Deficiency Records for Ave Maria Home
Updated as of June 01, 2019
This is not the most recent data for Ave Maria Home. For the most recent information, click here.
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 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 |
| 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 |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2018-08-27 | 2018-09-21 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-04-25 | 2018-05-08 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-04-10 | 2017-06-07 | N |
| Install proper backup exit lighting. | Fire Safety | 2017-04-10 | 2017-06-07 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-04-10 | 2017-06-07 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2017-04-10 | 2017-06-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-04-10 | 2017-06-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-04-10 | 2017-06-07 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-04-10 | 2017-06-07 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-04-10 | 2017-06-07 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2017-04-10 | 2017-06-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-04-10 | 2017-06-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-04-10 | 2017-06-07 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-04-10 | 2017-06-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-04-10 | 2017-06-07 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-04-11 | 2017-06-07 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-04-11 | 2017-06-07 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2017-04-11 | 2017-06-07 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-04-11 | 2017-06-07 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-04-11 | 2017-05-26 | 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 | 2017-04-11 | 2017-05-26 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2016-12-07 | 2016-12-27 | Y |
