Deficiency Records for Avalon Care Center at Northpointe
Updated as of March 01, 2021
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? |
---|---|---|---|---|
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-12-18 | 2021-01-01 | N |
Perform COVID19 testing on residents and staff. | Health | 2020-12-18 | 2021-01-01 | N |
Provide and implement an infection prevention and control program. | Health | 2020-09-04 | 2020-10-06 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-11-22 | 2019-12-23 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-10-10 | 2019-11-06 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-10-10 | 2019-11-06 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-10 | 2019-11-06 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-03 | 2019-10-02 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-09-03 | 2019-10-02 | 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 | 2019-09-03 | 2019-10-02 | Y |
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 | 2019-07-10 | 2019-08-13 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-05-17 | 2019-06-17 | 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 | 2019-05-17 | 2019-06-17 | N |
Ensure each resident receives an accurate assessment. | Health | 2019-05-17 | 2019-06-17 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-17 | 2019-06-17 | 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 | 2019-05-17 | 2019-06-17 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-05-17 | 2019-06-17 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-17 | 2019-06-17 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-05-17 | 2019-06-17 | 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 | 2019-05-17 | 2019-06-17 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-17 | 2019-06-17 | 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 | 2019-05-17 | 2019-06-17 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-05-17 | 2019-06-17 | 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 | 2019-05-17 | 2019-06-17 | 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 | 2019-05-17 | 2019-06-17 | N |
Provide and implement an infection prevention and control program. | Health | 2019-05-17 | 2019-06-17 | 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 | 2019-05-17 | 2019-06-17 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-05-07 | 2019-06-17 | Y |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-17 | 2019-06-05 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-05-17 | 2019-06-05 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-03-11 | 2019-03-26 | 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 | 2019-03-11 | 2019-03-26 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-09-20 | 2018-10-15 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-07-15 | 2018-07-31 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-07-15 | 2018-07-31 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-07-15 | 2018-07-31 | Y |
Provide enough food/fluids to maintain a resident's health. | Health | 2018-07-15 | 2018-07-31 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-06-18 | 2018-07-31 | Y |
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 |
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 |
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 |
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 |
Have exits that are accessible at all times. | 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 |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-03-20 | 2018-04-24 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-03-20 | 2018-04-24 | N |
Meet other general requirements. | Fire Safety | 2018-03-20 | 2018-04-24 | N |
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 |
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 |