Avenue At Aurora
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
limited mobility, difficulty walking and weakness. Interventions included ensuring the call light was within reach, ensuring nonslip footwear went out of bed, placing a call before you fall sign in his room in therapy as needed. Review of the fall risk assessment dated [DATE REDACTED] 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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AVENUE AT AURORA in AURORA, OH inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in AURORA, OH, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from AVENUE AT AURORA or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.