Deficiency Records for Avamere at Three Fountains
Updated as of August 01, 2016
This is not the most recent data for Avamere at Three Fountains. For the most recent information, click here.
A list of the most recent deficiencies for Avamere at Three Fountains. 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? |
|---|---|---|---|---|
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-04-07 | 2016-05-17 | Y |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2015-11-02 | 2015-12-15 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2015-11-02 | 2015-12-15 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-11-02 | 2015-12-15 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2015-11-02 | 2015-12-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-11-02 | 2015-12-15 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-11-02 | 2015-12-15 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2015-07-25 | 2015-09-08 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-07-25 | 2015-09-08 | N |
| Approved construction type or materials. | Fire Safety | 2015-07-24 | 2015-09-08 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-07-24 | 2015-09-08 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-07-24 | 2015-09-08 | N |
| A written emergency evacuation plan. | Fire Safety | 2015-07-24 | 2015-09-08 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2015-07-24 | 2015-09-08 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2015-07-24 | 2015-09-08 | N |
| Portable fire extinguishers. | Fire Safety | 2015-07-24 | 2015-09-08 | N |
| Restrictions on the use of portable space heaters. | Fire Safety | 2015-07-24 | 2015-09-08 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2015-07-24 | 2015-09-08 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-07-24 | 2015-09-08 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2015-07-25 | 2015-09-08 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-07-25 | 2015-09-08 | Y |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2015-07-25 | 2015-09-08 | Y |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2015-07-25 | 2015-09-08 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-07-25 | 2015-09-08 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-07-25 | 2015-09-08 | Y |
| Put firmly secured handrails on each side of hallways. | Health | 2015-07-25 | 2015-09-08 | Y |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2015-02-18 | 2015-03-24 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2015-02-18 | 2015-03-24 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2015-02-18 | 2015-03-24 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-02-18 | 2015-03-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-02-18 | 2015-03-24 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2014-11-12 | 2014-12-29 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2014-11-12 | 2014-12-29 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-11-12 | 2014-12-29 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2014-11-12 | 2014-12-29 | Y |
| A two-hour-resistant firewall separation. | Fire Safety | 2014-08-01 | 2014-08-28 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-08-01 | 2014-08-28 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2014-08-01 | 2014-08-28 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2014-08-01 | 2014-08-28 | N |
| A separate and independent backup electrical power source. | Fire Safety | 2014-08-01 | 2014-08-28 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2014-08-01 | 2014-08-28 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2014-08-01 | 2014-08-20 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2014-08-01 | 2014-08-20 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2014-08-01 | 2014-08-20 | Y |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2014-08-01 | 2014-08-20 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-08-01 | 2014-08-20 | Y |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2014-08-01 | 2014-08-20 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-08-01 | 2014-08-20 | Y |
| Put firmly secured handrails on each side of hallways. | Health | 2014-08-01 | 2014-08-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-06-19 | 2014-06-25 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2013-02-20 | 2013-04-11 | N |
| Allow residents to self-administer drugs if determined safe. | Health | 2013-02-20 | 2013-04-11 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2013-02-20 | 2013-04-11 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2013-02-20 | 2013-04-11 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2013-02-20 | 2013-04-11 | N |
| Provide housekeeping and maintenance services. | Health | 2013-02-20 | 2013-04-11 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2013-02-20 | 2013-04-11 | N |
| Review or revise the resident's care plan after any major change in physical or mental health. | Health | 2013-02-20 | 2013-04-11 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2013-02-20 | 2013-04-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2013-02-20 | 2013-04-11 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2013-02-20 | 2013-04-11 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2013-02-20 | 2013-04-11 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2013-02-20 | 2013-04-11 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2013-02-20 | 2013-04-11 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2013-02-14 | 2013-04-11 | N |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2013-02-14 | 2013-04-11 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2013-02-14 | 2013-04-11 | N |
| Portable fire extinguishers. | Fire Safety | 2013-02-14 | 2013-04-11 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2013-02-14 | 2013-04-11 | N |
| Properly protected cooking facilities. | Fire Safety | 2013-02-14 | 2013-04-11 | N |
| Properly sized and located linen or trash receptacles. | Fire Safety | 2013-02-14 | 2013-04-11 | N |
| Other fire safety features required by fire safety codes. | Fire Safety | 2013-02-14 | 2013-04-11 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2013-02-14 | 2013-04-11 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2013-02-14 | 2013-04-11 | N |
