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AVALON VALLEY REHABILITATION CENTER

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AVALON VALLEY REHABILITATION CENTER VS
All other Nursing Homes USA
General
Percent of short-stay residents with Pressure ulcers that are new or worsened 75.2 % 
City SALT LAKE CITY   vs 0.1% Nursing Homes USA have SALT LAKE CITY
State attribute explanation UT   vs 0.6% Nursing Homes USA have UT
Street 2472 SOUTH 300 EAST  
Zip Code 84115  
Phone 8014662211  
Overall Star Rating
(1.11 lower than average)
vs
3.11

Health Inspections Star Rating
(0.83 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
(0.17 lower than average)
vs
3.17

Number of Certified Beds
140  (31.06 higher than average)
vs
108.94

Total Number of Residents
123  (31.75 higher than average)
vs
91.25

Percent of Occupied Beds
88 % (4.35 % higher than average)
vs
83.65 %

Health Survey Date 9/2/2010  
Fire Survey Date 9/1/2010  
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 For Profit - Corporation  vs 56.7% Nursing Homes USA have For profit - Corporation
Located Within a Hospital? No  vs 93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? Yes  vs 54.9% Nursing Homes USA have Multi Nursing Home Ownership?
Resident and Family Councils RESIDENT   vs 66% Nursing Homes USA have RESIDENT
Continuing Care Retirement Community? No  vs 90.9% Nursing Homes USA don't 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
(56.16 lower than average)
vs
58.16

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

# of deficiencies
(1.52 higher than average)
vs
7.48

Environmental Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 01/26/2012
date Of Correction: 03/09/2012 

Deficiency #2 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: 06/01/2011
date Of Correction: 07/15/2011 

Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents.
survey Date: 12/06/2010
date Of Correction: 01/19/2011 

Resident Rights Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.
survey Date: 03/21/2012
date Of Correction: 05/04/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure Each Resident Has The Right To Have A Choice Over Activities, Their Schedules And Health Care According To His Or Her Interests, Assessment, And Plan Of Care.
survey Date: 09/02/2010
date Of Correction: 10/15/2010 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Let Each Resident Choose A Personal Doctor.
survey Date: 09/02/2010
date Of Correction: 10/15/2010 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.
survey Date: 04/08/2009
date Of Correction: 05/15/2009 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: At Least Once A Month, Have A Licensed Pharmacist Review Each Resident's Medication(s) And Report Any Irregularities To The Attending Doctor.
survey Date: 09/02/2010
date Of Correction: 10/15/2010 

Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 04/08/2009
date Of Correction: 05/15/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication 22.4:1 % 
Percent of long-stay residents whose need for help with daily activities has increased
3.4 % (29.55 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain 17.3:1 % 
Percent of long-stay high-risk residents with pressure ulcers
6.7 % (5.88 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight 10.3:1 % 
Percent of long-stay low-risk residents who lose control of their bowels or bladder
61.5 % (16.96 % higher than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.1 % (14.53 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
1 % (12.46 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
59.6 % (31.22 % higher than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
5.1 % (38.58 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
50.9 % (25.88 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
97.5 % (12.86 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
96.9 % (12.96 % higher than average)
vs
83.94 %

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
2 % (13.52 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
17.6 % (7.79 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
2.20 % (21.5 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain 19.4:1 % 
Percent of long-stay high-risk residents with pressure ulcers
6.8 % (2.42 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
8.2 % (0.3 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
62.7 % (19.32 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.9 % (7.75 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
1.4 % (8.18 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
42.9 % (23.04 % higher than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
5.1 % (33.43 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
2.7 % (8.03 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
54.3 % (29.54 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
97.7 % (16.26 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
98 % (23.25 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
2.1 % (15.24 % lower than average)
vs
17.34 %



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