A list of the most recent deficiencies for Avenue at Macedonia. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-04 | 2024-01-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-04 | 2024-01-17 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-01-04 | 2024-01-17 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-01-04 | 2024-01-17 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-10-12 | 2023-10-13 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-06-01 | 2023-06-12 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-10-24 | 2022-11-15 | N |
| Dispose of garbage and refuse properly. | Health | 2022-10-24 | 2022-11-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-10-24 | 2022-11-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-24 | 2022-11-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-24 | 2022-11-15 | 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 | 2022-10-24 | 2022-11-15 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-10-24 | 2022-11-15 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-10-24 | 2022-11-15 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2022-10-17 | 2022-11-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-17 | 2022-11-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-17 | 2022-11-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-10-17 | 2022-11-15 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-10-17 | 2022-11-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-17 | 2022-11-15 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2022-10-17 | 2022-11-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-10-17 | 2022-11-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-10-17 | 2022-11-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-03 | 2022-06-14 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-03-22 | 2022-04-08 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-03-04 | 2021-03-17 | Y |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2019-11-14 | 2020-01-27 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-11-14 | 2020-01-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-14 | 2020-01-27 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-11-12 | 2020-01-27 | N |
| Construct fire resistant interior walls. | Fire Safety | 2019-11-12 | 2020-01-27 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-11-12 | 2020-01-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-11-12 | 2020-01-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-11-12 | 2020-01-27 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-11-12 | 2020-01-27 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-11-12 | 2020-01-27 | 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 | 2019-11-14 | 2019-11-27 | 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 | 2018-09-27 | 2018-11-06 | N |
| Provide activities to meet all resident's needs. | Health | 2018-09-27 | 2018-11-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-09-27 | 2018-11-06 | 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 | 2018-09-27 | 2018-11-06 | 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 | 2018-09-27 | 2018-11-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-09-27 | 2018-11-06 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-09-27 | 2018-11-06 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-09-27 | 2018-11-06 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2018-09-27 | 2018-11-06 | N |
