Deficiency Records for Avantara of Billings
Updated as of May 01, 2024
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Deficiency Records for Avantara of Billings
A list of the most recent deficiencies for Avantara of Billings. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Avantara of Billings. 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 | 2023-10-26 | 2023-11-21 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-10-26 | 2023-11-21 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-10-26 | 2023-11-21 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-10-26 | 2023-11-21 | Y |
| 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 | 2023-10-26 | 2023-11-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-10-26 | 2023-11-21 | Y |
| 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 | 2023-07-10 | 2023-08-22 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-07-10 | 2023-08-22 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-07-10 | 2023-08-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-10 | 2023-08-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-07-10 | 2023-08-22 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-07-10 | 2023-08-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-22 | 2023-07-21 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-22 | 2023-07-21 | Y |
| Assess the resident when there is a significant change in condition | Health | 2023-06-22 | 2023-07-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-22 | 2023-07-21 | 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 | 2023-06-22 | 2023-07-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-22 | 2023-07-21 | 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 | 2023-06-22 | 2023-07-21 | Y |
| 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 | 2023-06-22 | 2023-07-21 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-12-28 | 2023-02-07 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-07-21 | 2022-10-04 | Y |
| 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 | 2022-07-25 | 2022-09-04 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-07-25 | 2022-09-04 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-07-25 | 2022-09-04 | 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 | 2022-07-25 | 2022-09-04 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-07-25 | 2022-09-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-25 | 2022-09-04 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-07-25 | 2022-09-04 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-07-25 | 2022-09-04 | 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 | 2022-07-21 | 2022-08-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-07-21 | 2022-08-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-07-21 | 2022-08-22 | 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 | 2022-07-21 | 2022-08-22 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-07-21 | 2022-08-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-21 | 2022-08-22 | 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 | 2021-06-10 | 2021-07-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-10 | 2021-07-25 | 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 | 2021-06-10 | 2021-07-25 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2021-06-10 | 2021-07-25 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-06-10 | 2021-07-25 | 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 | 2021-06-15 | 2021-07-22 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-06-15 | 2021-07-22 | 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 | 2021-06-15 | 2021-07-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-06-15 | 2021-07-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-15 | 2021-07-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-06-15 | 2021-07-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-06-15 | 2021-07-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-06-15 | 2021-07-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-06-15 | 2021-07-22 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-06-15 | 2021-07-22 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-06-15 | 2021-07-22 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2021-06-15 | 2021-07-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-06-15 | 2021-07-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-07-21 | 2021-06-23 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2021-07-21 | 2021-06-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-20 | Not Fixed | N |
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