Inspection Results » Avalon Care Center at Northpointe

Health Inspection on March 30, 2018 ^[1]

1. Isolated: Immediate jeopardy to the resident health or safety

   • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (Corrected 2018-05-14)

2. Isolated: Actual harm that is not immediate jeopardy

   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-05-14)

3. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-05-14)

4. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-05-14)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-05-14)
   • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (Corrected 2018-05-14)
   • Provide enough food/fluids to maintain a resident's health. (Corrected 2018-05-14)
   • Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. (Corrected 2018-05-14)
   • 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. (Corrected 2018-05-14)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2018-05-14)
   • Observe each nurse aide's job performance and give regular training. (Corrected 2018-05-14)
   • 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. (Corrected 2018-05-14)
   • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2018-05-14)
   • Develop and implement policies and procedures for flu and pneumonia vaccinations. (Corrected 2018-05-14)
   • Implement a program that monitors antibiotic use. (Corrected 2018-05-14)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2018-05-14)
   • Administer the facility in a manner that enables it to use its resources effectively and efficiently. (Corrected 2018-05-14)
   • Ensure that residents are free from significant medication errors. (Corrected 2018-05-14)
   • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (Corrected 2018-05-14)

5. Widespread: No actual harm with potential for minimal harm

   • 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. (Corrected 2018-05-14)