Deficiency Records for Avamere Rehabilitation of Junction City
Updated as of March 01, 2024
A list of the most recent deficiencies for Avamere Rehabilitation of Junction City. 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-28 | 2023-03-01 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2023-01-12 | 2023-02-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-01-12 | 2023-02-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-12 | 2023-02-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-01-12 | 2023-02-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-01-12 | 2023-02-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-01-12 | 2023-02-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-01-12 | 2023-02-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-12 | 2023-02-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-01-12 | 2023-02-15 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-01-19 | 2023-02-08 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-19 | 2023-02-08 | N |
| Respond appropriately to all alleged violations. | Health | 2023-01-19 | 2023-02-08 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-01-19 | 2023-02-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-19 | 2023-02-08 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-01-19 | 2023-02-08 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-01-19 | 2023-02-08 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-01-19 | 2023-02-08 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-01-19 | 2023-02-08 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-01-19 | 2023-02-08 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-01-19 | 2023-02-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-19 | 2023-02-08 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-01-19 | 2023-02-08 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-01-19 | 2023-02-08 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-19 | 2023-02-08 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-01-19 | 2023-02-08 | 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 | 2022-10-25 | 2022-11-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-15 | 2022-02-03 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2021-12-15 | 2022-02-03 | 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 | 2021-12-15 | 2022-02-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-15 | 2022-02-03 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2021-12-08 | 2022-01-14 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-12-08 | 2022-01-14 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2021-12-08 | 2022-01-14 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2021-12-08 | 2022-01-14 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-12-08 | 2022-01-14 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-12-08 | 2022-01-14 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2021-12-08 | 2022-01-14 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-12-08 | 2022-01-14 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-12-08 | 2022-01-14 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-12-08 | 2022-01-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-08 | 2022-01-14 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2021-12-08 | 2022-01-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-30 | 2021-10-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-16 | 2021-08-18 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-06-08 | 2018-07-17 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-06-08 | 2018-07-17 | N |
| Respond appropriately to all alleged violations. | Health | 2018-06-08 | 2018-07-17 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-06-08 | 2018-07-17 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-06-08 | 2018-07-17 | 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 | 2018-06-08 | 2018-07-17 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-06-08 | 2018-07-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-06-08 | 2018-07-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-06-08 | 2018-07-17 | N |
| Post nurse staffing information every day. | Health | 2018-06-08 | 2018-07-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-06-08 | 2018-07-17 | 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 | 2018-06-08 | 2018-07-17 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-06-08 | 2018-07-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-06-08 | 2018-07-17 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-06-07 | 2018-07-17 | 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 | 2018-06-07 | 2018-07-17 | N |
