Deficiency Records for Avamere at Three Fountains
Updated as of June 01, 2018
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? |
|---|---|---|---|---|
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2018-04-11 | 2018-05-01 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2018-04-11 | 2018-05-01 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-04-11 | 2018-05-01 | Y |
| 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 ne | Health | 2018-04-11 | 2018-05-01 | 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 | 2018-04-11 | 2018-05-01 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-02-09 | 2018-03-20 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-02-09 | 2018-03-20 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2018-02-09 | 2018-03-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-02-09 | 2018-03-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-02-09 | 2018-03-20 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2017-09-11 | 2017-10-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-09-11 | 2017-10-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-09-11 | 2017-10-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-09-11 | 2017-10-17 | N |
| 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 | 2017-09-09 | 2017-10-17 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-09-09 | 2017-10-17 | Y |
| Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. | Health | 2017-09-09 | 2017-10-17 | Y |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2017-09-09 | 2017-10-17 | Y |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-09-09 | 2017-10-17 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-09-09 | 2017-10-17 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-09-09 | 2017-10-17 | Y |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-09-09 | 2017-10-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-09-09 | 2017-10-17 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-09-09 | 2017-10-17 | Y |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2017-09-09 | 2017-10-17 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-09-09 | 2017-10-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-08-29 | 2016-10-04 | Y |
| 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 |
| 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 |
| 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 |
| 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 |
