Deficiency Records for Avant Rehabilitation and Care Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Avant Rehabilitation and Care Center. 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? |
|---|---|---|---|---|
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-10-12 | 2023-02-21 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-10-12 | 2022-12-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-12 | 2022-12-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-12 | 2022-12-06 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-10-12 | 2022-12-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-10-12 | 2022-12-05 | N |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2022-10-12 | 2022-12-05 | 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 | 2022-10-12 | 2022-12-05 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-10-12 | 2022-12-05 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-10-12 | 2022-12-05 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-10-12 | 2022-12-05 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-10-12 | 2022-12-05 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-10-12 | 2022-12-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-12 | 2022-12-05 | 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 | 2022-10-12 | 2022-12-05 | 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 | 2022-10-12 | 2022-12-05 | 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 | 2022-10-12 | 2022-12-05 | N |
| Post nurse staffing information every day. | Health | 2022-10-12 | 2022-12-05 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-10-12 | 2022-12-05 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-10-12 | 2022-12-05 | 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 | 2022-10-12 | 2022-12-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-12 | 2022-12-05 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-10-12 | 2022-12-05 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2022-10-12 | 2022-12-05 | N |
| Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | Health | 2022-10-12 | 2022-12-05 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-10-12 | 2022-12-05 | N |
| Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. | Health | 2022-10-12 | 2022-12-05 | N |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2022-10-12 | 2022-12-05 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2022-10-12 | 2022-12-05 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-10-12 | 2022-12-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-12 | 2022-12-05 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-10-12 | 2022-12-05 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-10-12 | 2022-12-05 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-10-12 | 2022-12-05 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-10-12 | 2022-12-05 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-10-12 | 2022-12-05 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2022-10-12 | 2022-12-05 | N |
| Respond appropriately to all alleged violations. | Health | 2022-10-12 | 2022-12-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-12 | 2022-12-05 | Y |
| Establish methods for sharing information. | Fire Safety | 2022-10-12 | 2022-12-05 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2022-10-12 | 2022-12-05 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-10-12 | 2022-12-05 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-10-12 | 2022-12-05 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-10-12 | 2022-12-05 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-10-12 | 2022-12-05 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-10-12 | 2022-12-05 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-10-12 | 2022-12-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-12 | 2022-12-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-03-04 | 2020-04-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-03-04 | 2020-04-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-03-04 | 2020-04-09 | N |
| Dispose of garbage and refuse properly. | Health | 2020-03-04 | 2020-04-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-04 | 2020-04-09 | N |
| 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 | 2019-03-04 | 2019-04-03 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-03-04 | 2019-04-03 | 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 | 2019-03-04 | 2019-04-03 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-03-04 | 2019-04-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-04 | 2019-04-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-03-04 | 2019-04-03 | N |
