A list of the most recent deficiencies for Aviara Healthcare Center. 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? |
---|---|---|---|---|
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-25 | 2023-11-06 | Y |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-09-05 | 2023-09-27 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-05 | 2023-09-27 | Y |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-06-21 | 2023-07-03 | Y |
Ensure that residents are free from significant medication errors. | Health | 2023-06-13 | 2023-06-20 | Y |
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-04-27 | 2023-05-01 | Y |
Keep residents' personal and medical records private and confidential. | Health | 2023-01-11 | 2023-02-14 | Y |
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-01-11 | 2023-02-14 | Y |
Provide and implement an infection prevention and control program. | Health | 2023-01-11 | 2023-02-14 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-01-10 | 2023-01-31 | Y |
Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-01-10 | 2023-01-31 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-10 | 2023-01-31 | Y |
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-01-10 | 2023-01-31 | Y |
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2022-12-19 | 2023-01-23 | Y |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-12-19 | 2023-01-23 | Y |
Provide a written emergency evacuation plan. | Fire Safety | 2022-12-19 | 2023-01-23 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-05 | 2023-01-19 | 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 | 2022-12-02 | 2023-01-02 | Y |
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 | 2022-11-29 | 2022-12-22 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-02 | 2022-11-21 | Y |
Ensure each resident receives an accurate assessment. | Health | 2022-10-20 | 2022-11-20 | Y |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-10-20 | 2022-11-20 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-20 | 2022-11-20 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-09-20 | 2022-10-19 | Y |
Provide and implement an infection prevention and control program. | Health | 2022-08-31 | 2022-10-01 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-24 | 2022-09-01 | Y |
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-12-17 | 2022-01-07 | Y |
Ensure each resident receives an accurate assessment. | Health | 2021-06-10 | 2021-07-23 | 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 | 2021-06-10 | 2021-07-23 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-10 | 2021-07-23 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-10 | 2021-07-23 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-06-10 | 2021-07-23 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-10 | 2021-07-23 | N |
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2021-06-10 | 2021-07-23 | 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 | 2021-06-10 | 2021-07-23 | 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 | 2021-06-10 | 2021-07-23 | N |
Provide and implement an infection prevention and control program. | Health | 2021-06-10 | 2021-07-23 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-06-10 | 2021-07-23 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-06-10 | 2021-07-23 | Y |
Provide primary/alternate means for communication. | Fire Safety | 2021-06-15 | 2021-07-15 | N |
Implement emergency and standby power systems. | Fire Safety | 2021-06-15 | 2021-07-15 | N |
Use approved construction type or materials. | Fire Safety | 2021-06-15 | 2021-07-15 | 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 | 2021-06-15 | 2021-07-15 | N |
Provide properly protected cooking facilities. | Fire Safety | 2021-06-15 | 2021-07-15 | N |
Have an alternate power supply for its alarm system. | Fire Safety | 2021-06-15 | 2021-07-15 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-15 | 2021-07-15 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-06-15 | 2021-07-15 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2021-06-15 | 2021-07-15 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-15 | 2021-07-15 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-06-15 | 2021-07-15 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-05-16 | 2019-07-02 | N |
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-05-16 | 2019-07-02 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-05-16 | 2019-07-02 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-16 | 2019-07-02 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-05-16 | 2019-07-02 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-05-16 | 2019-07-02 | 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 | 2019-05-16 | 2019-07-02 | N |
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-05-16 | 2019-07-02 | N |
Provide family notifications of emergency plan. | Fire Safety | 2019-05-30 | 2019-06-26 | N |
Establish emergency prep training and testing. | Fire Safety | 2019-05-30 | 2019-06-26 | N |
Conduct testing and exercise requirements. | Fire Safety | 2019-05-30 | 2019-06-26 | N |
Provide properly protected cooking facilities. | Fire Safety | 2019-05-30 | 2019-06-26 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2019-05-30 | 2019-06-26 | N |
Provide properly protected cooking facilities. | Fire Safety | 2018-07-03 | 2018-07-13 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-07-03 | 2018-07-13 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-07-03 | 2018-07-13 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-07-03 | 2018-07-13 | N |
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2018-05-10 | 2018-06-11 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2018-05-10 | 2018-06-11 | N |
Assess the resident when there is a significant change in condition | Health | 2018-05-10 | 2018-06-11 | N |
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2018-05-10 | 2018-06-11 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-05-10 | 2018-06-11 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-05-10 | 2018-06-11 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-05-10 | 2018-06-11 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2018-05-10 | 2018-06-11 | N |
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2018-05-10 | 2018-06-11 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-05-10 | 2018-06-11 | N |
Provide and implement an infection prevention and control program. | Health | 2018-05-10 | 2018-06-11 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-05-10 | 2018-06-11 | N |
Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-08-25 | Not Fixed | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-25 | Not Fixed | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-12 | Not Fixed | Y |