Back

AVALON SOUTHWEST HEALTH & REHABILITATION

Details Rankings Comparisons Related
Compare with other Nursing Homes USA
 Compare
AVALON SOUTHWEST HEALTH & REHABILITATION VS
Nursing Homes USA
General
City TUCSON   0.1% Nursing Homes USA have TUCSON
State attribute explanation AZ   0.9% Nursing Homes USA have AZ
Street 2900 EAST MILBER STREET  
Zip Code 85714  
Phone 5202940005  
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
240 
108.94
Total Number of Residents
175 
91.25
Percent of Occupied Beds
73 %
83.65 %
Health Survey Date 10/7/2011  
Fire Survey Date 10/7/2011  
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
58.16
Total Enforcement Actions Count
56.31
# of deficiencies 42  
Staff Information
Number of Residents
175 
91.38
Number of RN Hours Per Resident Per Day
0.47 
0.77
Number of LPN/LVN Hours Per Resident Per Day
1.03 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.49 
1.59
Number of CNA Hours Per Resident Per Day
0.06 
5.49
Number Therapy Hours Per Resident Per Day
0.06 
0.10
Environmental Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Make Sure That A Working Call System Is Available In Each Resident's Room Or Bathroom And Bathing Area.
survey Date: 10/07/2011
date Of Correction: 12/21/2011 
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: 10/07/2011
date Of Correction: 12/21/2011 
Deficiency #3 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: 03/29/2011
date Of Correction: 05/09/2011 
Deficiency #4 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: 10/01/2009
date Of Correction: 11/10/2009 
Deficiency #5 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: 05/08/2009
date Of Correction: 05/27/2009 
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: 03/29/2011
date Of Correction: 05/09/2011 
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: 07/08/2010
date Of Correction: 08/20/2010 
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: 07/08/2010
date Of Correction: 08/20/2010 
Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 10/01/2009
date Of Correction: 11/10/2009 
Deficiency #5 Scope: Some
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: 10/01/2009
date Of Correction: 11/10/2009 
Resident Rights Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 1
deficiency: Allow Residents To Easily View The Results Of The Nursing Home's Most Recent Survey.
survey Date: 10/07/2011
date Of Correction: 12/21/2011 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Properly Hold, Secure And Manage Each Resident's Personal Money Which Is Deposited With The Nursing Home.
survey Date: 10/07/2011
date Of Correction: 12/21/2011 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Give Each Resident A Notice Of Rights, Rules, Services And Charges. Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items And Services Medicaid Covers And Which The Resident Must Pay For.
survey Date: 10/07/2011
date Of Correction: 12/21/2011 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Provide Enough Notice Before Discharging Or Transferring A Resident.
survey Date: 11/23/2010
date Of Correction: 02/04/2011 
Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Determine If It Is Safe For The Resident To Self-administer Drugs.
survey Date: 09/28/2010
date Of Correction: 11/10/2010 
Deficiency #6 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: 07/08/2010
date Of Correction: 08/20/2010 
Deficiency #7 Scope: Few
level Of Harm: 2
deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.
survey Date: 10/01/2009
date Of Correction: 11/10/2009 
Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 01/26/2012
date Of Correction: 03/13/2012 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 07/08/2010
date Of Correction: 08/20/2010 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 07/08/2010
date Of Correction: 08/20/2010 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses.
survey Date: 10/01/2009
date Of Correction: 11/10/2009 
Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 10/01/2009
date Of Correction: 11/10/2009 
Deficiency #6 Scope: Some
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 10/01/2009
date Of Correction: 11/10/2009 
Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.
survey Date: 01/26/2012
date Of Correction: 03/13/2012 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.
survey Date: 10/07/2011
date Of Correction: 12/21/2011 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 10/07/2011
date Of Correction: 12/21/2011 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional.
survey Date: 11/23/2010
date Of Correction: 02/04/2011 
Administration Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 1
deficiency: Post Nurse Staffing Information/data On A Daily Basis.
survey Date: 10/07/2011
date Of Correction: 12/21/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 11/23/2010
date Of Correction: 02/04/2011 
Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action.
survey Date: 07/08/2010
date Of Correction: 08/20/2010 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 10/01/2009
date Of Correction: 11/10/2009 
Deficiency #5 Scope: Some
level Of Harm: 2
deficiency: Employ Or Obtain Outside Professional Resources Providing Services In The Nursing Home That Meet Professional Standards.
survey Date: 10/01/2009
date Of Correction: 11/10/2009 
Deficiency #6 Scope: Few
level Of Harm: 2
deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .
survey Date: 10/01/2009
date Of Correction: 11/10/2009 
Deficiency #7 Scope: Some
level Of Harm: 2
deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action.
survey Date: 05/08/2009
date Of Correction: 05/27/2009 
Deficiency #8 Scope: Some
level Of Harm: 2
deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .
survey Date: 05/08/2009
date Of Correction: 05/27/2009 
Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 01/26/2012
date Of Correction: 03/13/2012 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.
survey Date: 10/07/2011
date Of Correction: 12/21/2011 
Deficiency #3 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: 10/07/2011
date Of Correction: 12/21/2011 
Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.
survey Date: 03/29/2011
date Of Correction: 05/09/2011 
Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.
survey Date: 10/01/2009
date Of Correction: 11/10/2009 
Deficiency #6 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 10/01/2009
date Of Correction: 11/10/2009 
Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 10/07/2011
date Of Correction: 12/21/2011 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
32.2 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
75.2 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
13.6-28 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
5.3 %
12.58 %
Percent of long-stay residents who lose too much weight 9.9:1 % 
Percent of long-stay residents who have had a catheter inserted and left in their bladder 8.9 / 9.9 % 
Percent of long-stay residents with a urinary tract infection
5.7 %
13.46 %
Percent of long-stay residents who have depressive symptoms
1.8 %
28.38 %
Percent of long-stay residents who were physically restrained
5.8 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain
34.8 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
71.9 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
71.3 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
6.3 %
45.90 %
Percent of long-stay residents experiencing one or more falls with major injury
5.8 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
28.2 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
0.3 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
20.9 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
6.4 %
9.22 %
Percent of long-stay residents who lose too much weight
12 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
24 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
6.9 %
10.65 %
Percent of long-stay residents with a urinary tract infection
4.8 %
9.58 %
Percent of long-stay residents who have depressive symptoms
2 %
19.86 %
Percent of long-stay residents who were physically restrained
6.8 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
5 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
32.6 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
67.6 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
63.4 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
46.1 %
17.34 %

saved