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Deficiency Records for Avir at Comfort
View the most recent health deficiencies and inspection results for Avir at Comfort. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Avir at Comfort. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-08-22 | 2025-10-04 | 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 | 2025-08-22 | 2025-10-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-08-22 | 2025-10-03 | 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 | 2025-08-22 | 2025-08-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-08-22 | 2025-08-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-04-18 | 2025-04-25 | 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 | 2025-04-18 | 2025-04-25 | Y |
| Post nurse staffing information every day. | Health | 2024-07-10 | 2024-07-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-10 | 2024-07-31 | 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 | 2024-07-10 | 2024-07-31 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2024-07-10 | 2024-07-31 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-07-10 | 2024-07-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-10 | 2024-07-31 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-03-01 | 2024-03-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-03-01 | 2024-03-29 | 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 | 2023-06-08 | 2023-07-27 | N |
| Provide training in compliance and ethics. | Health | 2023-06-08 | 2023-07-19 | Y |
| Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | Health | 2023-06-08 | 2023-07-19 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2023-06-08 | 2023-07-19 | Y |
| Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | Health | 2023-06-08 | 2023-07-19 | Y |
| Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | Health | 2023-06-08 | 2023-07-19 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-06-08 | 2023-07-19 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-06-08 | 2023-07-10 | N |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2023-06-08 | 2023-07-10 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-08 | 2023-07-07 | 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 | 2023-06-08 | 2023-07-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-08 | 2023-07-07 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-06-08 | 2023-07-07 | Y |
| 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 | 2023-06-08 | 2023-07-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-08 | 2023-07-05 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-08 | 2023-07-05 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-06-08 | 2023-07-05 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-06-08 | 2023-07-05 | N |
| Ensure a qualified health professional conducts resident assessments. | Health | 2023-06-08 | 2023-07-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-06-08 | 2023-07-05 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-06-08 | 2023-07-05 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-06-08 | 2023-07-05 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-06-08 | 2023-07-05 | N |