A list of the most recent deficiencies for Avamere Rehabilitation of Lebanon. 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? |
|---|---|---|---|---|
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-03-24 | 2023-05-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-24 | 2023-05-02 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-03-24 | 2023-05-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-24 | 2023-05-02 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-03-24 | 2023-05-02 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-22 | 2023-05-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-22 | 2023-05-01 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-03-22 | 2023-05-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-22 | 2023-05-01 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2023-03-22 | 2023-05-01 | N |
| Meet other general requirements. | Fire Safety | 2023-03-22 | 2023-05-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-15 | 2022-04-04 | 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 | 2022-02-15 | 2022-04-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-15 | 2022-04-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-15 | 2022-04-04 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-02-08 | 2022-04-04 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-02-08 | 2022-04-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-02-08 | 2022-04-04 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-02-08 | 2022-04-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-27 | 2021-10-06 | 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 | 2021-09-27 | 2021-10-06 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-08-31 | 2021-10-06 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-08-31 | 2021-10-06 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-07-16 | 2021-08-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-07-16 | 2021-08-05 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-07-16 | 2021-08-05 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-07-16 | 2021-08-05 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-07-16 | 2021-08-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-16 | 2021-08-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-16 | 2021-08-05 | Y |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2021-07-16 | 2021-08-05 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2021-07-16 | 2021-08-05 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2021-07-16 | 2021-08-05 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2018-09-05 | 2018-10-08 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-09-05 | 2018-10-08 | 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 | 2018-09-05 | 2018-10-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-09-05 | 2018-10-08 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-09-05 | 2018-10-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-05 | 2018-10-08 | N |
| 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 | 2018-09-05 | 2018-10-08 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-09-05 | 2018-10-08 | N |
| Post nurse staffing information every day. | Health | 2018-09-05 | 2018-10-08 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-09-05 | 2018-10-08 | N |
| Keep complete, dated laboratory records in the resident's record. | Health | 2018-09-05 | 2018-10-08 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-09-05 | 2018-10-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-05 | 2018-10-08 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2018-08-29 | 2018-10-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-29 | 2018-10-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-08-29 | 2018-10-08 | N |
