AVALON VILLAGE

The information listed below provides an in-depth look into the type and quality of care offered at Avalon Village. 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 VILLAGE
200 KINGSTON CIR
LIGONIER, IN 46767
(260) 894-7131

Nursing Home Ratings

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

Percent of Beds Occupied

70%

Number of Residents and Certified Beds

  • Residents: 47
  • Certified Beds: 67

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:

Syracuse | Albion | Goshen

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 "Very 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 Village. 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

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 6-105.7%
ADL Index Range: 0-55.2%
Total Percent:10.9%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1613.0%
ADL Index Range: 6-1063.0%
Total Percent:76.1%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-166.5%
Total Percent:6.5%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-164.3%
ADL Index Range: 6-102.2%
Total Percent:6.5%
 

Rating Details For Avalon Village

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) Hours31 Minutes1 Hour and 8 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour44 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 39 Minutes2 Hours and 33 Minutes
Total Licensed Nurse Hours1 Hour and 31 Minutes1 Hour and 52 Minutes
Total Nurse Hours4 Hours and 10 Minutes4 Hours and 25 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 Indiana are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityIndiana Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%89%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%92%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse4%12%
Percent of Long-Stay Residents Who Lose Too Much Weight4%8%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores8%10%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder7%6%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair9%4%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain2%3%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased13%20%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection5%9%
Percent of Long-Stay Residents Who Are More Depressed or Anxious24%16%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder63%50%
Percent of Long-Stay Residents Who Were Physically Restrained-4%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%84%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination89%81%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium-2%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain15%18%
Percent of Short-Stay Residents Who Have Pressure Sores2%10%

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 09/10/2010.

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

Post Nurse Staffing Information.
  • Inspection Date: 10/06/2008
  • Correction Date: 10/20/2008
Give or Get Lab Tests to Meet the Needs of Residents.
  • Inspection Date: 10/06/2008
  • Correction Date: 10/20/2008
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 10/06/2008
  • Correction Date: 10/20/2008
Keep Clinical Information Safe, So That It Will Not Be Lost, Destroyed or Used by the Wrong Person.
  • Inspection Date: 10/06/2008
  • Correction Date: 10/20/2008
Give or Get Lab Tests to Meet the Needs of Residents.
  • Inspection Date: 10/30/2009
  • Correction Date: 11/17/2009
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 09/10/2010
  • Correction Date: 09/27/2010

Environmental

Have a Program to Keep Infection from Spreading.
  • Inspection Date: 10/06/2008
  • Correction Date: 10/20/2008
Keep All Essential Equipment Working Safely.
  • Inspection Date: 10/06/2008
  • Correction Date: 10/20/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 10/30/2009
  • Correction Date: 11/23/2009
Get Rid of Garbage Properly.
  • Inspection Date: 10/30/2009
  • Correction Date: 11/19/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 10/30/2009
  • Correction Date: 11/05/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 10/06/2008
  • Correction Date: 10/20/2008
Make Sure That Residents Are Well Nourished.
  • Inspection Date: 10/30/2009
  • Correction Date: 11/23/2009

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 10/30/2009
  • Correction Date: 11/05/2009
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 10/30/2009
  • Correction Date: 11/05/2009

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 10/06/2008
  • Correction Date: 10/20/2008
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 10/30/2009
  • Correction Date: 11/23/2009
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 10/30/2009
  • Correction Date: 11/05/2009
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Inspection Date: 10/30/2009
  • Correction Date: 11/05/2009
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 09/10/2010
  • Correction Date: 09/27/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 10/30/2009
  • Correction Date: 11/05/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 10/30/2009
  • Correction Date: 11/05/2009
Make Sure That Doctors Visit Residents Regularly, As Required.
  • Inspection Date: 10/30/2009
  • Correction Date: 11/05/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 09/10/2010
  • Correction Date: 09/27/2010

Resident Rights

Quickly Give a Resident's Personal Money to the Heads of His or Her Estate After the Resident's Death.
  • Inspection Date: 10/06/2008
  • Correction Date: 10/20/2008
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: 09/10/2010
  • Correction Date: 09/27/2010

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Avalon Village, 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

Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others.
  • Complaint Filed: 03/21/2011
  • Correction Date: 04/05/2011
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: 03/21/2011
  • Correction Date: 04/05/2011
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 03/21/2011
  • Correction Date: 04/05/2011

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 Village 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 09/23/2010.

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: 10/08/2008
  • Correction Date: 11/07/2008
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 11/09/2009
  • Correction Date: 12/09/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 11/09/2009
  • Correction Date: 12/09/2009

Building Service Equipment

Properly Protected Cooking Facilities.
  • Inspection Date: 09/23/2010
  • Correction Date: 11/08/2010

Corridor Walls and Doors

Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
  • Inspection Date: 10/08/2008
  • Correction Date: 11/07/2008
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 10/08/2008
  • Correction Date: 11/07/2008
Signs That State That Exit Doors Are to Be Kept Closed.
  • Inspection Date: 10/08/2008
  • Correction Date: 11/07/2008

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 10/08/2008
  • Correction Date: 11/07/2008
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 10/08/2008
  • Correction Date: 11/07/2008
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 11/09/2009
  • Correction Date: 12/09/2009

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 10/08/2008
  • Correction Date: 11/07/2008

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 11/09/2009
  • Correction Date: 12/09/2009

Medical Gases and Anesthetizing Areas

Proper Fire Barriers, Ventilation and Signs for the Transport of Oxygen.
  • Inspection Date: 10/08/2008
  • Correction Date: 11/07/2008

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 10/08/2008
  • Correction Date: 11/07/2008

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 11/09/2009
  • Correction Date: 12/09/2009
Source: Medicare Nursing Home Compare; Department of Health of Indiana - Long Term Care Division - Retrieved 2011