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AVALON SPRINGS NURSING CENTER

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AVALON SPRINGS NURSING CENTER VS
All other Nursing Homes USA
General
City MERCER   vs 0% Nursing Homes USA have MERCER
State attribute explanation PA   vs 4.5% Nursing Homes USA have PA
Street 745 GREENVILLE ROAD  
Zip Code 16137  
Phone 7246625400  
Overall Star Rating
(2.11 lower than average)
vs
3.11

Health Inspections Star Rating
(1.83 lower than average)
vs
2.83

Nurse Staffing Star Rating
(1.17 lower than average)
vs
3.17

Quality Measures Star Rating
(0.31 lower than average)
vs
3.31

RN Only Star Rating
(1.17 lower than average)
vs
3.17

Number of Certified Beds
100  (8.94 lower than average)
vs
108.94

Total Number of Residents
94  (2.75 higher than average)
vs
91.25

Percent of Occupied Beds
94 % (10.35 % higher than average)
vs
83.65 %

Health Survey Date 6/7/2012  
Fire Survey Date 6/12/2012  
Sprinkler Status Fully Sprinklered  vs 90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicare And Medicaid  vs 91.5% Nursing Homes USA have Medicare and Medicaid
Type of Ownership Non Profit - Corporation  vs 18.7% Nursing Homes USA have Non profit - Corporation
Located Within a Hospital? No  vs 93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? No  vs 45.1% Nursing Homes USA don't have Multi Nursing Home Ownership?
Resident and Family Councils RESIDENT   vs 66% Nursing Homes USA have RESIDENT
Continuing Care Retirement Community? Yes  vs 9.1% Nursing Homes USA have Continuing Care Retirement Community?
Quality Indicator Survey? No  vs 68.7% Nursing Homes USA don't have Quality Indicator Survey?
Special Focus Facility? No  vs 99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count
(57.16 lower than average)
vs
58.16

Total Enforcement Actions Count
(55.31 lower than average)
vs
56.31

# of deficiencies
11  (3.52 higher than average)
vs
7.48

Staff Information
Number of Residents
94  (2.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.66  (0.11 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
1.12  (0.28 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.78  (0.19 higher than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.06  (5.43 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.06  (0.04 lower than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 05/09/2011
date Of Correction: 06/17/2011 

Deficiency #2 Scope: Some
level Of Harm: 1
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 11/17/2010
date Of Correction: 12/10/2010 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 07/27/2010
date Of Correction: 08/27/2010 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 06/10/2010
date Of Correction: 07/23/2010 

Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 10/17/2011
date Of Correction: 10/28/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 05/09/2011
date Of Correction: 06/17/2011 

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Enough Notice Before Discharging Or Transferring A Resident.
survey Date: 05/25/2010
date Of Correction: 06/25/2010 

Quality Care Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration.
survey Date: 05/09/2011
date Of Correction: 06/17/2011 

Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.
survey Date: 05/09/2011
date Of Correction: 06/17/2011 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: 1) Make Sure That Each Resident's Drug Regimen Is Free From Unnecessary Drugs; 2) Each Resident's Entire Drug/medication Is Managed And Monitored To Achieve Highest Well Being.
survey Date: 07/27/2010
date Of Correction: 08/27/2010 

Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Offer Other Nutritional Food To Each Resident Who Will Not Eat The Food Served.
survey Date: 11/30/2011
date Of Correction: 01/20/2012 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
14.3 % (10.79 % lower than average)
vs
25.09 %

Percent of long-stay residents who self-report moderate to severe pain
11.5 % (5.16 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
1.6 % (10.98 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
9.8 % (2.03 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
36.4 % (8.14 % lower than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
4 % (11.63 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
7.6 % (5.86 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms 19.4:1 % 
Percent of long-stay residents who were physically restrained
4.3 % (39.38 % lower than average)
vs
43.68 %

Percent of short-stay residents who newly received an antipsychotic medication
75.2  (29.3 higher than average)
vs
45.90

Percent of long-stay residents experiencing one or more falls with major injury
5.4 % (10.12 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
17.4 % (7.99 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
2.1 % (21.6 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
11.2-20 % (2.9 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
3.4 % (5.82 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
7.5 % (1 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
32 % (11.38 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.5 % (7.15 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
6 % (3.58 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
18.8 % (1.06 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
3.3 % (35.23 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
18.6 (65.5) % (7.87 % higher than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
28.2 % (3.44 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
69.8 % (11.64 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
80.8 % (6.05 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
3.5 % (13.84 % lower than average)
vs
17.34 %



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