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Deficiency Records for Avir at Tierra Este
View the most recent health deficiencies and inspection results for Avir at Tierra Este. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Avir at Tierra Este. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-01-15 | 2026-01-20 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-01-15 | 2026-01-20 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-09-05 | 2025-09-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-09-05 | 2025-09-30 | 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 | 2025-09-05 | 2025-09-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-09-05 | 2025-09-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-09-05 | 2025-09-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-09-05 | 2025-09-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-09-05 | 2025-09-30 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-09-05 | 2025-09-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-09-05 | 2025-09-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-09-05 | 2025-09-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-09-05 | 2025-09-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-09-05 | 2025-09-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-09-05 | 2025-09-25 | N |
| Implement emergency and standby power systems. | Fire Safety | 2025-09-05 | 2025-09-24 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2025-09-05 | 2025-09-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-09-05 | 2025-09-23 | 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 | 2025-04-01 | 2025-04-09 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-02-20 | 2025-02-21 | 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 | 2024-11-27 | 2024-11-29 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-08-02 | 2024-08-07 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-08-02 | 2024-08-07 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-08-02 | 2024-08-07 | N |
| Dispose of garbage and refuse properly. | Health | 2024-08-02 | 2024-08-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-02 | 2024-08-07 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-08-02 | 2024-08-07 | 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 | 2024-08-02 | 2024-08-07 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-08-02 | 2024-08-07 | 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 | 2024-08-02 | 2024-08-07 | 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 | 2024-08-02 | 2024-08-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-08-02 | 2024-08-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-08-02 | 2024-08-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-02 | 2024-08-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-02 | 2024-08-07 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-08-02 | 2024-08-07 | 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 | 2024-08-02 | 2024-08-07 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-08-02 | 2024-08-07 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-08-02 | 2024-08-07 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-08-02 | 2024-08-07 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-08-02 | 2024-08-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-08-02 | 2024-08-02 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-08-02 | 2024-08-02 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-06-28 | 2024-06-29 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-06-28 | 2024-06-29 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2024-06-28 | 2024-06-29 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-06-28 | 2024-06-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-28 | 2024-06-29 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-06-28 | 2024-06-29 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-06-28 | 2024-06-29 | Y |
| 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 | 2024-02-12 | 2024-02-14 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-12 | 2024-02-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-02-12 | 2024-02-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-01-19 | 2024-02-08 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-01-19 | 2024-02-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-23 | 2024-02-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-09 | 2023-11-10 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-09 | 2023-10-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-09 | 2023-10-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-09-29 | 2023-10-03 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-09-29 | 2023-10-03 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-09-29 | 2023-10-03 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2023-09-29 | 2023-10-03 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-09-29 | 2023-10-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-29 | 2023-10-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-29 | 2023-10-03 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-09-01 | 2023-09-26 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-09-01 | 2023-09-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-09-01 | 2023-09-26 | Y |
| Provide activities to meet all resident's needs. | Health | 2023-05-19 | 2023-05-20 | 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 | 2023-05-19 | 2023-05-20 | N |
| Post nurse staffing information every day. | Health | 2023-05-19 | 2023-05-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-19 | 2023-05-20 | N |