A list of the most recent deficiencies for Aventura at Creekside. 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? |
---|---|---|---|---|
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-11-20 | 2024-01-24 | N |
Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-11-20 | 2024-01-24 | 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 | 2023-11-20 | 2024-01-24 | N |
Provide or obtain dental services for each resident. | Health | 2023-11-20 | 2024-01-24 | N |
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-11-20 | 2024-01-24 | N |
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-11-20 | 2024-01-24 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-20 | 2024-01-02 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-20 | 2024-01-02 | N |
Meet other general requirements. | Fire Safety | 2023-11-28 | 2023-12-12 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-11-28 | 2023-12-12 | 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 | 2023-11-28 | 2023-12-12 | N |
Provide properly protected cooking facilities. | Fire Safety | 2023-11-28 | 2023-12-12 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-28 | 2023-12-12 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-28 | 2023-12-12 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-11-28 | 2023-12-12 | 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 | 2022-11-21 | 2023-01-03 | N |
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-11-21 | 2023-01-03 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-11-21 | 2023-01-03 | 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 | 2022-11-21 | 2023-01-03 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-21 | 2023-01-03 | N |
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-11-21 | 2023-01-03 | N |
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-11-21 | 2023-01-03 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-11-21 | 2023-01-03 | N |
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-11-21 | 2023-01-03 | N |
Use approved construction type or materials. | Fire Safety | 2022-11-29 | 2022-12-23 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2022-11-29 | 2022-12-23 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-11-29 | 2022-12-23 | N |
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2022-06-14 | 2022-07-12 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-06-14 | 2022-07-12 | Y |
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 | 2021-12-01 | 2022-01-24 | Y |
Provide and implement an infection prevention and control program. | Health | 2021-12-01 | 2022-01-24 | Y |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-12-29 | 2022-01-24 | N |
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-12-29 | 2022-01-24 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-12-29 | 2022-01-24 | 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 | 2021-12-29 | 2022-01-24 | 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 | 2021-12-29 | 2022-01-24 | N |
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-12-29 | 2022-01-24 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-29 | 2022-01-24 | Y |
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-12-07 | 2022-01-06 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-12-07 | 2022-01-06 | 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 | 2021-06-10 | 2021-07-19 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-10 | 2021-07-19 | Y |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-06-10 | 2021-07-19 | Y |
Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-04-28 | 2021-06-10 | Y |
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-04-28 | 2021-06-10 | Y |