Deficiency Records for Avantara North
Updated as of January 01, 2019
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? |
|---|---|---|---|---|
| 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 |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-11-07 | 2017-12-19 | Y |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-06-07 | 2017-07-05 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-06-07 | 2017-07-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-06-07 | 2017-07-05 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-06-07 | 2017-07-05 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-06-07 | 2017-07-05 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-06-07 | 2017-07-05 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-06-07 | 2017-07-05 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2017-06-06 | 2017-06-29 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2017-06-06 | 2017-06-29 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2017-06-06 | 2017-06-21 | N |
| Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. | Health | 2017-02-09 | 2017-03-10 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-02-09 | 2017-03-10 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-02-09 | 2017-03-10 | Y |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-02-09 | 2017-03-10 | Y |
| Provide a tasty and well-balanced diet that meets the nutritional needs of each resident. | Health | 2017-02-09 | 2017-03-10 | Y |
| Hire a qualified dietician. | Health | 2017-02-09 | 2017-03-10 | Y |
| Hire sufficient dietary support personnel. | Health | 2017-02-09 | 2017-03-10 | Y |
| Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2017-02-09 | 2017-03-10 | Y |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2017-02-09 | 2017-03-10 | Y |
| Provide food in a way that meets a resident's needs. | Health | 2017-02-09 | 2017-03-10 | Y |
| Offer other nutritional food to each resident who will not eat the food served. | Health | 2017-02-09 | 2017-03-10 | Y |
| Make sure that special or therapeutic diets are ordered by the attending doctor. | Health | 2017-02-09 | 2017-03-10 | Y |
| 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 | 2017-02-09 | 2017-03-10 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-02-09 | 2017-03-10 | Y |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2017-02-09 | 2017-03-10 | Y |
| Operate and provide services according to Federal, State, and local laws and professional standards. | Health | 2017-02-09 | 2017-03-10 | 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 | 2017-02-09 | 2017-03-10 | Y |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2017-02-09 | 2017-03-10 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-02-09 | 2017-03-10 | Y |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-05-18 | 2016-07-07 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2016-05-18 | 2016-07-07 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-05-18 | 2016-07-07 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-05-18 | 2016-07-07 | N |
| Portable fire extinguishers. | Fire Safety | 2016-05-18 | 2016-07-07 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2016-05-18 | 2016-07-07 | N |
| No-smoking signs where oxygen is used. | Fire Safety | 2016-05-18 | 2016-07-07 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-05-18 | 2016-07-07 | N |
| Provide housekeeping and maintenance services. | Health | 2016-05-18 | 2016-07-07 | N |
| Review or revise the resident's care plan after any major change in physical or mental health. | Health | 2016-05-18 | 2016-07-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-05-18 | 2016-07-07 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-05-18 | 2016-07-07 | N |
| Make sure that doctors visit residents regularly, as required. | Health | 2016-05-18 | 2016-07-07 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-05-18 | 2016-07-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-08-22 | Not Fixed | N |
