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AVALON CARE CENTER - SHADOW MOUNTAIN

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AVALON CARE CENTER - SHADOW MOUNTAIN VS
Nursing Homes USA
General
City SCOTTSDALE   0.1% Nursing Homes USA have SCOTTSDALE
State attribute explanation AZ   0.9% Nursing Homes USA have AZ
Street 11150 NORTH 92ND STREET  
Zip Code 85260  
Phone 4808601766  
Overall Star Rating
3.11
Health Inspections Star Rating
2.83
Nurse Staffing Star Rating
3.17
Quality Measures Star Rating
3.31
RN Only Star Rating
3.17
Number of Certified Beds
120 
108.94
Total Number of Residents
90 
91.25
Percent of Occupied Beds
75 %
83.65 %
Health Survey Date 6/29/2011  
Fire Survey Date 6/29/2011  
Sprinkler Status Fully Sprinklered  90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicare And Medicaid  91.5% Nursing Homes USA have Medicare and Medicaid
Type of Ownership For Profit - Corporation  56.7% Nursing Homes USA have For profit - Corporation
Located Within a Hospital? No  93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? Yes  54.9% Nursing Homes USA have Multi Nursing Home Ownership?
Resident and Family Councils RESIDENT   66% Nursing Homes USA have RESIDENT
Continuing Care Retirement Community? No  90.9% Nursing Homes USA don't have Continuing Care Retirement Community?
Quality Indicator Survey? Yes  31.3% Nursing Homes USA have Quality Indicator Survey?
Special Focus Facility? No  99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count
75.2 
58.16
Total Enforcement Actions Count
56.31
# of deficiencies 22  
Staff Information
Number of Residents
90 
91.38
Number of RN Hours Per Resident Per Day
0.88 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.62 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.49 
1.59
Number of CNA Hours Per Resident Per Day
0.04 
5.49
Number Therapy Hours Per Resident Per Day
0.04 
0.10
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: 11/30/2011
date Of Correction: 01/04/2012 
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: 11/30/2011
date Of Correction: 01/04/2012 
Deficiency #3 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: 06/29/2011
date Of Correction: 08/04/2011 
Resident Rights Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 1
deficiency: Allow Residents To Easily View The Results Of The Nursing Home's Most Recent Survey.
survey Date: 06/29/2011
date Of Correction: 08/04/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.
survey Date: 03/26/2010
date Of Correction: 06/10/2010 
Deficiency #3 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: 03/26/2010
date Of Correction: 06/10/2010 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Let The Resident Refuse Treatment Or Refuse To Take Part In An Experiment And Formulate Advance Directives.
survey Date: 03/26/2010
date Of Correction: 06/10/2010 
Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.
survey Date: 06/29/2011
date Of Correction: 08/04/2011 
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: 06/29/2011
date Of Correction: 08/04/2011 
Deficiency #3 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: 03/26/2010
date Of Correction: 06/10/2010 
Deficiency #4 Scope: Few
level Of Harm: 3
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 03/26/2010
date Of Correction: 06/10/2010 
Deficiency #5 Scope: Some
level Of Harm: 2
deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.
survey Date: 03/26/2010
date Of Correction: 06/10/2010 
Deficiency #6 Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 03/26/2010
date Of Correction: 06/10/2010 
Deficiency #7 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 03/26/2010
date Of Correction: 06/10/2010 
Deficiency #8 Scope: Some
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 03/26/2010
date Of Correction: 06/10/2010 
Deficiency #9 Scope: Few
level Of Harm: 2
deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life.
survey Date: 03/26/2010
date Of Correction: 06/10/2010 
Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Review Or Revise The Resident's Care Plan After Any Major Change In A Resident's Physical Or Mental Health.
survey Date: 03/26/2010
date Of Correction: 06/10/2010 
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: 03/26/2010
date Of Correction: 06/10/2010 
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: 11/30/2011
date Of Correction: 01/04/2012 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.
survey Date: 06/29/2011
date Of Correction: 08/04/2011 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 03/26/2010
date Of Correction: 06/10/2010 
Deficiency #4 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: 03/26/2010
date Of Correction: 06/10/2010 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication 21.2:1 % 
Percent of long-stay residents whose need for help with daily activities has increased
75.2 %
32.95 %
Percent of long-stay high-risk residents with pressure ulcers
4 %
12.58 %
Percent of long-stay residents who lose too much weight
7.6 %
11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
3 %
15.63 %
Percent of long-stay residents with a urinary tract infection
1.50 %
13.46 %
Percent of long-stay residents who have depressive symptoms
9.1 %
28.38 %
Percent of long-stay residents who were physically restrained
75.2 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain
33.3 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
89.8 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
97.7 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
3.5 %
45.90 %
Percent of long-stay residents experiencing one or more falls with major injury
75.2 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
19.2 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
75.2 %
23.70 %
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
3.3 %
9.22 %
Percent of long-stay residents who lose too much weight
7.8 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
20.3 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.9 %
10.65 %
Percent of long-stay residents with a urinary tract infection
1.4 %
9.58 %
Percent of long-stay residents who have depressive symptoms 10.1:1 % 
Percent of long-stay residents who were physically restrained
75.2 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
1.8 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
30.8 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
78.6 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
98.4 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
9.6 %
17.34 %

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