A list of the most recent deficiencies for Auburn Ravine Terrace. 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? |
|---|---|---|---|---|
| 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 | 2023-09-08 | 2023-10-08 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-09-08 | 2023-10-08 | 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 | 2023-09-08 | 2023-10-08 | 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 | 2023-09-08 | 2023-10-08 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-09-08 | 2023-10-08 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-09-08 | 2023-10-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-08 | 2023-10-08 | N |
| Dispose of garbage and refuse properly. | Health | 2023-09-08 | 2023-10-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-08 | 2023-10-08 | N |
| Keep all essential equipment working safely. | Health | 2023-09-08 | 2023-10-08 | 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 | 2023-09-11 | 2023-09-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-11 | 2023-09-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-11 | 2023-09-25 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-09-02 | 2022-10-04 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-09-02 | 2022-10-04 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-09-02 | 2022-10-04 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-09-02 | 2022-10-04 | 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 | 2022-09-02 | 2022-10-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-09-02 | 2022-10-04 | N |
| Provide activities to meet all resident's needs. | Health | 2022-09-02 | 2022-10-04 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-09-02 | 2022-10-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-02 | 2022-10-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-02 | 2022-10-04 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2022-09-08 | 2022-09-21 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-09-08 | 2022-09-21 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-09-08 | 2022-09-21 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-09-08 | 2022-09-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-08 | 2022-09-21 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-09-08 | 2022-09-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-09-08 | 2022-09-21 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-09-08 | 2022-09-21 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-09-08 | 2022-09-21 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-09-28 | 2021-10-19 | Y |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-08-28 | 2019-10-03 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-08-28 | 2019-10-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-08-28 | 2019-10-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-28 | 2019-10-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-28 | 2019-10-03 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-08-28 | 2019-10-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-28 | 2019-10-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-08-28 | 2019-10-03 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2019-08-28 | 2019-10-03 | N |
