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Deficiency Records for Adviniacare Newburyport
View the most recent health deficiencies and inspection results for Adviniacare Newburyport. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Adviniacare Newburyport. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2025-09-18 | 2025-12-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-09-18 | 2025-11-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-09-18 | 2025-11-17 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2025-09-18 | 2025-11-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-09-18 | 2025-11-17 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-09-18 | 2025-10-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-09-18 | 2025-10-07 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2025-09-18 | 2025-10-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-09-18 | 2025-10-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-10-10 | 2024-11-22 | 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 | 2024-10-10 | 2024-11-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-10-10 | 2024-11-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-10-10 | 2024-11-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-10-10 | 2024-11-20 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-10-10 | 2024-11-20 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-10-10 | 2024-11-20 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-10-10 | 2024-11-20 | N |
| Develop a communication plan. | Fire Safety | 2024-10-10 | 2024-11-20 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-10-10 | 2024-11-20 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-10-10 | 2024-11-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-10 | 2024-11-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-10-10 | 2024-11-19 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-10-10 | 2024-10-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-10-10 | 2024-10-28 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-10-10 | 2024-10-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-10-10 | 2024-10-28 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-10-10 | 2024-10-28 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-10-10 | 2024-10-28 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-10-10 | 2024-10-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-31 | 2024-03-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-31 | 2024-03-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-31 | 2024-03-08 | Y |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2024-01-31 | 2024-03-08 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-11-07 | 2024-01-06 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-11-07 | 2024-01-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-11-07 | 2024-01-06 | 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 | 2023-11-07 | 2023-12-19 | 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 | 2023-11-07 | 2023-12-19 | N |
| Provide or obtain dental services for each resident. | Health | 2023-11-07 | 2023-12-19 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-11-07 | 2023-12-19 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-11-07 | 2023-12-19 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-11-07 | 2023-12-19 | 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 | 2023-11-07 | 2023-12-19 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-11-07 | 2023-12-19 | 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 | 2023-11-07 | 2023-12-19 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-11-07 | 2023-12-19 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2023-11-07 | 2023-12-19 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-11-07 | 2023-12-19 | N |
| Post nurse staffing information every day. | Health | 2023-11-07 | 2023-12-19 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-11-07 | 2023-12-19 | N |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2023-11-07 | 2023-12-19 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-11-07 | 2023-12-19 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-11-07 | 2023-12-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-07 | 2023-12-19 | N |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2023-11-07 | 2023-12-19 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-11-07 | 2023-12-19 | N |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2023-11-07 | 2023-12-19 | N |
| Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | Health | 2023-11-07 | 2023-12-19 | N |
| Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | Health | 2023-11-07 | 2023-12-19 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2023-11-07 | 2023-12-19 | N |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2023-11-07 | 2023-12-19 | N |
| Provide training in compliance and ethics. | Health | 2023-11-07 | 2023-12-19 | N |
| Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | Health | 2023-11-07 | 2023-12-19 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-11-07 | 2023-12-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-07 | 2023-12-19 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-11-07 | 2023-12-19 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-11-07 | 2023-12-19 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-11-07 | 2023-12-19 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-11-07 | 2023-12-19 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-07 | 2023-12-19 | N |
| Respond appropriately to all alleged violations. | Health | 2023-11-07 | 2023-12-19 | N |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2023-11-07 | 2023-12-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-07 | 2023-12-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-07 | 2023-12-19 | 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 | 2023-11-07 | 2023-12-19 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2023-11-07 | 2023-12-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-07 | 2023-12-19 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-11-07 | 2023-12-19 | 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 | 2023-11-07 | 2023-12-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-07 | 2023-12-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-07 | 2023-12-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-07 | 2023-12-19 | 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 | 2023-11-07 | 2023-12-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-07 | 2023-11-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-07 | 2023-11-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-07 | 2023-11-22 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-11-07 | 2023-11-22 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-08-09 | 2023-09-28 | Y |
| Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-08-09 | 2023-09-28 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-08-09 | 2023-09-28 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-08-09 | 2023-09-28 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-09 | 2023-09-28 | Y |