All citations for Avamere at Three Fountains

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Avamere at Three Fountains

Last standard health inspection on record

July 9, 2026

Showing 1 to 25 of 37 citations

  1. Harm to a resident

    Ensure services provided by the nursing facility meet professional standards of quality.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of April 1, 2024. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (August 30, 2023).

  2. Harm to a resident

    Ensure that residents are free from significant medication errors.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of April 1, 2024. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (August 30, 2023).

  3. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of January 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 14, 2025).

  4. No harm, with potential for more than minimal harm

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of January 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 6, 2025).

  5. No harm, with potential for more than minimal harm

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 6, 2025).

  6. No harm, with potential for more than minimal harm

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

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of August 25, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 30, 2023).

  7. No harm, with potential for more than minimal harm

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0211, Egress Deficiencies. Inspection of August 25, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 30, 2023).

  8. No harm, with potential for more than minimal harm

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of August 25, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 30, 2023).

  9. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of August 25, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 30, 2023).

  10. No harm, with potential for more than minimal harm

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of August 25, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 30, 2023).

  11. No harm, with potential for more than minimal harm

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 25, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 30, 2023).

  12. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of July 9, 2026. Found during a standard inspection.

    The home has a plan to correct it (August 6, 2026).

  13. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of August 25, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 30, 2023).

  14. No harm, with potential for more than minimal harm

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0921, Environmental Deficiencies. Inspection of August 25, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 30, 2023).

  15. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of July 9, 2026. Found during a standard inspection.

    The home has a plan to correct it (August 6, 2026).

  16. No harm, with potential for more than minimal harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of July 9, 2026. Found during a standard inspection.

    The home has a plan to correct it (August 6, 2026).

  17. No harm, with potential for more than minimal harm

    Provide activities to meet all resident's needs.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0679, Quality of Life and Care Deficiencies. Inspection of July 9, 2026. Found during a standard inspection.

    The home has a plan to correct it (August 6, 2026).

  18. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of July 9, 2026. Found during a standard inspection.

    The home has a plan to correct it (August 6, 2026).

  19. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0554, Resident Rights Deficiencies. Inspection of January 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 14, 2025).

  20. No harm, with potential for more than minimal harm

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of January 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 14, 2025).

  21. No harm, with potential for more than minimal harm

    Implement a program that monitors antibiotic use.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0881, Infection Control Deficiencies. Inspection of January 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 14, 2025).

  22. No harm, with potential for more than minimal harm

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0947, Nursing and Physician Services Deficiencies. Inspection of January 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 14, 2025).

  23. No harm, with potential for more than minimal harm

    Have an externally vented heating system.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0522, Services Deficiencies. Inspection of January 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 6, 2025).

  24. No harm, with potential for more than minimal harm

    Protect each resident from the wrongful use of the resident's belongings or money.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0602, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of April 1, 2024. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (November 27, 2023).

  25. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0554, Resident Rights Deficiencies. Inspection of August 25, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 30, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.