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Deficiency Records for Avir at Enchanted Rock
View the most recent health deficiencies and inspection results for Avir at Enchanted Rock. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Avir at Enchanted Rock. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2026-01-08 | 2026-01-10 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-07-10 | 2025-07-11 | Y |
| Post nurse staffing information every day. | Health | 2025-07-10 | 2025-07-11 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-07-10 | 2025-07-11 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-02-12 | 2025-02-13 | N |
| Respond appropriately to all alleged violations. | Health | 2025-02-12 | 2025-02-13 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-02-12 | 2025-02-13 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2025-02-12 | 2025-02-13 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-02-12 | 2025-02-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-02-12 | 2025-02-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-02-12 | 2025-02-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-02-12 | 2025-02-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-02-12 | 2025-02-13 | N |
| Install proper backup exit lighting. | Fire Safety | 2025-02-12 | 2025-02-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-02-12 | 2025-02-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-19 | 2025-02-09 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-01-19 | 2025-01-20 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-01-19 | 2025-01-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-22 | 2024-06-24 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-01-13 | 2024-02-15 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-01-13 | 2024-02-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-01-13 | 2024-02-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-13 | 2024-02-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-13 | 2024-02-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-13 | 2024-02-15 | 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 | 2024-01-13 | 2024-02-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-13 | 2024-02-15 | N |
| Respond appropriately to all alleged violations. | Health | 2024-01-13 | 2024-02-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-13 | 2024-02-15 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-01-13 | 2024-02-15 | 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 | 2024-01-13 | 2024-02-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-01-13 | 2024-02-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-01-13 | 2024-02-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-01-13 | 2024-02-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-01-13 | 2024-02-15 | 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 | 2024-01-13 | 2024-02-15 | 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 | 2024-01-13 | 2024-02-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-13 | 2024-02-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-13 | 2024-02-15 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-01-13 | 2024-02-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-18 | 2022-12-23 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-11-18 | 2022-12-23 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-11-18 | 2022-12-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-11-18 | 2022-12-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-11-18 | 2022-12-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-11-18 | 2022-12-23 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-11-18 | 2022-12-22 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-11-18 | 2022-12-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-18 | 2022-12-22 | 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 | 2022-11-18 | 2022-12-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-18 | 2022-12-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-18 | 2022-12-22 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-11-18 | 2022-12-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-18 | 2022-12-22 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-11-18 | 2022-12-22 | N |