All citations for Avina on Division

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 Avina on Division

Last standard health inspection on record

May 21, 2025

Showing 1 to 25 of 71 citations

  1. Immediate jeopardy to resident health or safety

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Widespread (many residents). CMS level L.

    Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of March 28, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 15, 2026).

  2. Harm to a resident

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

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of March 28, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 23, 2026).

  3. 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 March 28, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 23, 2026).

  4. 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 April 30, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 15, 2026).

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

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Widespread (many residents). CMS level F.

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of March 28, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 23, 2026).

  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 March 28, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 23, 2026).

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

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Widespread (many residents). CMS level F.

    Health citation F-0835, Administration Deficiencies. Inspection of March 28, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 23, 2026).

  8. 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 May 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 29, 2025).

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

    Dispose of garbage and refuse properly.

    Widespread (many residents). CMS level F.

    Health citation F-0814, Nutrition and Dietary Deficiencies. Inspection of May 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 12, 2025).

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

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of May 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 12, 2025).

  11. 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 May 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 16, 2025).

  12. 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 May 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 24, 2025).

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

    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0354, Smoke Deficiencies. Inspection of May 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 23, 2025).

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

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

    Widespread (many residents). CMS level F.

    Health citation F-0801, Nutrition and Dietary Deficiencies. Inspection of March 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 19, 2024).

  15. 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 March 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 17, 2024).

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

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of March 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 9, 2024).

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

    Install a fire alarm system that can be heard throughout the facility.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0341, Smoke Deficiencies. Inspection of March 27, 2024. Found during a standard inspection.

    A waiver was granted (September 30, 2024).

  18. 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 March 27, 2024. Found during a standard inspection.

    A waiver was granted (September 1, 2024).

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

    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0354, Smoke Deficiencies. Inspection of March 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 18, 2024).

  20. 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 March 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 18, 2024).

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

    Meet requirements for the installation and maintenance of electrical systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0911, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 6, 2024).

  22. 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 March 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 6, 2024).

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

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Widespread (many residents). CMS level F.

    Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of March 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 7, 2023).

  24. 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 March 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 8, 2023).

  25. 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 March 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 8, 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.