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Avalon Gardens Rehabilitation & Health Care Center

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About Avalon Gardens Rehabilitation & Health Care Center

General Information

Legal Business NameAvalon Gardens Rehab And Health Care Center
Ownership TypeFor Profit - Partnership
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJune 12, 1978 (39 years)
Capacity353
Residents338
Percent Occupied96%
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 Gardens Rehabilitation & Health Care Center

Avalon Gardens Rehabilitation & Health Care Center
was reviewed by Medicare to have a rating of 2 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of New York 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 4, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
ESomePotential for HarmHealth InspectionProvide housekeeping and maintenance services.
ESomePotential for HarmHealth InspectionKeep all essential equipment working safely.
ESomePotential for HarmFire Safety InspectionProper backup exit lighting.
DFewPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
DFewPotential for HarmHealth InspectionDevelop policies and procedures for influenza and pneumococcal immunizations.
DFewPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmHealth InspectionHave enough nurses to care for every resident in a way that maximizes the resident's well being.
DFewPotential for HarmHealth InspectionConduct initial and periodic assessments of each resident's functional capacity.
DFewPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
DFewPotential for HarmFire Safety InspectionExits that are accessible at all times.
DFewPotential for HarmFire Safety InspectionProper medical gas storage and administration areas.
DFewPotential for HarmHealth InspectionEnsure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.
DFewPotential for HarmFire Safety InspectionExit stairways and towers that are smoke proof.
DFewPotential for HarmHealth InspectionReasonably accommodate the needs and preferences of each resident.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
BSomePotential for Minimal HarmFire Safety InspectionWeekly inspections and monthly testing of generators.

September 18, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

May 9, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionKeep all essential equipment working safely.
ESomePotential for HarmHealth InspectionProvide housekeeping and maintenance services.
ESomePotential for HarmHealth InspectionPrepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
ESomePotential for HarmHealth InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
ESomePotential for HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
ESomePotential for HarmFire Safety InspectionEmergency lighting that can last at least 1 1/2 hours.
ESomePotential for HarmHealth InspectionPut firmly secured handrails on each side of hallways.
ESomePotential for HarmFire Safety InspectionAn approved automatic sprinkler system connected to the fire alarm system.
DFewPotential for HarmHealth InspectionEnsure residents maintain acceptable nutritional status.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionProvide adequate and comfortable lighting levels in all areas.
DFewPotential for HarmFire Safety InspectionProperly installed hallway dispensers for alcohol-based hand rub.
DFewPotential for HarmFire Safety InspectionWeekly inspections and monthly testing of generators.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmHealth InspectionProvide clean bed and bath linens that are in good condition.
DFewPotential for HarmFire Safety InspectionProperly constructed windows in hallway walls or doors.
DFewPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
BSomePotential for Minimal HarmHealth InspectionProvide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.
BSomePotential for Minimal HarmHealth InspectionMake sure that a working call system is available in each resident's room or bathroom and bathing area.

March 7, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
LManyImmediate JeopardyComplaintSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
LManyImmediate JeopardyComplaintChoose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility.
LManyImmediate JeopardyComplaintMake sure that the facility is administered in an acceptable way that maintains the well-being of each resident .
LManyImmediate JeopardyComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
LManyImmediate JeopardyComplaintLet residents refuse treatment, refuse to take part in an experiment, or formulate advance directives.

December 12, 2013 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintCoordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients.

May 14, 2013 - 4 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$19,370 fine

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 Gardens Rehabilitation & Health Care Center 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 15min
2hr 15min
ReportedExpected
CNA
40min
40min
ReportedExpected
LPN
55min
1hr 10min
ReportedExpected
RN
3hr 45min
4hr 10min
ReportedExpected
Total Nursing

This facility also provides approximately 50min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

96.6%
95.7%
95.7%
97.4%
Q1 2015Q2 2015Q3 2015NY
Assessed and Appropriately Given the Seasonal Influenza Vaccine
92.7%
95.5%
98.5%
96.0%
Q1 2015Q2 2015Q3 2015NY
Assessed and Appropriately Given the Pneumococcal Vaccine
30.8%
39.4%
42.8%
47.4%
Q1 2015Q2 2015Q3 2015NY
Low Risk Residents Who Lose Control of Their Bowel or Bladder
31.3%
28.2%
25.1%
16.3%
Q1 2015Q2 2015Q3 2015NY
Received an Antipsychotic Medication
18.7%
34.4%
23.6%
14.2%
Q1 2015Q2 2015Q3 2015NY
Need for Help with ADLs has Increased
0.9%
1.5%
1.6%
5.3%
Q1 2015Q2 2015Q3 2015NY
Self Report Moderate to Severe Pain
6.0%
6.5%
3.7%
6.5%
Q1 2015Q2 2015Q3 2015NY
Lose Too Much Weight
5.9%
5.0%
6.3%
7.5%
Q1 2015Q2 2015Q3 2015NY
High Risk Residents With Pressure Ulcers
24.3%
16.5%
13.5%
10.6%
Q1 2015Q2 2015Q3 2015NY
Have Depressive Symptoms
1.5%
1.8%
2.5%
4.9%
Q1 2015Q2 2015Q3 2015NY
With a Urinary Tract Infection
1.2%
2.1%
3.4%
2.8%
Q1 2015Q2 2015Q3 2015NY
Experiencing One or More Falls with Major Injury
2.7%
3.3%
2.9%
2.7%
Q1 2015Q2 2015Q3 2015NY
With a Catheter Inserted and Left in Their Bladder
5.8%
6.4%
6.8%
1.4%
Q1 2015Q2 2015Q3 2015NY
Were Physically Restrained

Quality Measures for Short Stay Residents

79.0%
87.8%
91.7%
82.1%
Q1 2015Q2 2015Q3 2015NY
Assessed and Appropriately Given the Pneumococcal Vaccine
81.4%
78.8%
78.8%
84.6%
Q1 2015Q2 2015Q3 2015NY
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
3.1%
2.6%
4.1%
12.9%
Q1 2015Q2 2015Q3 2015NY
Self Report Moderate to Severe Pain
7.1%
3.4%
1.6%
2.2%
Q1 2015Q2 2015Q3 2015NY
Newly Received an Antipsychotic Medication
0.0%
2.7%
1.7%
1.2%
Q1 2015Q2 2015Q3 2015NY
With Pressure Ulcers That Are New or Worsened