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Deficiency Records for Avalon Place
View the most recent health deficiencies and inspection results for Avalon Place. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Avalon Place. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2025-12-03 | 2026-01-13 | 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 | 2025-12-03 | 2026-01-13 | 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 | 2025-12-03 | 2026-01-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-12-03 | 2026-01-13 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2025-12-03 | 2026-01-13 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-12-03 | 2026-01-13 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-12-03 | 2026-01-13 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-12-03 | 2026-01-13 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2025-12-03 | 2026-01-13 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-12-04 | 2025-01-10 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-10-16 | 2024-11-22 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-10-16 | 2024-11-22 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-10-16 | 2024-11-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-10-16 | 2024-11-22 | 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 | 2024-10-16 | 2024-11-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-16 | 2024-11-22 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-10-16 | 2024-11-22 | Y |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-10-16 | 2024-11-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-10-16 | 2024-11-22 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-10-16 | 2024-11-22 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-10-16 | 2024-11-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-10-16 | 2024-11-22 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2024-10-16 | 2024-11-22 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-10-16 | 2024-11-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-10-16 | 2024-11-22 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-10-16 | 2024-10-29 | N |
| Keep all essential equipment working safely. | Health | 2023-10-11 | 2023-11-21 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-10-11 | 2023-11-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-11 | 2023-11-21 | 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 | 2023-10-11 | 2023-11-21 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-10-11 | 2023-11-21 | 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 | 2023-10-11 | 2023-11-21 | 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 | 2023-10-11 | 2023-11-21 | 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 | 2023-10-11 | 2023-11-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-10-11 | 2023-11-21 | N |
| Construct fire resistant interior walls. | Fire Safety | 2023-10-11 | 2023-11-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-11 | 2023-11-21 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-10-11 | 2023-11-21 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-10-11 | 2023-11-21 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-09-27 | 2023-11-08 | Y |