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Deficiency Records for Avir at Madisonville
View the most recent health deficiencies and inspection results for Avir at Madisonville. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Avir at Madisonville. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2026-04-15 | 2026-04-16 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-01-27 | 2026-01-30 | 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 | 2026-01-27 | 2026-01-30 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2025-05-20 | 2025-05-21 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-05-20 | 2025-05-21 | 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 | 2025-04-10 | 2025-04-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-04-10 | 2025-04-11 | 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 | 2025-04-10 | 2025-04-11 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2025-04-10 | 2025-04-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-04-10 | 2025-04-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-04-10 | 2025-04-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-04-10 | 2025-04-11 | 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 | 2025-04-10 | 2025-04-11 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2025-04-10 | 2025-04-11 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-04-10 | 2025-04-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-04-10 | 2025-04-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-04-10 | 2025-04-11 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-04-10 | 2025-04-11 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2025-04-10 | 2025-04-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-03 | 2024-08-24 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-05-10 | 2024-06-07 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-25 | 2024-05-09 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2024-02-29 | 2024-03-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-29 | 2024-03-25 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-02-29 | 2024-03-25 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-02-29 | 2024-03-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-02-29 | 2024-03-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-29 | 2024-03-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-02-29 | 2024-03-25 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-02-29 | 2024-03-25 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-02-29 | 2024-03-25 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-02-29 | 2024-03-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-29 | 2024-03-18 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-02-29 | 2024-03-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-29 | 2024-03-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-29 | 2024-03-18 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-02-29 | 2024-03-18 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-14 | 2023-12-11 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-11-14 | 2023-12-11 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-14 | 2023-12-11 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-14 | 2023-12-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-25 | 2023-11-17 | Y |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2023-09-14 | 2023-10-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-14 | 2023-10-08 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-09-14 | 2023-10-08 | Y |
| 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 | 2023-09-14 | 2023-10-08 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-02 | 2023-05-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-01-02 | 2023-05-17 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-01-02 | 2023-02-05 | 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 | 2023-01-02 | 2023-02-05 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-01-02 | 2023-02-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-02 | 2023-02-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-02 | 2023-02-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-01-02 | 2023-02-05 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2023-01-02 | 2023-02-05 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-01-02 | 2023-02-05 | 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 | 2023-01-02 | 2023-02-05 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-01-02 | 2023-02-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-02 | 2023-02-05 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-01-02 | 2023-02-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-02 | 2023-02-05 | N |