A list of the most recent deficiencies for Ave Maria Home. 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 that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-12 | 2022-06-20 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-05-12 | 2022-06-10 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-05-12 | 2022-06-03 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-05-12 | 2022-05-23 | 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 | 2022-05-12 | 2022-05-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-10 | 2021-11-24 | 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 | 2020-02-21 | 2020-03-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-02-21 | 2020-03-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-18 | 2020-03-06 | N |
| Ensure that gas fire places are out of the reach of patients and can be shut off if unit is working improperly. | Fire Safety | 2020-02-18 | 2020-03-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-03-07 | 2019-04-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-03-07 | 2019-04-15 | N |
| Respond appropriately to all alleged violations. | Health | 2019-03-07 | 2019-04-15 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-03-07 | 2019-04-15 | N |
| Post nurse staffing information every day. | Health | 2019-03-07 | 2019-04-15 | 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 | 2019-03-07 | 2019-04-15 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-03-07 | 2019-04-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-07 | 2019-04-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-03-07 | 2019-04-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-07 | 2019-04-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-03-04 | 2019-04-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-03-04 | 2019-04-15 | N |
