All citations for Avondale Villa Post-Acute

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 Avondale Villa Post-Acute

Last standard health inspection on record

May 16, 2025

Showing 1 to 25 of 35 citations

  1. 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 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 21, 2025).

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

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 19, 2025).

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

    Properly provide smoke detection systems in areas open to corridors.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0347, Smoke Deficiencies. Inspection of March 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 8, 2024).

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

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0521, Services Deficiencies. Inspection of March 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 8, 2024).

  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 March 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 8, 2024).

  6. 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 25, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 15, 2022).

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

    Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

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

    Fire safety citation K-0926, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 8, 2024).

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

    Provide properly protected cooking facilities.

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

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of May 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 20, 2025).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of May 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 19, 2025).

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

    Establish staff and initial training requirements.

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

    Emergency preparedness citation E-0037, Emergency Preparedness Deficiencies. Inspection of March 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 8, 2024).

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

    Conduct testing and exercise requirements.

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

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of March 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 8, 2024).

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

    Use approved construction type or materials.

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

    Fire safety citation K-0161, Construction Deficiencies. Inspection of March 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 8, 2024).

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

    Install emergency lighting that can last at least 1 1/2 hours.

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

    Fire safety citation K-0291, Egress Deficiencies. Inspection of March 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 8, 2024).

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

    Have properly located and lighted "Exit" signs.

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

    Fire safety citation K-0293, Egress Deficiencies. Inspection of March 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 8, 2024).

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

    Provide properly protected cooking facilities.

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

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of March 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 8, 2024).

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

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

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

    Fire safety citation K-0341, Smoke Deficiencies. Inspection of March 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 8, 2024).

  17. 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 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 8, 2024).

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

    Properly select, install, inspect, or maintain portable fire extinguishes.

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

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of March 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 8, 2024).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of March 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 8, 2024).

  20. 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 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 8, 2024).

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

    Develop and maintain an Emergency Preparedness Program (EP).

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

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of March 25, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 15, 2022).

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

    Address subsistence needs for staff and patients.

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

    Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of March 25, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 15, 2022).

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

    Establish procedures for tracking staff and patients during an emergency.

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

    Emergency preparedness citation E-0018, Emergency Preparedness Deficiencies. Inspection of March 25, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 15, 2022).

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

    Establish policies and procedures for volunteers.

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

    Emergency preparedness citation E-0024, Emergency Preparedness Deficiencies. Inspection of March 25, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 15, 2022).

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

    Establish roles under a Waiver declared by secretary.

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

    Emergency preparedness citation E-0026, Emergency Preparedness Deficiencies. Inspection of March 25, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 15, 2022).

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.