2023-02-02 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-10-25 | 2022-11-23 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-10-25 | 2022-11-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-10-25 | 2022-11-23 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-10-25 | 2022-11-23 | 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 | 2022-10-25 | 2022-11-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-25 | 2022-11-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-25 | 2022-11-23 | 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 | 2022-10-25 | 2022-11-23 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-10-25 | 2022-11-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-10-25 | 2022-11-23 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-10-25 | 2022-11-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-25 | 2022-11-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-25 | 2022-11-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-25 | 2022-11-23 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-09-01 | 2021-09-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-09-01 | 2021-09-27 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-07-29 | 2020-08-18 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-02-11 | 2020-03-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-11 | 2020-03-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-02-11 | 2020-03-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-11 | 2020-03-10 | 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 | 2020-02-11 | 2020-03-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-11 | 2020-03-10 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2020-02-11 | 2020-03-10 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-02-26 | 2019-03-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-02-26 | 2019-03-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-02-26 | 2019-03-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-02-08 | 2019-03-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-08 | 2019-03-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-08 | 2019-03-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-08 | 2019-03-04 | N |
