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OAKS AT AVON

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OAKS AT AVON VS
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General
City AVON PARK   vs 0% Nursing Homes USA have AVON PARK
State attribute explanation FL   vs 4.4% Nursing Homes USA have FL
Street 1010 US 27 N  
Zip Code 33825  
Phone 8634535200  
Overall Star Rating
(2.11 lower than average)
vs
3.11

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

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

Quality Measures Star Rating
(0.69 higher than average)
vs
3.31

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

Number of Certified Beds
104  (4.94 lower than average)
vs
108.94

Total Number of Residents
97  (5.75 higher than average)
vs
91.25

Percent of Occupied Beds
93 % (9.35 % higher than average)
vs
83.65 %

Health Survey Date 1/27/2012  
Fire Survey Date 1/25/2012  
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? 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? Yes  vs 31.3% Nursing Homes USA 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 17  
Staff Information
Number of Residents
97  (5.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.33  (0.44 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.95  (0.11 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.28  (0.31 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.15  (5.34 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.15  (0.05 higher than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Some
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: 03/29/2012
date Of Correction: 04/20/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 10/23/2009
date Of Correction: 11/23/2009 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 09/29/2009
date Of Correction: 10/14/2009 

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: 10/25/2011
date Of Correction: 11/21/2011 

Deficiency #2 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: 10/23/2009
date Of Correction: 11/23/2009 

Deficiency #3 Scope: Few
level Of Harm: 3
deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.
survey Date: 10/23/2009
date Of Correction: 11/23/2009 

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident.
survey Date: 03/29/2012
date Of Correction: 04/20/2012 

Deficiency #2 Scope: Few
level Of Harm: 3
deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.
survey Date: 10/23/2009
date Of Correction: 11/23/2009 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Give Proper Treatment To Residents With Feeding Tubes To Prevent Problems (such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-pharyngeal Ulcers) And Help Restore Eating Skills, If Possible.
survey Date: 10/23/2009
date Of Correction: 11/23/2009 

Deficiency #2 Scope: Few
level Of Harm: 3
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 10/23/2009
date Of Correction: 11/23/2009 

Deficiency #3 Scope: Few
level Of Harm: 3
deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.
survey Date: 10/23/2009
date Of Correction: 11/23/2009 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 10/23/2009
date Of Correction: 11/23/2009 

Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 06/08/2009
date Of Correction: 07/08/2009 

Deficiency #6 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 06/08/2009
date Of Correction: 07/08/2009 

Administration Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 10/23/2009
date Of Correction: 11/23/2009 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 10/13/2010
date Of Correction: 10/27/2010 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 09/29/2009
date Of Correction: 10/14/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
16.9-24 % (8.19 % lower than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
1.3 % (31.65 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
75.2 % (58.54 % higher than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
4.5 % (8.08 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
16.4 % (4.57 % higher than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.9 % (13.73 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
6.8 % (6.66 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
1.3 % (27.08 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
1.3 % (42.38 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
25 % (0.02 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
85.8 % (1.16 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
92.4 % (8.46 % 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
1.3 % (14.22 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
17 % (8.39 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
3.1 % (20.6 % lower than average)
vs
23.70 %

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

Percent of long-stay high-risk residents with pressure ulcers 8.6:1 % 
Percent of long-stay residents who lose too much weight
11.7 % (3.2 % higher than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
40.8 % (2.58 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.1 % (7.55 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
5.5 % (4.08 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
1.8 % (18.06 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
2.20 % (36.33 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
1.8 % (8.93 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
18.6 (65.5) % (6.16 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
83.2 % (1.76 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
94.9 % (20.15 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
14.9-28 % (2.44 % lower than average)
vs
17.34 %



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