Avante Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Avante Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF678Mar 28, 2024

  Based on observation, interview and record review, the facility failed to ensure basic life support, including cardiopulmonary resuscitation (CPR), was provided to a resident requiring such emergency care prior to the arrival of emergency medical personnel and subject to related physician orders and the resident's advance directives for one (Resident #1) of three residents reviewed for CPR. The facility failed to retrieve the automatic external defibrillator (AED) and initiate the basic life support sequence of events (chest compressions, airway, breathing) per the facility's Emergency Procedure-Cardiopulmonary Resuscitation Policy for Resident #1 for approximately two to seven minutes when he was found unresponsive and assessed as full code (if a person's heart stopped beating and/or they… […]

• Immediate jeopardy, isolatedF580Oct 4, 2023

  Based on interviews and record review, the facility failed to notify and consult with the resident's physician of a significant change in the resident's physical, mental, or psychosocial status that is, a deterioration in health, mental, or psychosocial status for one (Resident #1) of one resident reviewed for notification of changes. The facility failed to ensure LVN B immediately notified the physician on [DATE] when Resident #1 had an elevated temperature of 100.3 F and N/V brownish partially digested food. The facility failed to ensure LVN A notified the physician on [DATE] that Resident #1's laboratory results were released to the facility on [DATE] at 12:55 PM. On [DATE] at 1:23 PM, the NP reviewed labs in PCC. Labs resulted WBC 22. […]

• Immediate jeopardy, isolatedF600Oct 4, 2023

  Based on interview and record review, the facility failed to protect the resident's right to be free from neglect for 1 of 1 resident (Resident #1) reviewed for neglect. The facility failed to ensure LVN A and LVN B did not neglect Resident #1. They failed to implement nursing interventions as written in Resident #1's care plan. LVN B failed to immediately contact the physician when Resident #1 had an acute change in condition. LVN A failed to immediately contact the physician of abnormal labs results, which indicated infection and dehydration, when received. […]

• Immediate jeopardy, isolatedF607Oct 4, 2023

  Based on interviews and record reviews, the facility failed to develop and implement written policies and procedures that prohibit and prevent neglect for 1 of 1 resident (Resident #1) reviewed for provision of care and services by staff. The facility failed to oversee the implementation of required structures and processes to meet the needs of Resident #1. The facility failed to oversee LVN A and LVN B followed resident care policies and procedures during the provision of care and services to Resident #1. The facility failed to conduct ongoing monitoring and supervision of LVN A and LVN B to assure the implementation of Resident #1's care plan as written. […]

• Immediate jeopardy, isolatedF690Oct 4, 2023

  Based on interview and record review, the facility failed to ensure a resident with urinary incontinence, based on the resident's comprehensive assessment, who enters the facility with an indwelling catheter or subsequently receives one is assessed for removal of the catheter as soon as possible unless the resident's clinical condition demonstrates that catheterization is necessary and a resident who is incontinent of bladder receives appropriate treatment and services to prevent urinary tract infections for one (Resident #1) of five residents reviewed for Urinary Tract Infection (UTI). On [DATE] Resident #1's FC was discontinued after unknown nurse reported leakage. […]