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Avalon West Health & Rehabilitation

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About Avalon West Health & Rehabilitation

General Information

Legal Business NameBennion Care Center, LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJuly 18, 1977 (39 years)
Capacity120
Residents93
Percent Occupied78%
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 West Health & Rehabilitation

Avalon West Health & Rehabilitation
was reviewed by Medicare to have a rating of 3 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Utah 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

April 2, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmHealth InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmHealth InspectionAt least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.
DFewPotential for HarmHealth InspectionEnsure residents maintain acceptable nutritional status.
DFewPotential for HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
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.

February 20, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
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 HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
ESomePotential for HarmHealth InspectionGive or get quality laboratory services/tests in a timely manner to meet the needs of residents.
ESomePotential for HarmHealth InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
ESomePotential for HarmHealth InspectionProvide housekeeping and maintenance services.
ESomePotential for HarmHealth InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionAt least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.
DFewPotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
DFewPotential for HarmHealth InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

February 19, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionAn approved installation, maintenance and testing program for fire alarm systems.
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.
DFewPotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.
DFewPotential for HarmFire Safety InspectionProper medical gas storage and administration areas.

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 West 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 40min
ReportedExpected
CNA
20min
45min
ReportedExpected
LPN
1hr 35min
1hr 10min
ReportedExpected
RN
4hr 25min
4hr 30min
ReportedExpected
Total Nursing

This facility also provides approximately 1hr 5min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

98.6%
97.5%
97.5%
96.4%
Q1 2015Q2 2015Q3 2015UT
Assessed and Appropriately Given the Seasonal Influenza Vaccine
98.6%
97.3%
97.4%
96.8%
Q1 2015Q2 2015Q3 2015UT
Assessed and Appropriately Given the Pneumococcal Vaccine
48.9%
52.8%
60.0%
50.6%
Q1 2015Q2 2015Q3 2015UT
Low Risk Residents Who Lose Control of Their Bowel or Bladder
12.5%
6.8%
5.4%
19.6%
Q1 2015Q2 2015Q3 2015UT
Received an Antipsychotic Medication
6.8%
17.9%
3.9%
12.3%
Q1 2015Q2 2015Q3 2015UT
Need for Help with ADLs has Increased
28.8%
23.1%
9.6%
12.2%
Q1 2015Q2 2015Q3 2015UT
Self Report Moderate to Severe Pain
1.4%
9.5%
12.0%
6.8%
Q1 2015Q2 2015Q3 2015UT
Lose Too Much Weight
3.6%
0.0%
5.8%
4.9%
Q1 2015Q2 2015Q3 2015UT
High Risk Residents With Pressure Ulcers
1.4%
5.9%
8.1%
11.7%
Q1 2015Q2 2015Q3 2015UT
Have Depressive Symptoms
4.1%
9.5%
4.0%
4.6%
Q1 2015Q2 2015Q3 2015UT
With a Urinary Tract Infection
4.1%
2.7%
1.3%
3.0%
Q1 2015Q2 2015Q3 2015UT
Experiencing One or More Falls with Major Injury
2.9%
1.5%
2.7%
2.8%
Q1 2015Q2 2015Q3 2015UT
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
1.1%
Q1 2015Q2 2015Q3 2015UT
Were Physically Restrained

Quality Measures for Short Stay Residents

90.3%
90.5%
65.9%
90.6%
Q1 2015Q2 2015Q3 2015UT
Assessed and Appropriately Given the Pneumococcal Vaccine
91.5%
91.5%
91.5%
89.8%
Q1 2015Q2 2015Q3 2015UT
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
45.0%
38.3%
28.0%
20.3%
Q1 2015Q2 2015Q3 2015UT
Self Report Moderate to Severe Pain
1.1%
0.6%
0.7%
2.2%
Q1 2015Q2 2015Q3 2015UT
Newly Received an Antipsychotic Medication
0.0%
0.0%
0.0%
1.0%
Q1 2015Q2 2015Q3 2015UT
With Pressure Ulcers That Are New or Worsened