AVANTE AT WILSON

The information listed below provides an in-depth look into the type and quality of care offered at Avante at Wilson. 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

AVANTE AT WILSON
1804 FOREST HILLS RD BOX 7156
WILSON, NC 27893
(252) 237-8161

Nursing Home Ratings

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

Overall Rating

Percent of Beds Occupied

92%

Number of Residents and Certified Beds

Residents: 101
Certified Beds: 110

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:

Greenville

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 Avante at Wilson. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident Services

Resident Conditions

Percent 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: 11-16	1.0%
Total Percent:	1.0%

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: 11-16	3.5%
Total Percent:	3.5%

High Rehabilitation Plus Extensive Services

Rehabilitation 325 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: 2-10	1.4%
Total Percent:	1.4%

Medium Rehabilitation Plus Extensive Services

Rehabilitation 150 Minutes Per Week Minimum

Five days any combination of three rehabilitation disciplines
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: 11-16	0.2%
ADL Index Range: 2-10	0.6%
Total Percent:	0.8%

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: 11-16	1.6%
ADL Index Range: 6-10	2.1%
ADL Index Range: 0-5	5.9%
Total Percent:	9.6%

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 11-16	26.9%
ADL Index Range: 6-10	6.3%
ADL Index Range: 0-5	8.7%
Total Percent:	41.8%

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 11-16	16.3%
ADL Index Range: 6-10	2.1%
ADL Index Range: 0-5	5.9%
Total Percent:	24.2%

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum

Five days any combination of three rehabilitation disciplines

ADL Index Range: 11-16	10.0%
ADL Index Range: 6-10	0.9%
Total Percent:	11.0%

Low Rehabilitation

Rehabilitation 45 Minutes Per Week Minimum

Three days any combination of three rehabilitation disciplines
Two services of restorative nursing six days per week

ADL Index Range: 11-16	4.0%
Total Percent:	4.0%

Extensive Services

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: 2-16 - Tracheostomy care or ventilator/respirator	0.5%
ADL Index Range: 2-16 - Isolation for active infectious disease	0.1%
Total Percent:	0.6%

Special Care Low

Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
Respiratory failure and oxygen therapy while a resident
Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
Ulcers: 2 or more venous or arterial ulcers
Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
Foot infection/diabetic foot ulcer/open lesions of foot with treatment
Radiation therapy while a resident
Dialysis while a resident
Activities of Daily Living (ADL) score of 2 or more

ADL Index Range: 15-16 - No Signs of depression	0.9%
Total Percent:	0.9%

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: 15-16 - Less restorative nursing	0.09%
ADL Index Range: 11-14 - Less restorative nursing	0.8%
ADL Index Range: 6-10 - Less restorative nursing	0.1%
Total Percent:	1.1%

Rating Details For Avante at Wilson

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 Day	Reported	Expected
Registered Nurse (RN) Hours	40 Minutes	1 Hour and 28 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours	1 Hour and 4 Minutes	54 Minutes
Certified Nursing Assistant (CNA) Hours	1 Hour and 52 Minutes	2 Hours and 43 Minutes
Total Licensed Nurse Hours	1 Hour and 44 Minutes	2 Hours and 22 Minutes
Total Nurse Hours	3 Hours and 36 Minutes	5 Hours and 5 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 North Carolina are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This Facility

North Carolina Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	80%	92%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season	87%	92%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Had a Urinary Tract Infection	15%	11%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair	14%	9%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased	11%	20%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse	6%	12%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder	3%	4%
Percent of Long-Stay Residents Who Lose Too Much Weight	-	9%
Percent of Long-Stay Residents Who Are More Depressed or Anxious	6%	15%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores	15%	11%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder	68%	60%
Percent of Long-Stay Residents Who Were Physically Restrained	2%	4%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain	1%	3%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season	68%	84%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	54%	83%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain	9%	17%
Percent of Short-Stay Residents Who Have Pressure Sores	14%	11%
Percent of Short-Stay Residents Who Have Delirium	-	2%

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 07/01/2010.

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 Inspectors

Degree of Harm

Residents Affected

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.

Inspection Date: 07/01/2010
Correction Date: 08/02/2010

Nutrition and Dietary

1) Provide 3 Meals Daily at Regular Times; or 2) Serve Breakfast Within 14 Hours After Dinner; or 3) Offer a Snack at Bedtime Each Day.

Inspection Date: 07/09/2009
Correction Date: 08/01/2009

Pharmacy Service

Properly Mark Drugs and Other Similar Products. Inspection Date: 06/19/2008 Correction Date: 08/05/2008
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 07/09/2009 Correction Date: 08/01/2009
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects. Inspection Date: 07/01/2010 Correction Date: 08/02/2010
Make Sure That Residents Are Safe from Serious Medication Errors. Inspection Date: 07/01/2010 Correction Date: 08/02/2010

Quality Care

Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 06/19/2008 Correction Date: 08/05/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 06/19/2008 Correction Date: 08/05/2008
Prevent a Loss in Range of Motion Among Residents Who Entered the Nursing Home with a Full Range of Motion. Inspection Date: 06/19/2008 Correction Date: 08/05/2008
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration. Inspection Date: 06/19/2008 Correction Date: 08/05/2008
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 07/09/2009 Correction Date: 08/01/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 07/01/2010 Correction Date: 08/02/2010
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 07/01/2010 Correction Date: 08/02/2010

Resident Assessment

Make Sure That Doctors Visit Residents Regularly, As Required. Inspection Date: 06/19/2008 Correction Date: 08/05/2008
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 07/01/2010 Correction Date: 08/02/2010

Resident Rights

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.

Inspection Date: 06/19/2008
Correction Date: 08/05/2008

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 Taken	Date	Amount
Civil Money Penalty (CMP)	07/01/2010	$3,120
Civil Money Penalty (CMP)	05/07/2009	$3,450
Civil Money Penalty (CMP)	07/01/2010	$29,998
Civil Money Penalty (CMP)	05/07/2009	$31,500

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Avante at Wilson, 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 Complaints

Degree of Harm

Residents Affected

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 05/07/2009 Correction Date: 07/09/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 12/30/2009 Correction Date: 01/18/2010
Have a Program to Keep Infection from Spreading. Complaint Filed: 07/01/2010 Correction Date: 08/02/2010