CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Avalon Care Center at Northpointe
View the most recent health deficiencies and inspection results for Avalon Care Center at Northpointe. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Avalon Care Center at Northpointe. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that residents are free from significant medication errors. | Health | 2025-09-17 | 2025-10-03 | Y |
| Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | Health | 2025-09-17 | 2025-10-03 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-02-07 | 2025-04-01 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2025-02-07 | 2025-03-26 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2025-02-07 | 2025-03-26 | 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 | 2025-02-07 | 2025-03-26 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2025-02-07 | 2025-03-26 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2025-02-07 | 2025-03-26 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2025-02-07 | 2025-03-26 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-02-07 | 2025-03-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-02-07 | 2025-03-26 | N |
| Provide appropriate foot care. | Health | 2025-02-07 | 2025-03-26 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-02-07 | 2025-03-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-02-07 | 2025-03-26 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-02-07 | 2025-03-26 | 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 | 2025-02-07 | 2025-03-26 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2025-02-07 | 2025-03-26 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-02-07 | 2025-03-26 | 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 | 2025-02-07 | 2025-03-26 | N |
| Respond appropriately to all alleged violations. | Health | 2025-02-07 | 2025-03-26 | 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 | 2025-02-07 | 2025-03-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-02-07 | 2025-03-26 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-02-07 | 2025-03-26 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-02-07 | 2025-03-26 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2025-02-07 | 2025-03-26 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2025-02-07 | 2025-03-26 | Y |
| 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 | 2025-02-07 | 2025-03-26 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2025-02-07 | 2025-03-26 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2025-02-07 | 2025-03-26 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-02-07 | 2025-03-26 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2025-02-07 | 2025-03-26 | N |
| Keep all essential equipment working safely. | Health | 2025-02-07 | 2025-03-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-02-07 | 2025-03-26 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2025-02-07 | 2025-03-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-02-07 | 2025-03-26 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-02-07 | 2025-03-26 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2025-02-07 | 2025-02-26 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2025-02-07 | 2025-02-26 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-02-07 | 2025-02-26 | N |
| Meet other general requirements. | Fire Safety | 2025-02-07 | 2025-02-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-02-07 | 2025-02-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-02-07 | 2025-02-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-02-07 | 2025-02-26 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-02-07 | 2025-02-26 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2025-02-07 | 2025-02-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-02-07 | 2025-02-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-02-07 | 2025-02-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-02-07 | 2025-02-26 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-02-07 | 2025-02-26 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-12-10 | 2025-01-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-12-10 | 2025-01-07 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-10-02 | 2024-10-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-02 | 2024-10-29 | Y |
| 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 | 2024-10-02 | 2024-10-29 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-10-02 | 2024-10-29 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-10-02 | 2024-10-29 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-10-02 | 2024-10-29 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-10-09 | 2024-10-09 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-26 | 2024-09-18 | 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 | 2024-08-26 | 2024-09-17 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-05-28 | 2024-06-18 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-05-28 | 2024-06-18 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-12-12 | 2024-01-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-09 | 2023-12-20 | Y |
| 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 | 2023-11-09 | 2023-12-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-11-09 | 2023-12-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-09 | 2023-12-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-09 | 2023-12-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-09 | 2023-12-20 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-11-09 | 2023-12-20 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-11-09 | 2023-12-20 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-11-09 | 2023-12-20 | 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 | 2023-11-09 | 2023-12-20 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-11-09 | 2023-12-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-09 | 2023-12-20 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-11-09 | 2023-12-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-11-09 | 2023-12-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-09 | 2023-12-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-09 | 2023-12-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-11-09 | 2023-12-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-09 | 2023-12-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-11-09 | 2023-12-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-09 | 2023-12-12 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-11-09 | 2023-12-12 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-08-08 | 2023-08-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-12 | 2023-06-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-07-14 | 2022-09-07 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2022-07-14 | 2022-08-16 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2022-07-14 | 2022-08-16 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-07-14 | 2022-08-16 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-07-14 | 2022-08-16 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-07-14 | 2022-08-16 | 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 | 2022-07-14 | 2022-08-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-07-14 | 2022-08-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-14 | 2022-08-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-14 | 2022-08-16 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-07-14 | 2022-08-16 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-07-14 | 2022-08-16 | 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 | 2022-07-14 | 2022-08-16 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-07-14 | 2022-08-16 | N |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2022-07-14 | 2022-08-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-14 | 2022-08-16 | N |