AVALON GARDEN

The information below lists services this facility has provided for residents from October through October 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 Garden. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Ultra-High Rehabilitation

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.

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 Missouri are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

Short-Term Stay Preventive Actions

Short-Term Stay Deficiencies

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 09/21/2010.

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 08/12/2009 Correction Date: 10/13/2009
Get Rid of Garbage Properly. Inspection Date: 08/12/2009 Correction Date: 10/13/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 08/12/2009 Correction Date: 10/13/2009

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. Inspection Date: 08/12/2009 Correction Date: 10/13/2009
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 09/21/2010 Correction Date: 10/28/2010

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 09/21/2010 Correction Date: 10/28/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 08/12/2009 Correction Date: 11/06/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 08/12/2009 Correction Date: 10/13/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 08/12/2009 Correction Date: 10/13/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 09/21/2010 Correction Date: 10/28/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 09/21/2010 Correction Date: 10/28/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 09/21/2010 Correction Date: 10/28/2010
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 09/21/2010 Correction Date: 10/28/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 08/12/2009 Correction Date: 10/13/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 09/21/2010 Correction Date: 10/28/2010

Resident Rights

Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 07/02/2008 Correction Date: 08/08/2008

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

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 04/22/2010 Correction Date: 06/18/2010

Quality Care

Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Complaint Filed: 08/12/2009 Correction Date: 10/13/2009

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 Garden 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 09/21/2010.

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 08/12/2009 Correction Date: 10/13/2009
An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 09/21/2010 Correction Date: 10/28/2010
Back-Up Procedures in Place for a Faulty Automatic Sprinkler System. Inspection Date: 09/21/2010 Correction Date: 10/28/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 09/21/2010 Correction Date: 10/28/2010

Exits and Egress

Exit Stairways and Towers That Are Smoke Proof. Inspection Date: 08/12/2009 Correction Date: 10/13/2009
Exits That Are Accessible at All Times. Inspection Date: 08/12/2009 Correction Date: 10/13/2009

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 09/21/2010 Correction Date: 10/28/2010
An Approved Back-Up Procedure for a Faulty Fire Alarm System. Inspection Date: 09/21/2010 Correction Date: 10/28/2010

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 08/12/2009 Correction Date: 10/13/2009

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 09/21/2010 Correction Date: 10/28/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 08/12/2009 Correction Date: 10/13/2009

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 08/12/2009 Correction Date: 10/13/2009

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 08/12/2009 Correction Date: 10/13/2009

Vertical Openings

Proper Stairway Enclosures and Vertical Shafts. Inspection Date: 09/21/2010 Correction Date: 10/28/2010