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 21 of 21 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 10, 2023).

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

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

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

    Health citation F-0623, Resident Rights Deficiencies. Inspection of March 7, 2023. Found during a standard inspection.

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

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

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

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of March 7, 2023. Found during a standard inspection.

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

  7. 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.

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of March 7, 2023. Found during a standard inspection.

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

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

    Construct fire resistant interior walls.

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

    Fire safety citation K-0331, Smoke Deficiencies. Inspection of March 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 24, 2023).

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

    Give the resident's representative the ability to exercise the resident's rights.

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

    Health citation F-0551, Resident Rights Deficiencies. Inspection of March 7, 2023. Found during a standard inspection.

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

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

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

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

    Health citation F-0582, Resident Rights Deficiencies. Inspection of March 7, 2023. Found during a standard inspection.

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

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

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

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

    Health citation F-0625, Resident Rights Deficiencies. Inspection of March 7, 2023. Found during a standard inspection.

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

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

    PASARR screening for Mental disorders or Intellectual Disabilities

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

    Health citation F-0645, Resident Assessment and Care Planning Deficiencies. Inspection of March 7, 2023. Found during a standard inspection.

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

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

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

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

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

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

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of March 7, 2023. Found during a standard inspection.

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

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

    Provide care or services that was trauma informed and/or culturally competent.

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

    Health citation F-0699, Quality of Life and Care Deficiencies. Inspection of March 7, 2023. Found during a standard inspection.

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

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

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

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

    Health citation F-0740, Quality of Life and Care Deficiencies. Inspection of March 7, 2023. Found during a standard inspection.

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

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

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of March 7, 2023. Found during a standard inspection.

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

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

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

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

    Fire safety citation K-0211, Egress Deficiencies. Inspection of March 7, 2023. Found during a standard inspection.

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

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

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

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

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of March 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 29, 2023).

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

    Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.

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

    Fire safety citation K-0361, Smoke Deficiencies. Inspection of March 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 29, 2023).

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

    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

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

    Fire safety citation K-0362, Smoke Deficiencies. Inspection of March 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 29, 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.