AVALON VALLEY REHABILITATION CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Avalon Valley Rehabilitation Center. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

AVALON VALLEY REHABILITATION CENTER
2472 SOUTH 300 EAST
SALT LAKE CITY, UT 84115
(801) 466-2211

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

88%

Number of Residents and Certified Beds

  • Residents: 123
  • Certified Beds: 140

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

West Valley City | Holladay | Murray

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Avalon Valley Rehabilitation Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation Plus Extensive Services

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-164.4%
Total Percent:4.4%
 

Very High Rehabilitation Plus Extensive Services

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-161.7%
Total Percent:1.7%
 

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-1638.2%
ADL Index Range: 6-106.7%
Total Percent:44.9%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1618.0%
Total Percent:18.0%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1612.7%
ADL Index Range: 6-102.0%
Total Percent:14.7%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-168.7%
ADL Index Range: 6-104.7%
Total Percent:13.3%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 11-14
- Signs of depression
0.5%
ADL Index Range: 6-10
- Signs of depression
0.4%
ADL Index Range: 6-10
- No Signs of depression
0.4%
ADL Index Range: 2-5
- No Signs of depression
0.7%
Total Percent:2.0%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 6-10
- Less restorative nursing
0.9%
Total Percent:0.9%
 

Rating Details For Avalon Valley Rehabilitation Center

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours40 Minutes1 Hour and 28 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours49 Minutes53 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 10 Minutes2 Hours and 57 Minutes
Total Licensed Nurse Hours1 Hour and 28 Minutes2 Hours and 21 Minutes
Total Nurse Hours3 Hours and 38 Minutes5 Hours and 18 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Utah are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityUtah Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%91%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90%92%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased9%15%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection11%9%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder70%50%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores11%9%
Percent of Long-Stay Residents Who Are More Depressed or Anxious33%22%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain3%9%
Percent of Long-Stay Residents Who Were Physically Restrained-5%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder6%6%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair-4%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse13%13%
Percent of Long-Stay Residents Who Lose Too Much Weight5%6%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season78%90%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%89%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium7%3%
Percent of Short-Stay Residents Who Have Pressure Sores12%12%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain25%36%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 09/02/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Give or Get Lab Tests to Meet the Needs of Residents.
  • Inspection Date: 03/13/2008
  • Correction Date: 04/24/2008
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 03/13/2008
  • Correction Date: 04/24/2008
Give or Get Lab Tests to Meet the Needs of Residents.
  • Inspection Date: 04/08/2009
  • Correction Date: 05/15/2009
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 09/02/2010
  • Correction Date: 10/15/2010

Environmental

Keep All Essential Equipment Working Safely.
  • Inspection Date: 03/13/2008
  • Correction Date: 04/24/2008
Keep Safe, Clean and Homelike Surroundings.
  • Inspection Date: 09/02/2010
  • Correction Date: 10/15/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 09/02/2010
  • Correction Date: 10/15/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 09/02/2010
  • Correction Date: 10/15/2010

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Inspection Date: 03/13/2008
  • Correction Date: 04/24/2008

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 04/08/2009
  • Correction Date: 05/15/2009

Resident Assessment

Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
  • Inspection Date: 03/13/2008
  • Correction Date: 04/24/2008
Keep Assessments Completed in the Preceding 15 Months in the Resident's Active Record.
  • Inspection Date: 03/13/2008
  • Correction Date: 04/24/2008
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
  • Inspection Date: 04/08/2009
  • Correction Date: 05/15/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 04/08/2009
  • Correction Date: 05/15/2009

Resident Rights

Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Inspection Date: 03/13/2008
  • Correction Date: 04/24/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 09/02/2010
  • Correction Date: 10/15/2010
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 09/02/2010
  • Correction Date: 10/15/2010

Enforcement

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

Action TakenDateAmount
Civil Money Penalty (CMP)09/02/2010$3,000

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Avalon Valley Rehabilitation Center, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Mistreatment

1) Hire Only People Who Have 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.
  • Complaint Filed: 12/06/2010
  • Correction Date: 01/19/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Complaint Filed: 04/08/2009
  • Correction Date: 05/15/2009

Pharmacy Service

At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Complaint Filed: 09/02/2010
  • Correction Date: 10/15/2010

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Complaint Filed: 04/08/2009
  • Correction Date: 05/15/2009
Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care.
  • Complaint Filed: 09/02/2010
  • Correction Date: 10/15/2010
Let Each Resident Choose a Personal Doctor.
  • Complaint Filed: 09/02/2010
  • Correction Date: 10/15/2010

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Avalon Valley Rehabilitation Center had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 09/01/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 09/01/2010
  • Correction Date: 10/15/2010

Building Construction

Approved Construction Type or Materials.
  • Inspection Date: 04/03/2008
  • Correction Date: 05/19/2008
A Two-Hour-Resistant Firewall in Common Walls.
  • Inspection Date: 05/05/2009
  • Correction Date: 06/05/2009
Approved Construction Type or Materials.
  • Inspection Date: 05/05/2009
  • Correction Date: 06/05/2009

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 05/05/2009
  • Correction Date: 06/05/2009
Restrictions on the Use of Portable Space Heaters.
  • Inspection Date: 09/01/2010
  • Correction Date: 10/15/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 04/03/2008
  • Correction Date: 05/19/2008

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 05/05/2009
  • Correction Date: 06/05/2009
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 09/01/2010
  • Correction Date: 10/15/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 05/05/2009
  • Correction Date: 06/15/2009

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 09/01/2010
  • Correction Date: 10/15/2010

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 04/03/2008
  • Correction Date: 05/19/2008

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 04/03/2008
  • Correction Date: 05/19/2008
Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 09/01/2010
  • Correction Date: 10/15/2010

Vertical Openings

Exit Doors That Are Held Open by Devices That Will Automatically Close on the Activation of a Fire Alarm or Smoke Detectors.
  • Inspection Date: 09/01/2010
  • Correction Date: 10/15/2010
Source: Medicare Nursing Home Compare; Dept of Health of Utah - Bureau of Medicare/Medicaid Program-Certification and Resident Assessment - Retrieved 2011