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Deficiency Records for Avamere at Three Fountains
View the most recent health deficiencies and inspection results for Avamere at Three Fountains. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Avamere at Three Fountains. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-01-16 | 2025-03-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-01-16 | 2025-03-06 | N |
| Have an externally vented heating system. | Fire Safety | 2025-01-16 | 2025-03-06 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2025-01-16 | 2025-02-14 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2025-01-16 | 2025-02-14 | N |
| Implement a program that monitors antibiotic use. | Health | 2025-01-16 | 2025-02-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-01-16 | 2025-02-14 | 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 | 2025-01-16 | 2025-02-14 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-04-01 | 2023-11-27 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-25 | 2023-09-30 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-08-25 | 2023-09-30 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-08-25 | 2023-09-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-25 | 2023-09-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-25 | 2023-09-30 | N |
| Provide or obtain dental services for each resident. | Health | 2023-08-25 | 2023-09-30 | 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 | 2023-08-25 | 2023-09-30 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-08-25 | 2023-09-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-25 | 2023-09-30 | N |
| Provide activities to meet all resident's needs. | Health | 2023-08-25 | 2023-09-30 | 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 | 2023-08-25 | 2023-09-30 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-08-25 | 2023-09-30 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-08-25 | 2023-09-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-25 | 2023-09-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-25 | 2023-09-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-08-25 | 2023-09-30 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-08-25 | 2023-09-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-08-25 | 2023-09-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-08-25 | 2023-09-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-08-25 | 2023-09-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-25 | 2023-09-30 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-04-01 | 2023-08-30 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-04-01 | 2023-08-30 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2022-07-15 | 2022-08-17 | N |
| Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. | Fire Safety | 2022-07-15 | 2022-08-17 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-07-15 | 2022-08-17 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-07-15 | 2022-08-17 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-07-15 | 2022-08-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-15 | 2022-08-17 | N |
| Meet other general requirements. | Fire Safety | 2022-07-15 | 2022-08-17 | N |