All citations for Avante At Lake Worth, Inc.

Reasonably accommodate the needs and preferences of each resident.

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

HAZARDOUS AREAS - ENCLOSURE Hazardous Areas - Enclosure Hazardous areas are protected by a fire barrier having 1-hour fire resistance rating (with 3/4 hour fire rated doors) or an automatic fire extinguishing system in accordance with 8.7.1 or 19.3.5.9. When the approved automatic fire extinguishing system option is used, the areas shall be separated from other spaces by smoke resisting partitions and doors in accordance with 8.4. Doors shall be self-closing or automatic-closing and permitted to have nonrated or field-applied protective plates that do not exceed 48 inches from the bottom of the door. Describe the floor and zone locations of hazardous areas that are deficient in REMARKS. 19.3.2.1, 19.3.5.9 Area Automatic Sprinkler Separation N/A a. Boiler and Fuel-Fired Heater Rooms b. Laundries (larger than 100 square feet) c. Repair, Maintenance, and Paint Shops d. Soiled Linen Rooms (exceeding 64 gallons) e. Trash Collection Rooms (exceeding 64 gallons) f. Combustible Storage Rooms/Spaces (over 50 square feet) g. Laboratories (if classified as Severe Hazard - see K322)

FLAMMABLE STORAGE - GENERAL The storage and handling of flammable liquids or gases shall be in accordance with the following applicable standards: (1) NFPA 30, Flammable and Combustible Liquids Code (2) NFPA 54, National Fuel Gas Code (3) NFPA 58, Liquefied Petroleum Gas Code No storage or handling of flammable liquids or gases shall be permitted in any location where such storage would jeopardize egress from the structure, unless otherwise permitted by 8.7.3.1. NFPA 101 (2021) 18.3.2.1 & 19.3.2.1, 8.7.3.1, 8.7.3.2, NFPA 30, NFPA 54, NFPA 58.

SUBDIVISION OF BUILDING SPACES - SMOKE BARRIE Subdivision of Building Spaces - Smoke Barrier Construction 2012 EXISTING Smoke barriers shall be constructed to a 1/2-hour fire resistance rating per 8.5. Smoke barriers shall be permitted to terminate at an atrium wall. Smoke dampers are not required in duct penetrations in fully ducted HVAC systems where an approved sprinkler system is installed for smoke compartments adjacent to the smoke barrier. 19.3.7.3, 8.6.7.1(1) Describe any mechanical smoke control system in REMARKS.

EMERGENCY LIGHTING Emergency Lighting Emergency lighting of at least 1-1/2-hour duration is provided automatically in accordance with 7.9. 18.2.9.1, 19.2.9.1

SPRINKLER SYSTEM - MAINTENANCE AND TESTING Sprinkler System - Maintenance and Testing Automatic sprinkler and standpipe systems are inspected, tested, and maintained in accordance with NFPA 25, Standard for the Inspection, Testing, and Maintaining of Water-based Fire Protection Systems. Records of system design, maintenance, inspection and testing are maintained in a secure location and readily available. a) Date sprinkler system last checked _____________________ b) Who provided system test ____________________________ c) Water system supply source __________________________ Provide in REMARKS information on coverage for any non-required or partial automatic sprinkler system. 9.7.5, 9.7.7, 9.7.8, and NFPA 25

Immediately tell the resident, the resident''s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident''s ability to function.

Respond appropriately to all alleged violations.

PASARR screening for Mental disorders or Intellectual Disabilities

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Provide enough food/fluids to maintain a resident''s health.

Allow residents to self-administer drugs if determined clinically appropriate.

Reasonably accommodate the needs and preferences of each resident.

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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.

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Provide and implement an infection prevention and control program.

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.

Provide safe and appropriate respiratory care for a resident when needed.

Provide safe, appropriate dialysis care/services for a resident who requires such services.

PHYSICAL ENVIRONMENT - SAFE, CLEAN, HOMELIKE

RIGHT TO ADEQUATE AND APPROPRIATE HEALTH CARE

CONTROLLED DRUG - ACCOUNTING

RIGHT TO BE FREE FROM CHEMICAL RESTRAINTS

RESIDENT RECORDS - IDENTIFIABLE INFORMATION

PHARMACY SRVCS/PROCEDURES/PHARMACIST/RECORDS

REASONABLE ACCOMMODATIONS NEEDS/PREFERENCES

NUTRITION/HYDRATION STATUS MAINTENANCE

TUBE FEEDING MGMT/RESTORE EATING SKILLS

FREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES

RESPIRATORY/TRACHEOSTOMY CARE AND SUCTIONING

LABEL/STORE DRUGS AND BIOLOGICALS

FOOD PROCUREMENT,STORE/PREPARE/SERVE-SANITARY

INFECTION PREVENTION & CONTROL

RESIDENT MEDICAL RECORDS

RESIDENT SELF-ADMIN MEDS-CLINICALLY APPROP

NOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC.)

INVESTIGATE/PREVENT/CORRECT ALLEGED VIOLATION

PASARR SCREENING FOR MD & ID

QUALITY OF CARE

DIALYSIS

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.

SAFE/CLEAN/COMFORTABLE/HOMELIKE ENVIRONMENT

PHYSICAL ENVIRONMENT - SAFE, CLEAN, HOMELIKE

Provide enough food/fluids to maintain a resident''s health.