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 51 to 71 of 71 citations

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

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

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

    Fire safety citation K-0222, Egress Deficiencies. Inspection of March 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 28, 2024).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of March 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 29, 2024).

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

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

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

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of March 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 20, 2024).

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

    Have restrictions on the use of portable space heaters.

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

    Fire safety citation K-0781, Miscellaneous Deficiencies. Inspection of March 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 28, 2024).

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

    Ensure proper usage of power strips and extension cords.

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

    Fire safety citation K-0920, 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 (March 28, 2024).

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

    Have proper medical gas storage and administration areas.

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

    Fire safety citation K-0923, 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 (March 28, 2024).

  7. 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).

  8. 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).

  9. 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).

  10. 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).

  11. 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).

  12. 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).

  13. 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).

  14. 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).

  15. 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).

  16. 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).

  17. 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).

  18. 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).

  19. 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).

  20. No harm, with potential for minimal harm

    Dispose of garbage and refuse properly.

    Widespread (many residents). CMS level C.

    Health citation F-0814, Nutrition and Dietary Deficiencies. Inspection of November 18, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 21, 2024).

  21. No harm, with potential for minimal harm

    Post nurse staffing information every day.

    Widespread (many residents). CMS level C.

    Health citation F-0732, Nursing and Physician Services Deficiencies. Inspection of March 27, 2024. Found during a standard inspection.

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

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.