CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Avina On Division
View the most recent health deficiencies and inspection results for Avina On Division. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Avina On Division. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2026-03-28 | 2026-04-23 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-03-28 | 2026-04-23 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2026-03-28 | 2026-04-23 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2026-03-28 | 2026-04-23 | 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 | 2026-03-28 | 2026-04-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-03-28 | 2026-04-23 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2026-03-28 | 2026-04-23 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-05-21 | 2025-07-16 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-05-21 | 2025-07-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-05-21 | 2025-06-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-05-21 | 2025-06-13 | N |
| Dispose of garbage and refuse properly. | Health | 2025-05-21 | 2025-06-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-05-21 | 2025-06-12 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-05-21 | 2025-06-12 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-05-21 | 2025-06-12 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-05-21 | 2025-06-09 | 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 | 2025-05-21 | 2025-06-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-05-21 | 2025-05-29 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2025-05-21 | 2025-05-23 | N |
| Dispose of garbage and refuse properly. | Health | 2024-11-18 | 2024-11-21 | Y |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-03-27 | 2024-09-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-03-27 | 2024-09-01 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-03-27 | 2024-05-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-03-27 | 2024-05-06 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-03-27 | 2024-05-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-27 | 2024-04-20 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-03-27 | 2024-04-20 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-03-27 | 2024-04-19 | N |
| Post nurse staffing information every day. | Health | 2024-03-27 | 2024-04-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-03-27 | 2024-04-18 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-03-27 | 2024-04-18 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-03-27 | 2024-04-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-27 | 2024-04-17 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-03-27 | 2024-04-17 | 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 | 2024-03-27 | 2024-04-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-27 | 2024-04-16 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2024-03-27 | 2024-04-16 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-03-27 | 2024-04-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-27 | 2024-03-29 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-03-27 | 2024-03-28 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2024-03-27 | 2024-03-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-03-27 | 2024-03-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-03-27 | 2024-03-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-27 | 2024-03-27 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-03-27 | 2024-03-27 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-03-27 | 2024-03-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-07 | 2023-04-10 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-03-07 | 2023-04-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-07 | 2023-04-07 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-03-07 | 2023-04-07 | 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 | 2023-03-07 | 2023-04-07 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-03-07 | 2023-04-07 | N |
| Provide activities to meet all resident's needs. | Health | 2023-03-07 | 2023-04-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-07 | 2023-04-07 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-03-07 | 2023-04-07 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-03-07 | 2023-04-07 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-03-07 | 2023-04-07 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-03-07 | 2023-04-07 | 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 | 2023-03-07 | 2023-04-07 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2023-03-07 | 2023-04-07 | 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 | 2023-03-07 | 2023-03-29 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2023-03-07 | 2023-03-29 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-03-07 | 2023-03-29 | N |
| Construct fire resistant interior walls. | Fire Safety | 2023-03-07 | 2023-03-24 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-03-07 | 2023-03-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-07 | 2023-03-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-07 | 2023-03-08 | 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 | 2026-04-30 | Not Fixed | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2026-04-30 | Not Fixed | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2026-04-30 | Not Fixed | Y |
| Provide and implement an infection prevention and control program. | Health | 2026-04-30 | Not Fixed | Y |