A list of the most recent deficiencies for Avon Nursing Home L L C. 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-29 | 2023-04-15 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-02-17 | 2023-03-24 | Y |
| Provide family notifications of emergency plan. | Fire Safety | 2023-02-17 | 2023-03-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-09-30 | 2021-11-15 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-09-30 | 2021-11-15 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-09-30 | 2021-11-15 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-09-30 | 2021-11-15 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2021-09-30 | 2021-11-15 | 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 | 2021-09-30 | 2021-11-15 | N |
| Respond appropriately to all alleged violations. | Health | 2019-04-24 | 2019-06-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-04-24 | 2019-06-21 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2019-04-24 | 2019-06-21 | 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 | 2019-04-24 | 2019-06-21 | 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 | 2019-04-24 | 2019-06-14 | 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 | 2019-04-24 | 2019-06-14 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-04-24 | 2019-06-14 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-04-24 | 2019-06-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-04-24 | 2019-06-12 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-04-24 | 2019-06-07 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-04-24 | Not Fixed | N |
