CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Avir at Converse
View the most recent health deficiencies and inspection results for Avir at Converse. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Avir at Converse. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| 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 | 2026-03-06 | 2026-03-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2026-02-05 | 2026-02-06 | Y |
| 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 | 2025-09-04 | 2025-09-07 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-04-04 | 2025-05-09 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-04-04 | 2025-05-09 | N |
| Install proper backup exit lighting. | Fire Safety | 2025-04-04 | 2025-05-09 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-03-28 | 2025-04-30 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2025-03-28 | 2025-04-30 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-04-04 | 2025-04-30 | 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 | 2025-04-04 | 2025-04-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-04-04 | 2025-04-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-03-23 | 2025-04-23 | Y |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2025-04-04 | 2025-04-22 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2025-04-04 | 2025-04-22 | N |
| Provide training in compliance and ethics. | Health | 2025-04-04 | 2025-04-22 | N |
| Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | Health | 2025-04-04 | 2025-04-22 | N |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2025-04-04 | 2025-04-22 | N |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2025-04-04 | 2025-04-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-04-04 | 2025-04-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-04-04 | 2025-04-10 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-04-04 | 2025-04-10 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2025-04-04 | 2025-04-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-04-04 | 2025-04-10 | 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 | 2025-04-04 | 2025-04-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-04-04 | 2025-04-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-04-04 | 2025-04-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-04-04 | 2025-04-08 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2025-04-04 | 2025-04-08 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-04-04 | 2025-04-07 | 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 | 2025-04-04 | 2025-04-07 | N |
| Provide emergency officials' contact information. | Fire Safety | 2025-04-04 | 2025-04-04 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-04-04 | 2025-04-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-04-04 | 2025-04-03 | 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 | 2024-09-06 | 2024-10-01 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2024-07-27 | 2024-07-28 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-05-22 | 2024-05-24 | Y |
| 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 | 2024-04-09 | 2024-04-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-09 | 2024-04-10 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-04-09 | 2024-04-10 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2024-04-09 | 2024-04-10 | Y |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2024-02-25 | 2024-03-25 | 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 | 2024-02-25 | 2024-03-25 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-02-25 | 2024-03-25 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-02-25 | 2024-03-25 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-25 | 2024-03-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-25 | 2024-03-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-02-25 | 2024-03-22 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-02-25 | 2024-03-22 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-25 | 2024-03-22 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-02-25 | 2024-03-22 | 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 | 2024-02-25 | 2024-03-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-02-25 | 2024-03-22 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2024-02-25 | 2024-03-22 | 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 | 2024-02-25 | 2024-03-22 | 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 | 2024-02-25 | 2024-03-15 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-08-18 | 2023-09-08 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-10 | 2023-02-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-01-10 | 2023-01-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-01-10 | 2023-01-13 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-01-10 | 2023-01-11 | N |