Avenue At Aurora
AVENUE AT AURORA in AURORA, OH — inspection on August 18, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Review of the fall risk assessment dated [DATE] revealed Resident #86 was at risk for falls.
Review of the nursing progress note dated 07/03/25 at 6:04 P.M. revealed Resident # 86 was transferring himself from the wheelchair to the toilet. He stated his legs began to give out, and when he tried to sit back in his wheelchair, he missed. He was assessed, and his blood pressure was 130/69, heart rate 93, respirations 18, temperature 98.6 degrees F, and pulse ox 97%. No injuries were noted.
The residents' family and physician were notified.
Review of the IDT fall investigation dated 07/03/25 revealed no predisposing factors could be identified regarding the fall. An immediate intervention was recommended to add a call before you fall sign to Resident #86's room.
Observation and interview on 08/18/25 at 10:26 A.M. with CNA #204 revealed she was unaware Resident #86 had falls since his admission, and she was unaware of any fall prevention interventions for him.
Observation at the time of the interview revealed no evidence of a call before you fall sign in Resident #86's room. CNA #204 confirmed the observation.
Interview on 08/18/25 at 11:44 A.M, with the DON confirmed there was no reminder to call for help sign in Resident #86's room.
Review of the facility policy titled Fall Management, dated December 2022, revealed the facility would identify residents at risk for falls and develop a care plan with interventions to manage those falls.
Care plans would be updated as needed with interventions to attempt to prevent further falls.
This deficiency represents noncompliance investigated under Complaint Number 2581235.
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