Deficiency Records for Andover Village Retirement Community
Updated as of March 01, 2024
A list of the most recent deficiencies for Andover Village Retirement Community. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-06-01 | 2023-06-13 | 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 | 2022-05-12 | 2022-06-01 | 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 | 2022-05-12 | 2022-06-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-04 | 2019-04-20 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-04-04 | 2019-04-20 | 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 | 2019-04-01 | 2019-04-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-01 | 2019-04-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-04-01 | 2019-04-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-03-15 | 2018-04-13 | 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 | 2018-03-15 | 2018-04-13 | 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 | 2018-03-15 | 2018-04-13 | N |
| Use approved construction type or materials. | Fire Safety | 2018-03-15 | 2018-04-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-03-15 | 2018-04-13 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-03-15 | 2018-04-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-03-15 | 2018-04-13 | N |
