A list of the most recent deficiencies for Aventura at Pembrooke. 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? |
|---|---|---|---|---|
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-09-08 | 2023-11-05 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-09-08 | 2023-11-05 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-09-08 | 2023-11-05 | 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 | 2023-09-08 | 2023-11-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-08 | 2023-11-05 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-09-08 | 2023-11-05 | Y |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2022-10-20 | 2022-12-13 | N |
| Use approved construction type or materials. | Fire Safety | 2022-10-20 | 2022-12-13 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-10-20 | 2022-12-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-10-20 | 2022-12-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-10-20 | 2022-12-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-20 | 2022-12-13 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-10-20 | 2022-12-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-20 | 2022-12-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-10-20 | 2022-12-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-10-20 | 2022-12-13 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-10-20 | 2022-12-13 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-10-20 | 2022-12-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-20 | 2022-12-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-10-20 | 2022-12-13 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2022-10-20 | 2022-12-13 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-10-14 | 2022-11-20 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-10-14 | 2022-11-20 | N |
| Respond appropriately to all alleged violations. | Health | 2022-10-14 | 2022-11-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-10-14 | 2022-11-20 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-10-14 | 2022-11-20 | 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 | 2022-10-14 | 2022-11-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-14 | 2022-11-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-14 | 2022-11-20 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-10-14 | 2022-11-20 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-10-14 | 2022-11-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-10-14 | 2022-11-20 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-10-14 | 2022-11-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-10-14 | 2022-11-20 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-10-14 | 2022-11-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-14 | 2022-11-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-10-14 | 2022-11-20 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-08-04 | 2022-09-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-04 | 2022-09-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-27 | 2022-05-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-27 | 2022-05-17 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-04-27 | 2022-05-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-01 | 2022-03-15 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-02-01 | 2022-03-15 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-09-24 | 2021-11-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-24 | 2021-11-05 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2021-09-24 | 2021-11-05 | 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 | 2021-09-24 | 2021-11-05 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-09-24 | 2021-11-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-24 | 2021-11-05 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2023-08-03 | Not Fixed | Y |
