Deficiency Records for Avalon Care Center at Northpointe
Updated as of April 01, 2023
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? |
---|---|---|---|---|
Provide and implement an infection prevention and control program. | Health | 2022-07-14 | 2022-09-07 | 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 | 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 |
Establish an Emergency Preparedness Program (EP). | Fire Safety | 2022-07-13 | 2022-08-16 | N |
List the names and contact information of those in the facility. | Fire Safety | 2022-07-13 | 2022-08-16 | N |
Establish staff and initial training requirements. | Fire Safety | 2022-07-13 | 2022-08-16 | N |
Conduct testing and exercise requirements. | Fire Safety | 2022-07-13 | 2022-08-16 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-07-13 | 2022-08-16 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-13 | 2022-08-16 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-26 | 2022-05-27 | Y |
Provide and implement an infection prevention and control program. | Health | 2022-02-01 | 2022-03-02 | Y |
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 | Y |
Perform COVID19 testing on residents and staff. | Health | 2020-12-18 | 2021-01-01 | Y |
Provide and implement an infection prevention and control program. | Health | 2020-09-04 | 2020-10-06 | 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 |
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 | 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 |
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 |
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 |
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 | N |
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 | 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 |
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 |
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 |