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Deficiency Records for Avir at Town Creek
View the most recent health deficiencies and inspection results for Avir at Town Creek. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Avir at Town Creek. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-02-18 | 2026-02-25 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-08-13 | 2025-09-08 | N |
| Have policies on smoking. | Health | 2025-08-13 | 2025-09-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-08-13 | 2025-09-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-08-13 | 2025-09-02 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2025-08-13 | 2025-09-02 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2025-08-13 | 2025-09-02 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2025-08-13 | 2025-09-02 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-08-13 | 2025-08-22 | 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 | 2025-08-13 | 2025-08-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-03-25 | 2025-04-22 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2025-03-25 | 2025-03-28 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-03-25 | 2025-03-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-02-03 | 2025-01-27 | Y |
| Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. | Health | 2025-02-03 | 2025-01-27 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-10-01 | 2024-11-20 | 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 | 2024-10-01 | 2024-11-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-10-01 | 2024-10-31 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-10-01 | 2024-10-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-10-01 | 2024-10-31 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2024-10-01 | 2024-10-31 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-10-01 | 2024-10-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-29 | 2023-12-26 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-26 | 2023-10-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-26 | 2023-10-27 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-10-26 | 2023-10-27 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-26 | 2023-10-27 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-08-09 | 2023-08-10 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-08-09 | 2023-08-10 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-06-28 | 2023-08-10 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-06-28 | 2023-08-10 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-06-28 | 2023-08-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-28 | 2023-06-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-06-28 | 2023-06-29 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-28 | 2023-06-29 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-06-28 | 2023-06-29 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-08-13 | Not Fixed | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-03-25 | Not Fixed | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-10-01 | Not Fixed | N |