Deficiency Records for Avondale Villa Post-Acute
Updated as of May 01, 2021
This is not the most recent data for Avondale Villa Post-Acute. For the most recent information, click here.
A list of the most recent deficiencies for Avondale Villa Post-Acute. 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? |
|---|---|---|---|---|
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-09-25 | 2019-10-23 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2019-09-25 | 2019-10-23 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-09-25 | 2019-10-23 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-09-25 | 2019-10-23 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2019-09-25 | 2019-10-23 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-09-25 | 2019-10-23 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-08-22 | 2019-08-22 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-11-15 | 2018-12-11 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-11-15 | 2018-12-11 | N |
| Develop a communication plan. | Fire Safety | 2018-11-15 | 2018-12-11 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-11-15 | 2018-12-11 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-11-15 | 2018-12-11 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2018-09-26 | 2018-10-26 | 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 | 2018-09-26 | 2018-10-26 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2018-09-26 | 2018-10-26 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-08-31 | 2017-09-12 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2017-08-31 | 2017-09-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-12-23 | Not Fixed | N |
