A list of the most recent deficiencies for Avamere Rehabilitation of Hillsboro. 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 residents are fully informed and understand their health status, care and treatments. | Health | 2023-07-31 | 2023-08-31 | N |
| 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 | 2023-07-31 | 2023-08-31 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-07-31 | 2023-08-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-31 | 2023-08-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-31 | 2023-08-31 | 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 | 2023-07-31 | 2023-08-31 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-07-31 | 2023-08-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-31 | 2023-08-31 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2023-07-31 | 2023-08-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-31 | 2023-08-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-25 | 2023-08-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-07-25 | 2023-08-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-25 | 2023-08-25 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-07-25 | 2023-08-25 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-07-31 | 2023-07-31 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-07-15 | 2019-08-16 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-07-15 | 2019-08-16 | N |
| Provide activities to meet all resident's needs. | Health | 2019-07-15 | 2019-08-16 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2019-07-15 | 2019-08-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-15 | 2019-08-16 | N |
| Establish emergency prep training and testing. | Fire Safety | 2017-12-12 | 2018-01-31 | N |
| Establish staff and initial training requirements. | Fire Safety | 2017-12-12 | 2018-01-31 | N |
| Install proper backup exit lighting. | Fire Safety | 2017-12-12 | 2018-01-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-12-12 | 2018-01-31 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2017-12-18 | 2018-01-30 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2017-12-18 | 2018-01-30 | 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 | 2017-12-18 | 2018-01-30 | 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 | 2017-12-18 | 2018-01-30 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2017-12-18 | 2018-01-30 | N |
