Deficiency Records for Avalon Care Center at Northpointe
Updated as of June 01, 2018
This is not the most recent data for Avalon Care Center at Northpointe. For the most recent information, click here.
A list of the most recent deficiencies for Avalon Care Center at Northpointe. 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? |
|---|---|---|---|---|
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-03-30 | 2018-05-14 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-03-30 | 2018-05-14 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2018-03-30 | 2018-05-14 | N |
| Provide emergency officials' contact information. | Fire Safety | 2018-03-30 | 2018-05-14 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2018-03-30 | 2018-05-14 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-03-30 | 2018-05-14 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-03-30 | 2018-05-14 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-03-30 | 2018-05-14 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-03-30 | 2018-05-14 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-04-24 | 2018-05-14 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-04-24 | 2018-05-14 | 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 | 2018-03-30 | 2018-05-14 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-03-30 | 2018-05-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-03-30 | 2018-05-14 | 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 | 2018-03-30 | 2018-05-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-03-30 | 2018-05-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-03-30 | 2018-05-14 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2018-03-30 | 2018-05-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-03-30 | 2018-05-14 | 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 | 2018-03-30 | 2018-05-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-03-30 | 2018-05-14 | N |
| 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 | 2018-03-30 | 2018-05-14 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-03-30 | 2018-05-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-03-30 | 2018-05-14 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-03-30 | 2018-05-14 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-03-30 | 2018-05-14 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2018-03-30 | 2018-05-14 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-03-30 | 2018-05-14 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-03-30 | 2018-05-14 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-03-30 | 2018-05-14 | Y |
| Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2018-03-30 | 2018-05-14 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-03-20 | 2018-04-24 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-03-20 | 2018-04-24 | 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 | 2018-03-20 | 2018-04-24 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2018-03-20 | 2018-04-24 | N |
| Meet other general requirements. | Fire Safety | 2018-03-20 | 2018-04-24 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-02-07 | 2018-03-06 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-01-25 | 2018-03-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-01-25 | 2018-03-06 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2017-12-28 | 2018-01-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2017-12-06 | 2017-12-26 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2017-12-06 | 2017-12-26 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-11-02 | 2017-12-26 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-04-27 | 2017-06-22 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2017-04-27 | 2017-06-22 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-05-08 | 2017-05-31 | Y |
| Give residents a notice of rights, rules, services and charges. | Health | 2017-04-26 | 2017-05-31 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2017-04-26 | 2017-05-31 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-04-26 | 2017-05-31 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-04-26 | 2017-05-31 | N |
| Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | Health | 2017-04-26 | 2017-05-31 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-04-26 | 2017-05-31 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-04-26 | 2017-05-31 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-04-26 | 2017-05-31 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-04-26 | 2017-05-31 | N |
| Give each resident enough fluids to keep them healthy and prevent dehydration. | Health | 2017-04-26 | 2017-05-31 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2017-04-26 | 2017-05-31 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-04-26 | 2017-05-31 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-02-15 | 2017-03-02 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-11-17 | 2016-12-19 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-06-16 | 2016-07-18 | Y |
| 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 | 2016-06-16 | 2016-07-18 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2016-01-14 | 2016-03-07 | Y |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2016-02-11 | 2016-03-07 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-02-11 | 2016-03-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-02-11 | 2016-03-07 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-02-11 | 2016-03-07 | N |
| Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2016-02-11 | 2016-03-07 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-02-11 | 2016-03-07 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-02-11 | 2016-03-07 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-02-11 | 2016-03-07 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2016-02-11 | 2016-03-07 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-02-11 | 2016-03-07 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2016-02-11 | 2016-03-07 | N |
| Provide or obtain dental services for each resident. | Health | 2016-02-11 | 2016-03-07 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-02-11 | 2016-03-07 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-02-11 | 2016-03-07 | N |
| Properly maintained smoke detectors. | Fire Safety | 2016-02-11 | 2016-02-15 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-06-10 | 2015-06-11 | Y |
