A list of the most recent deficiencies for Avoca Specialty Care. 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 | 2023-08-08 | 2023-08-28 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-08 | 2023-08-28 | 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 | 2023-08-08 | 2023-08-28 | Y |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-08-08 | 2023-08-28 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-08-08 | 2023-08-28 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-08 | 2023-08-28 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-08 | 2023-08-28 | 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 | 2023-08-08 | 2023-08-28 | Y |
Provide and implement an infection prevention and control program. | Health | 2023-08-08 | 2023-08-28 | Y |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-12-27 | 2023-01-09 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-12-27 | 2023-01-09 | N |
Provide properly protected cooking facilities. | Fire Safety | 2022-12-27 | 2023-01-06 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-27 | 2022-12-28 | N |
Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-12-27 | 2022-12-27 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2022-12-27 | 2022-12-27 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2022-12-27 | 2022-12-27 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-22 | 2022-12-22 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-12-22 | 2022-12-22 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-22 | 2022-12-22 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-12-22 | 2022-12-22 | 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 | 2022-12-22 | 2022-12-22 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-12-22 | 2022-12-22 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-22 | 2022-12-22 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-22 | 2022-12-22 | Y |
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-12-22 | 2022-12-22 | Y |
Provide and implement an infection prevention and control program. | Health | 2022-12-22 | 2022-12-22 | Y |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-03-30 | 2022-04-22 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-03-30 | 2022-04-22 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-30 | 2022-04-22 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-30 | 2022-04-22 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-30 | 2022-04-22 | Y |
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 | 2022-03-30 | 2022-04-22 | 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 | 2022-03-30 | 2022-04-22 | Y |
Provide and implement an infection prevention and control program. | Health | 2022-03-30 | 2022-04-22 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-01-05 | 2022-04-22 | 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 | 2022-01-05 | 2022-04-22 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-01-05 | 2022-04-22 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-05 | 2022-04-22 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-05 | 2022-04-22 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-01-05 | 2022-04-22 | Y |
Provide and implement an infection prevention and control program. | Health | 2022-01-05 | 2022-04-22 | Y |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-01-05 | 2022-04-22 | Y |
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2021-08-12 | 2021-09-10 | 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 | 2021-08-12 | 2021-09-10 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-08-12 | 2021-09-10 | 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 | 2021-08-12 | 2021-09-10 | N |
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 | 2021-08-12 | 2021-09-10 | 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 | 2021-08-12 | 2021-09-10 | N |
Provide and implement an infection prevention and control program. | Health | 2021-08-12 | 2021-09-10 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-08-12 | 2021-09-10 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-12 | 2021-09-10 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-12 | 2021-09-10 | Y |
Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-08-09 | 2021-09-07 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-08-09 | 2021-08-19 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-08-09 | 2021-08-19 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-08-09 | 2021-08-18 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-08-09 | 2021-08-10 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-09 | 2021-08-09 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-09 | 2019-09-03 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-08-09 | 2019-08-15 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-08-09 | 2019-08-09 | N |