Inspection Reports for Avantara Redfield

The inspection was conducted to evaluate compliance with food safety standards, specifically to ensure resident food temperatures were monitored and recorded according to the provider's policy for all meals prepared and served in the facility's kitchen.

The provider failed to consistently document food temperatures for all meals as required by policy. Documentation was missing for multiple days in March and April 2025, despite efforts to improve charting. Interviews with kitchen staff and administration confirmed the issue and the expectation that all meals' food temperatures be documented.

The inspection was conducted following a facility-reported incident where a resident was served a food item containing a documented allergy, resulting in an allergic reaction requiring emergency treatment.

The facility failed to ensure the safety of a resident with a documented strawberry allergy who was served cake containing strawberries, leading to an allergic reaction and emergency department evaluation. The cook responsible was suspended for not following meal tray ticket policies, and corrective actions including staff education and audits were implemented.

The visit was complaint-related due to a facility-reported incident involving a resident served a food item containing a documented allergy. The complaint was substantiated as the resident experienced an allergic reaction requiring emergency treatment.

Routine inspection to assess compliance with health and safety regulations, including environmental conditions, respiratory care, food safety, and equipment maintenance.

The facility failed to maintain a clean and homelike environment, ensure safe respiratory care for a resident, maintain food safety and sanitation in the kitchen and dining areas, and keep essential kitchen equipment in safe working condition.

The inspection was conducted following facility-reported incidents involving two residents who eloped from the facility, raising concerns about resident safety and supervision.

The provider failed to ensure the safety of two residents at risk for elopement, resulting in one resident being outside alone for over two hours and stuck on railroad tracks, and another resident leaving the facility due to a deactivated door alarm. Corrective actions and education were implemented following these incidents.

The investigation was triggered by complaints regarding two residents who eloped from the facility. The first resident was found stuck on railroad tracks after being let out unnoticed by staff. The second resident eloped due to a door alarm being deactivated and not reactivated, resulting in over two hours outside the building.

The inspection was conducted due to concerns about the nursing facility's failure to ensure wound care treatments were completed per physician orders and properly documented for a resident.

The provider failed to ensure wound care treatments were completed and documented as ordered for one resident. Documentation gaps and missed treatments were identified, with some treatments not completed or not signed off, and lack of physician notification when treatments were missed.

The investigation was complaint-related, focusing on wound care treatment completion and documentation for resident 2. The complaint was substantiated with findings of incomplete treatments and documentation.

The inspection was conducted to assess compliance with regulations related to maintaining a safe, clean, and homelike environment and to ensure protection from abuse, including evaluation of facility conditions and resident care practices such as bathing.

The facility was found to have multiple environmental deficiencies including unclean doorways, peeling wallpaper, exposed screws in walls, damaged heating registers, and non-functional whirlpool tub. Additionally, resident care issues were noted, including failure to provide scheduled showers to many residents, resulting in unkempt appearance and body odor. The facility acknowledged these issues and was in the process of addressing some repairs and maintenance.

The inspection was conducted due to complaints regarding the lack of a functional whirlpool tub and inadequate showering schedules for residents.

The facility failed to provide a functional whirlpool tub for residents preferring tub baths and did not consistently offer scheduled showers to 16 of 40 sampled residents. Observations and interviews revealed residents with unkempt appearance and body odor, indicating infrequent bathing. Maintenance and administrative staff acknowledged ongoing issues with the whirlpool tub and difficulties in scheduling showers.

The visit was complaint-related, focusing on allegations of inadequate bathing and non-functional whirlpool tub. The complaint was substantiated based on observations, interviews, and record reviews.

The inspection was conducted as an annual survey to assess compliance with health and safety regulations at Avantara Redfield.

No health deficiencies were found during the inspection.

The inspection was conducted to assess compliance with regulatory requirements related to resident care, facility environment, infection control, medication administration, care planning, and activities.

The provider failed to meet several regulatory requirements including accommodating resident needs for specialized equipment, documenting advance directives, maintaining a clean and odor-free environment, developing complete care plans, administering medications according to professional standards, providing individualized activities, preventing pressure ulcers, maintaining kitchen cleanliness, and implementing infection prevention and control measures.