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Deficiency Records for Avir at Stephenville
View the most recent health deficiencies and inspection results for Avir at Stephenville. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Avir at Stephenville. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2025-07-24 | 2025-09-25 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2025-07-24 | 2025-09-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-07-24 | 2025-09-25 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-07-24 | 2025-09-25 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-07-24 | 2025-09-25 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-07-24 | 2025-09-25 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2025-07-24 | 2025-08-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-07-24 | 2025-08-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-04-09 | 2025-04-25 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-14 | 2024-08-01 | 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 | 2024-07-23 | 2024-07-30 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-07-23 | 2024-07-24 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-07-23 | 2024-07-24 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-07-23 | 2024-07-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-23 | 2024-07-08 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-06-14 | 2024-07-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-06-14 | 2024-07-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-14 | 2024-06-19 | 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 | 2024-06-14 | 2024-06-19 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-06-14 | 2024-06-19 | 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 | 2024-06-14 | 2024-06-19 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2024-06-14 | 2024-06-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-06-14 | 2024-06-19 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-06-14 | 2024-06-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-14 | 2024-06-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-06-14 | 2024-06-19 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-06-14 | 2024-06-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-06-14 | 2024-06-18 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-06-14 | 2024-06-18 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-06-14 | 2024-06-18 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2024-06-14 | 2024-06-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-06-14 | 2024-06-18 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-06-14 | 2024-06-18 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-06-14 | 2024-06-18 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-04-04 | 2024-05-03 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-04 | 2024-05-03 | Y |
| 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 | 2024-04-04 | 2024-05-03 | Y |
| Provide activities to meet all resident's needs. | Health | 2023-12-15 | 2024-01-05 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-12-15 | 2024-01-05 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-12-15 | 2023-12-20 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-28 | 2023-06-30 | 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 | 2023-04-28 | 2023-06-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-28 | 2023-06-16 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-04-28 | 2023-06-12 | N |
| Respond appropriately to all alleged violations. | Health | 2023-04-28 | 2023-06-10 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-04-28 | 2023-05-24 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2026-03-27 | Not Fixed | Y |