A list of the most recent deficiencies for Avalon Place. 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? |
|---|---|---|---|---|
| Use approved construction type or materials. | Fire Safety | 2023-08-30 | 2023-11-13 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-08-30 | 2023-11-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-30 | 2023-11-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-30 | 2023-11-13 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2023-08-30 | 2023-10-16 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-08-30 | 2023-10-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-30 | 2023-10-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-08-30 | 2023-10-16 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-08-24 | 2023-09-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-24 | 2023-09-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-24 | 2023-09-25 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-08-24 | 2023-09-25 | 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 | 2023-08-24 | 2023-09-25 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-09-21 | 2022-10-31 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-09-21 | 2022-10-31 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-09-21 | 2022-10-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-21 | 2022-10-31 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-09-21 | 2022-10-31 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-09-21 | 2022-10-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-21 | 2022-10-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-01 | 2021-11-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-01 | 2021-11-15 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-10-01 | 2021-11-15 | 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 | 2021-10-01 | 2021-11-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-10-12 | 2021-11-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-10-12 | 2021-11-15 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2021-10-12 | 2021-11-15 | N |
| Post nurse staffing information every day. | Health | 2023-06-24 | Not Fixed | Y |
