Deficiency Records for Avantara North
Updated as of October 01, 2022
This is not the most recent data for Avantara North. For the most recent information, click here.
A list of the most recent deficiencies for Avantara North. 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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-06-10 | 2021-07-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-10 | 2021-07-30 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2021-06-10 | 2021-07-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-06-08 | 2021-07-22 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-06-08 | 2021-07-22 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-01-14 | 2021-02-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-11-20 | 2020-01-09 | 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 | 2019-11-20 | 2020-01-09 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-11-20 | 2020-01-09 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-11-20 | 2020-01-09 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-11-20 | 2020-01-09 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2019-11-20 | 2020-01-09 | N |
| Construct fire resistant interior walls. | Fire Safety | 2019-11-19 | 2020-01-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-11-19 | 2020-01-09 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-11-19 | 2020-01-09 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-11-19 | 2020-01-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-11-19 | 2020-01-09 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-11-19 | 2020-01-09 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2019-11-19 | 2020-01-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-11-19 | 2020-01-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-11-19 | 2020-01-09 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-08-23 | 2018-10-12 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2018-08-23 | 2018-10-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-08-23 | 2018-10-12 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-08-23 | 2018-10-12 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-08-23 | 2018-10-12 | 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 | 2018-08-23 | 2018-10-12 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-08-23 | 2018-10-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-08-22 | Not Fixed | N |
