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Deficiency Records for Avir at Citizens Trail
View the most recent health deficiencies and inspection results for Avir at Citizens Trail. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Avir at Citizens Trail. 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 | 2025-11-20 | 2025-11-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-11-20 | 2025-11-21 | 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 | 2025-11-20 | 2025-11-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-11-20 | 2025-11-21 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-11-20 | 2025-11-21 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-11-20 | 2025-11-21 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2025-11-20 | 2025-11-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-11-20 | 2025-11-21 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-11-20 | 2025-11-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-11-20 | 2025-11-21 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-11-20 | 2025-11-21 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2025-11-20 | 2025-11-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-11-20 | 2025-11-21 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2025-11-20 | 2025-11-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-11-20 | 2025-11-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-11-20 | 2025-11-21 | N |
| Implement a program that monitors antibiotic use. | Health | 2025-11-20 | 2025-11-21 | N |
| Have policies on smoking. | Health | 2025-11-20 | 2025-11-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-11-20 | 2025-11-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-11-20 | 2025-11-21 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-11-20 | 2025-11-21 | 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 | 2025-11-20 | 2025-11-21 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-11-20 | 2025-11-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-11-20 | 2025-11-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-11-20 | 2025-11-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-11-20 | 2025-11-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-11-20 | 2025-11-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-21 | 2024-09-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-08-21 | 2024-09-06 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2024-08-21 | 2024-09-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-08-21 | 2024-08-22 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-08-21 | 2024-08-22 | 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 | 2024-08-21 | 2024-08-22 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-08-21 | 2024-08-22 | 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 | 2024-08-21 | 2024-08-22 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-02-24 | 2024-03-13 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-02-24 | 2024-03-13 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-02-24 | 2024-03-13 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-24 | 2024-03-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-24 | 2024-03-13 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-07-17 | 2023-10-08 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-07-17 | 2023-10-08 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-07-12 | 2023-08-16 | 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 | 2023-07-12 | 2023-08-14 | 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 | 2023-07-12 | 2023-08-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-07-12 | 2023-08-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-12 | 2023-08-09 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-07-12 | 2023-08-09 | 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 | 2023-07-12 | 2023-08-09 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-07-12 | 2023-08-09 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-07-12 | 2023-08-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-12 | 2023-08-09 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-12 | 2023-08-09 | N |
| Provide activities to meet all resident's needs. | Health | 2023-07-12 | 2023-08-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-12 | 2023-08-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-12 | 2023-08-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-07-12 | 2023-08-09 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-07-12 | 2023-08-09 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-07-12 | Not Fixed | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-08-21 | Not Fixed | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-11-20 | Not Fixed | N |