CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Avenue at Lyndhurst
View the most recent health deficiencies and inspection results for Avenue at Lyndhurst. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Avenue at Lyndhurst. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| 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 | 2025-08-28 | 2025-09-30 | N |
| Meet other general requirements. | Fire Safety | 2025-08-28 | 2025-09-30 | N |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2025-08-28 | 2025-09-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-08-28 | 2025-09-30 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-08-28 | 2025-09-30 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2025-08-28 | 2025-09-30 | 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 | 2025-08-28 | 2025-09-30 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2025-08-28 | 2025-09-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-08-28 | 2025-09-30 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-08-28 | 2025-09-30 | Y |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-08-28 | 2025-09-30 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2025-08-28 | 2025-09-30 | 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 | 2025-08-28 | 2025-09-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-08-28 | 2025-09-30 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-08-28 | 2025-09-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-08-28 | 2025-09-30 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-08-28 | 2025-09-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-08-28 | 2025-09-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-08-28 | 2025-09-30 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2025-08-28 | 2025-09-30 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-08-28 | 2025-09-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-08-28 | 2025-09-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-08-28 | 2025-09-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-08-28 | 2025-09-30 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-02-11 | 2025-03-07 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-02-11 | 2025-03-07 | Y |
| Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | Health | 2025-02-11 | 2025-03-07 | 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 | 2025-02-11 | 2025-03-07 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-02-11 | 2025-03-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-02-11 | 2025-03-07 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2025-02-11 | 2025-03-07 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-02-11 | 2025-03-07 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-02-11 | 2025-03-07 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2025-02-11 | 2025-03-07 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2025-02-11 | 2025-03-07 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2025-02-11 | 2025-03-07 | Y |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2025-02-11 | 2025-03-07 | Y |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2025-02-11 | 2025-03-07 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-02-11 | 2025-03-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-02-11 | 2025-03-07 | Y |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2025-02-11 | 2025-03-07 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2025-02-11 | 2025-03-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-02-11 | 2025-03-07 | 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 | 2025-02-11 | 2025-03-07 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-02-11 | 2025-03-07 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2025-02-11 | 2025-03-07 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-02-11 | 2025-03-07 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-02-11 | 2025-03-07 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2025-02-11 | 2025-03-07 | 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 | 2025-02-11 | 2025-03-07 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2025-02-11 | 2025-03-07 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-02-11 | 2025-03-07 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-02-11 | 2025-03-07 | Y |
| 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 | 2025-02-11 | 2025-03-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-30 | 2024-08-12 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-07-30 | 2024-08-12 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-06-03 | 2024-06-12 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2024-03-04 | 2024-04-05 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2024-03-04 | 2024-04-05 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-01-18 | 2024-02-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-18 | 2024-02-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-18 | 2024-02-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-18 | 2024-02-16 | 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 | 2024-01-18 | 2024-02-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-18 | 2024-02-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-18 | 2024-02-16 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-01-18 | 2024-02-16 | 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 | 2024-01-18 | 2024-02-16 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-01-18 | 2024-02-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-18 | 2024-02-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-01-18 | 2024-02-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-01-18 | 2024-02-16 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-01-18 | 2024-02-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-18 | 2024-02-16 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-09-05 | 2023-09-25 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-09-05 | 2023-09-25 | Y |