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Avalon Southwest Health & Rehabilitation

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About Avalon Southwest Health & Rehabilitation

General Information

Legal Business NameAvalon Care Center - Tucson LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareFebruary 5, 1985 (32 years)
Capacity240
Residents181
Percent Occupied75%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Avalon Southwest Health & Rehabilitation

Avalon Southwest Health & Rehabilitation
was reviewed by Medicare to have a rating of 1 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Arizona Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

June 9, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth Inspection1) Hire only people with 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.
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
ESomePotential for HarmComplaint+InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionEnsure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.
DFewPotential for HarmHealth InspectionEnsure that residents receive proper treatment and assistive devices to maintain their vision and hearing.
DFewPotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
BSomePotential for Minimal HarmHealth InspectionProvide housekeeping and maintenance services.

June 2, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmFire Safety InspectionRestrictions on the use of highly flammable decorations.
DFewPotential for HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.
DFewPotential for HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.
DFewPotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.

July 23, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
DFewPotential for HarmComplaintProtect each resident from all abuse, physical punishment, and involuntary separation from others.

March 18, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaint+InspectionProtect each resident from all abuse, physical punishment, and involuntary separation from others.
DFewPotential for HarmComplaint+Inspection1) Hire only people with 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.
DFewPotential for HarmComplaint+InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
BSomePotential for Minimal HarmHealth InspectionAllow residents to easily view the results of the nursing home's most recent inspection.

March 11, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.
ESomePotential for HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.
DFewPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Avalon Southwest Health & Rehabilitation require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 30min
2hr 25min
ReportedExpected
CNA
1hr 5min
35min
ReportedExpected
LPN
30min
55min
ReportedExpected
RN
4hr 5min
3hr 55min
ReportedExpected
Total Nursing

This facility also provides approximately 15min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

99.4%
98.2%
98.2%
95.2%
Q1 2015Q2 2015Q3 2015AZ
Assessed and Appropriately Given the Seasonal Influenza Vaccine
98.7%
100.0%
100.0%
95.5%
Q1 2015Q2 2015Q3 2015AZ
Assessed and Appropriately Given the Pneumococcal Vaccine
52.5%
50.8%
55.4%
54.2%
Q1 2015Q2 2015Q3 2015AZ
Low Risk Residents Who Lose Control of Their Bowel or Bladder
40.2%
41.5%
31.4%
17.5%
Q1 2015Q2 2015Q3 2015AZ
Received an Antipsychotic Medication
29.5%
34.6%
24.2%
14.6%
Q1 2015Q2 2015Q3 2015AZ
Need for Help with ADLs has Increased
33.9%
38.6%
31.5%
10.2%
Q1 2015Q2 2015Q3 2015AZ
Self Report Moderate to Severe Pain
9.2%
10.3%
9.0%
6.7%
Q1 2015Q2 2015Q3 2015AZ
Lose Too Much Weight
9.6%
6.4%
8.2%
5.9%
Q1 2015Q2 2015Q3 2015AZ
High Risk Residents With Pressure Ulcers
4.5%
4.1%
1.5%
3.1%
Q1 2015Q2 2015Q3 2015AZ
Have Depressive Symptoms
7.1%
4.5%
3.4%
4.8%
Q1 2015Q2 2015Q3 2015AZ
With a Urinary Tract Infection
5.8%
3.8%
3.4%
3.0%
Q1 2015Q2 2015Q3 2015AZ
Experiencing One or More Falls with Major Injury
1.9%
3.3%
5.2%
3.5%
Q1 2015Q2 2015Q3 2015AZ
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.7%
0.3%
Q1 2015Q2 2015Q3 2015AZ
Were Physically Restrained

Quality Measures for Short Stay Residents

96.1%
95.2%
93.7%
88.6%
Q1 2015Q2 2015Q3 2015AZ
Assessed and Appropriately Given the Pneumococcal Vaccine
96.6%
91.5%
91.5%
87.4%
Q1 2015Q2 2015Q3 2015AZ
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
39.9%
35.5%
34.6%
19.8%
Q1 2015Q2 2015Q3 2015AZ
Self Report Moderate to Severe Pain
2.0%
2.7%
4.6%
1.9%
Q1 2015Q2 2015Q3 2015AZ
Newly Received an Antipsychotic Medication
0.0%
0.4%
1.6%
0.6%
Q1 2015Q2 2015Q3 2015AZ
With Pressure Ulcers That Are New or Worsened