Deficiency Records for Avantara Arrowhead
Updated as of January 01, 2019
This is not the most recent data for Avantara Arrowhead. For the most recent information, click here.
A list of the most recent deficiencies for Avantara Arrowhead. 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 services provided by the nursing facility meet professional standards of quality. | Health | 2017-10-05 | 2017-11-24 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-10-05 | 2017-11-24 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-10-05 | 2017-11-24 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-10-05 | 2017-11-24 | Y |
| Allow residents to self-administer drugs if determined safe. | Health | 2017-03-30 | 2017-04-28 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-03-30 | 2017-04-28 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-03-30 | 2017-04-28 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-03-30 | 2017-04-28 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-03-30 | 2017-04-28 | N |
| 1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. | Health | 2017-03-30 | 2017-04-28 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-03-30 | 2017-04-28 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-03-30 | 2017-04-28 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-03-30 | 2017-04-28 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-03-30 | 2017-04-28 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-01-11 | 2017-02-11 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-01-11 | 2017-02-11 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-01-11 | 2017-02-11 | Y |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-01-11 | 2017-02-11 | Y |
| Make sure that special or therapeutic diets are ordered by the attending doctor. | Health | 2017-01-11 | 2017-02-11 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-01-11 | 2017-02-11 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-11-08 | 2016-11-23 | Y |
| Try to resolve each resident's complaints quickly. | Health | 2016-08-24 | 2016-09-14 | Y |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2016-08-24 | 2016-09-14 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-08-24 | 2016-09-14 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-08-24 | 2016-09-14 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-08-24 | 2016-09-14 | Y |
| Provide activities to meet the interests and needs of each resident. | Health | 2016-08-24 | 2016-09-14 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-08-24 | 2016-09-14 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-08-24 | 2016-09-14 | Y |
| Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | Health | 2016-08-24 | 2016-09-14 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-08-24 | 2016-09-14 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-08-24 | 2016-09-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-08-24 | 2016-09-14 | Y |
| Ensure residents maintain acceptable nutritional status. | Health | 2016-08-24 | 2016-09-14 | Y |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2016-08-24 | 2016-09-14 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2016-08-24 | 2016-09-14 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-08-24 | 2016-09-14 | Y |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2016-08-24 | 2016-09-14 | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility | Health | 2016-08-24 | 2016-09-14 | Y |
| Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility. | Health | 2016-08-24 | 2016-09-14 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-08-24 | 2016-09-14 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-07-14 | 2016-08-04 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-07-14 | 2016-08-04 | Y |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-03-03 | 2016-03-31 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2016-03-03 | 2016-03-31 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-03-03 | 2016-03-31 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-03-03 | 2016-03-31 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-03-03 | 2016-03-31 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-03-03 | 2016-03-31 | N |
| Allow residents to self-administer drugs if determined safe. | Health | 2016-03-03 | 2016-03-31 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-03-03 | 2016-03-31 | N |
| Provide housekeeping and maintenance services. | Health | 2016-03-03 | 2016-03-31 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-03-03 | 2016-03-31 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-03-03 | 2016-03-31 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2016-03-03 | 2016-03-31 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-03-03 | 2016-03-31 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-03-03 | 2016-03-31 | N |
| Have enough backup water supply for essential areas of the nursing home. | Health | 2016-03-03 | 2016-03-31 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-03-03 | 2016-03-31 | N |
