Deficiency Records for Avamere Rehabilitation at Ridgemont
Updated as of June 01, 2022
This is not the most recent data for Avamere Rehabilitation at Ridgemont. For the most recent information, click here.
A list of the most recent deficiencies for Avamere Rehabilitation at Ridgemont. 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? |
|---|---|---|---|---|
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-04 | 2022-05-24 | Y |
| 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 | 2022-04-04 | 2022-05-24 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-08-16 | 2019-09-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-08-16 | 2019-09-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-16 | 2019-09-30 | 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 | 2019-08-16 | 2019-09-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-08-16 | 2019-09-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-08-16 | 2019-09-30 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-08-16 | 2019-09-30 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-08-16 | 2019-09-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-08-16 | 2019-09-30 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-08-16 | 2019-09-30 | 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 | 2019-08-16 | 2019-09-30 | 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 | 2019-08-16 | 2019-09-30 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-08-16 | 2019-09-30 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-08-16 | 2019-09-30 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-08-21 | 2019-09-15 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2019-08-21 | 2019-08-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-08-21 | 2019-08-22 | 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 | 2018-07-17 | 2018-08-07 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2018-07-17 | 2018-08-07 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-07-17 | 2018-08-07 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-07-17 | 2018-08-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-07-17 | 2018-08-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-07-17 | 2018-08-07 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-07-17 | 2018-08-07 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-07-17 | 2018-08-07 | 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 | 2018-07-17 | 2018-08-07 | 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 | 2018-07-17 | 2018-08-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-07-17 | 2018-08-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-07-17 | 2018-08-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-07-17 | 2018-08-07 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-07-10 | 2018-07-24 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-07-10 | 2018-07-24 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-07-10 | 2018-07-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-07-10 | 2018-07-24 | N |
| Use approved construction type or materials. | Fire Safety | 2017-09-20 | 2017-10-23 | 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 | 2017-09-20 | 2017-10-23 | 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 | 2017-09-20 | 2017-10-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-09-20 | 2017-10-23 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-09-20 | 2017-10-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-09-20 | 2017-10-23 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2017-09-20 | 2017-10-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-09-20 | 2017-10-23 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2017-09-20 | 2017-10-23 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2017-09-20 | 2017-10-10 | 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 | 2017-09-20 | 2017-10-10 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-09-20 | 2017-10-10 | N |
