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AVALON SPRINGS NURSING CENTER

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AVALON SPRINGS NURSING CENTER VS
Nursing Homes USA
General
City MERCER   0% Nursing Homes USA have MERCER
State attribute explanation PA   4.5% Nursing Homes USA have PA
Street 745 GREENVILLE ROAD  
Zip Code 16137  
Phone 7246625400  
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
100 
108.94
Total Number of Residents
94 
91.25
Percent of Occupied Beds
94 %
83.65 %
Health Survey Date 6/7/2012  
Fire Survey Date 6/12/2012  
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 Non Profit - Corporation  18.7% Nursing Homes USA have Non profit - Corporation
Located Within a Hospital? No  93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? No  45.1% Nursing Homes USA don't have Multi Nursing Home Ownership?
Resident and Family Councils RESIDENT   66% Nursing Homes USA have RESIDENT
Continuing Care Retirement Community? Yes  9.1% Nursing Homes USA have Continuing Care Retirement Community?
Quality Indicator Survey? No  68.7% Nursing Homes USA don't 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
11 
7.48
Staff Information
Number of Residents
94 
91.38
Number of RN Hours Per Resident Per Day
0.66 
0.77
Number of LPN/LVN Hours Per Resident Per Day
1.12 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.78 
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: 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 %
25.09 %
Percent of long-stay residents who self-report moderate to severe pain
11.5 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
1.6 %
12.58 %
Percent of long-stay residents who lose too much weight
9.8 %
11.83 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
36.4 %
44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
4 %
15.63 %
Percent of long-stay residents with a urinary tract infection
7.6 %
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 %
43.68 %
Percent of short-stay residents who newly received an antipsychotic medication
75.2 
45.90
Percent of long-stay residents experiencing one or more falls with major injury
5.4 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
17.4 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
2.1 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
11.2-20 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
3.4 %
9.22 %
Percent of long-stay residents who lose too much weight
7.5 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
32 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.5 %
10.65 %
Percent of long-stay residents with a urinary tract infection
6 %
9.58 %
Percent of long-stay residents who have depressive symptoms
18.8 %
19.86 %
Percent of long-stay residents who were physically restrained
3.3 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
18.6 (65.5) %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
28.2 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
69.8 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
80.8 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
3.5 %
17.34 %

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