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Deficiency Records for Aventura at Shiloh Springs
View the most recent health deficiencies and inspection results for Aventura at Shiloh Springs. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Aventura at Shiloh Springs. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-04-02 | 2026-04-23 | 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 | 2026-01-08 | 2026-03-11 | 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 | 2026-01-08 | 2026-03-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-01-08 | 2026-03-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2026-01-08 | 2026-03-11 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2026-01-08 | 2026-03-11 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2026-01-08 | 2026-03-11 | 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 | 2026-01-08 | 2026-03-11 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2026-01-08 | 2026-03-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2026-01-08 | 2026-03-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-01-08 | 2026-03-11 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2026-01-08 | 2026-03-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2026-01-08 | 2026-03-11 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2026-01-08 | 2026-03-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2026-01-08 | 2026-03-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-01-08 | 2026-03-11 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2026-01-08 | 2026-03-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-09-03 | 2025-09-15 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-02-20 | 2025-04-01 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-02-20 | 2025-04-01 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-02-20 | 2025-04-01 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2025-02-20 | 2025-04-01 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-02-20 | 2025-04-01 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-03-12 | 2025-04-01 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-03-12 | 2025-04-01 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-03-12 | 2025-04-01 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2025-03-12 | 2025-04-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-03-12 | 2025-04-01 | Y |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2025-02-20 | 2025-04-01 | Y |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2025-02-20 | 2025-04-01 | Y |
| Provide a written emergency evacuation plan. | Fire Safety | 2025-02-20 | 2025-04-01 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-02-20 | 2025-04-01 | Y |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-02-20 | 2025-04-01 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-01-22 | 2025-02-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-01-22 | 2025-02-12 | Y |
| 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 | 2025-01-22 | 2025-02-12 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-01-22 | 2025-02-12 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-01-22 | 2025-02-12 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-09-27 | 2024-10-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-08-02 | 2024-08-16 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-07-03 | 2024-08-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-03 | 2024-08-16 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-11-30 | 2023-12-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-30 | 2023-12-01 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-11-30 | 2023-12-01 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-11-30 | 2023-12-01 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-30 | 2023-12-01 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-30 | 2023-12-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-30 | 2023-12-01 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-18 | 2023-11-06 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-18 | 2023-11-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-08-16 | 2023-08-18 | Y |
| 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 | 2023-08-16 | 2023-08-18 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2022-12-13 | 2023-02-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-12-13 | 2023-02-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-13 | 2023-02-20 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-12-13 | 2023-02-01 | N |
| Respond appropriately to all alleged violations. | Health | 2022-12-13 | 2023-02-01 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-12-13 | 2023-02-01 | 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 | 2022-12-13 | 2023-02-01 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-12-13 | 2023-02-01 | 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 | 2022-12-13 | 2023-02-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-12-13 | 2023-02-01 | 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 | 2022-12-13 | 2023-02-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-12-13 | 2023-02-01 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-13 | 2023-02-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-12-13 | 2023-02-01 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-12-13 | 2023-02-01 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-12-13 | 2023-02-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-13 | 2023-02-01 | 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 | 2019-12-05 | 2020-03-18 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2019-12-05 | 2020-03-18 | 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 | 2019-12-05 | 2020-03-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-05 | 2020-03-18 | N |
| Meet other general requirements. | Fire Safety | 2019-12-05 | 2020-03-18 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2019-12-05 | 2020-03-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-05 | 2020-03-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-12-05 | 2020-03-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-12-05 | 2020-03-18 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-12-05 | 2020-03-18 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-12-05 | 2020-03-18 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-12-05 | 2020-02-06 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-12-05 | 2020-02-06 | 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 | 2019-12-05 | 2020-02-06 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-12-05 | 2020-02-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-05 | 2020-02-06 | 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 | 2019-12-05 | 2020-02-06 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-12-05 | 2020-02-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-05 | 2020-02-06 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-12-05 | 2020-02-06 | 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 | 2019-12-05 | 2020-02-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-12-05 | 2020-02-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-12-05 | 2020-02-06 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-12-05 | 2020-02-06 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-12-05 | 2020-02-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-12-05 | 2020-02-06 | N |