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Avante At Lynchburg

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Reviews
Overall Rating 4.1 / 5.0 ★★★★★

  • ★★★★★ 4 weeks ago

    My father was housed at Avante for 7 weeks while my mom was in the hospital fighting for her life. He is an Alzheimer's patient. He came to be at Avante due to the respite program at the VA hospital in Salem. The VA is doing remodeling where respite care is normally done, so they were outsourcing respite and everywhere in Roanoke or Salem was full. Being an Alzheimer's patient and not being able to talk much for himself anymore, I was very hesitant to take him an hour away from us in Roanoke, but with my mom on a ventilator and dad needing full time care, we had no choice. I was leery leaving him there, due to the fact that the room he was in seemed very run down and the ac/heating unit didn't seem to be working. I left him with a huge suitcase of clothes with everything labeled with his name, even his socks. I was assured that the room issue with the ac would be addressed and that since we were so far away and were only able to visit on weekends, that they would make sure his clothes were laundered. My dad had previously been in a rehab last year here in Roanoke, and we were blessed by having a great facility. Avante is NOT THAT. 90% of the time when i called to check on him, no one answered the phone at the facility. It took hours to get a return call from anyone. When we came on weekends to see him, he was usually in his bed in a diaper or in a gerry chair with a gown on. Several times he had someone else's clothes on. Having no choice, we had to pay, 210$ a day for 3 weeks after his 30 day respite with the VA was up. I paid that facility almost FIVE thousand dollars. Finally, we were able to get dad transferred to Friendship Manor here in Roanoke. The staff at Avante knew a week in advance, and I had spoken to the social worker as well as several other staff about his discharge. I asked to PLEASE have his clothes together. They were labeled and should be easy to find. I expressed my displeasure that everytime I came to see him, he had on no clothes of his own, or someone else's. They had a WEEK to prepare. We got to the home that Saturday, my dad was sitting in a chair in a soiled diaper,, a hospital gown and his bedroom shoes. In his closet was ONE tshirt hanging. I immediately contacted a nurse on the floor, who was new. She found the charge nurse, who was extremely rude and said she didn't know he was leaving until an hour before. I explained that was not MY fault, I wanted his belongings. She said "i guess i'll have to go to the laundry" After that, she came back with 2 pair of pj pants and one pair of sweatpants and 2 shirts. He was brought to that facility with at least 12 pairs of sweat pants, 10 pairs of pj pants, 20 pairs of socks, and about 25 tshirts. I was assured by the charge nurse that his belongings would be shipped to me, then by the social worker that he would bring them to me personally in Roanoke. To this day, 3 months later, my dad has now passed. Avante still has at least $400 worth of his clothing and I never heard another word about it, despite numerous phone calls. They even keep sending me a bill for 210$ for a day that was missed somehow. That bill will not be paid, I should be billing THEM for the clothes they lost. The new nurse that helped me on his day of discharge even told me I needed to report this facility. The rooms are rundown and dirty. The food was disgusting. NO effort was made to get my father into any social activities, he was left in his room most of the time sitting in a soiled diaper. The place doesnt answer the phone or return calls. The staff is for the most part rude and act as if you are putting them out if you ask to have your loved one changed so they are not sitting in filth. I wouldn't send my dog here to be cared for. I HATE that i had to have my dad stay here due to circumstances we were up against. Be very PRESENT if you have a loved one there.

  • ★★★★★ 6 months ago

    My father went to Avante after having a fall. The therapy department did an excellent job getting him back to his baseline. We loved his CNA Polly, who was so kind and made sure my dad had everything he needed. His room and the facility were always clean. The staff were caring and attentive to his medical care.

  • ★★★★★ 4 months ago

    I have a good friend in this facility, and she has had fantastic care, and has bloomed here. The Staff are so friendly and the facility is great!

  • ★★★★★ 9 months ago

    I have been working for Avante for 4 years now. I worked for another facility in this area before coming to Avante. I can honestly say that I love my job and enjoy being able to make a difference in our patients lives every day. I have had multiple family members of my own here as residents also, and would recommend Avante to others.

  • ★★★★★ 6 months ago

    Specializing in skilled and long term care, they truly try to use a multidisciplinary approach to care and foster a family environment.

About Avante At Lynchburg

General Information

Legal Business NameAvante At Lynchburg, Inc.
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareDecember 1, 1984 (33 years)
Capacity120
Residents110
Percent Occupied92%
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 Avante At Lynchburg

Avante At Lynchburg
was reviewed by 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 Virginia 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

December 15, 2016 - 11 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
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.
ESomePotential for HarmHealth InspectionGive or get quality laboratory services/tests in a timely manner to meet the needs of residents.
ESomePotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
ESomePotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
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 InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionMake sure that doctors visit residents regularly, as required.
DFewPotential for HarmHealth InspectionProvide or obtain laboratory services only when ordered by the attending physician.
DFewPotential for HarmHealth InspectionEnsure that residents are safe from serious medication errors.
DFewPotential for HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmHealth InspectionAllow residents to self-administer drugs if determined safe.
DFewPotential for HarmHealth InspectionEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
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 InspectionLet residents refuse treatment, refuse to take part in an experiment, or formulate advance directives.
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 InspectionMake sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing.

November 5, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmHealth InspectionEnsure that residents are safe from serious medication errors.
ESomePotential for HarmComplaint+InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaint+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 HarmComplaint+InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmComplaint+InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmComplaint+InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmHealth InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
DFewPotential for HarmComplaint+InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
DFewPotential for HarmComplaint+InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Avante At Lynchburg 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.

1hr 60min
2hr 15min
ReportedExpected
CNA
45min
40min
ReportedExpected
LPN
40min
1hr 10min
ReportedExpected
RN
3hr 20min
4hr
ReportedExpected
Total Nursing

This facility also provides approximately 25min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

98.0%
100.0%
100.0%
100.0%
94.1%
Q4 2015Q1 2016Q2 2016Q3 2016VA
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
100.0%
95.1%
85.2%
93.0%
Q4 2015Q1 2016Q2 2016Q3 2016VA
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
30.4%
40.9%
-
27.3%
52.5%
Q4 2015Q1 2016Q2 2016Q3 2016VA
* The data for this facility for some quarters is unavailable.
Percentage of low risk long-stay residents who lose control of their bowels or bladder
13.7%
10.0%
9.0%
7.1%
23.7%
Q4 2015Q1 2016Q2 2016Q3 2016VA
Percentage of long-stay residents who received an antianxiety or hypnotic medication
21.7%
21.0%
25.4%
21.4%
20.8%
Q4 2015Q1 2016Q2 2016Q3 2016VA
Percentage of long-stay residents whose ability to move independently worsened
21.1%
21.1%
21.1%
23.2%
16.4%
Q4 2015Q1 2016Q2 2016Q3 2016VA
Percentage of long-stay residents who received an antipsychotic medication
13.6%
18.2%
22.2%
27.8%
16.5%
Q4 2015Q1 2016Q2 2016Q3 2016VA
Percentage of long-stay residents whose need for help with daily activities has increased
8.0%
10.9%
12.7%
24.3%
8.3%
Q4 2015Q1 2016Q2 2016Q3 2016VA
Percentage of long-stay residents who self-report moderate to severe pain
2.9%
4.5%
9.5%
13.8%
7.5%
Q4 2015Q1 2016Q2 2016Q3 2016VA
Percentage of long-stay residents who lose too much weight
3.3%
3.5%
6.2%
4.8%
6.0%
Q4 2015Q1 2016Q2 2016Q3 2016VA
Percentage of high risk long-stay residents with pressure ulcers
0.0%
1.5%
1.3%
0.0%
2.8%
Q4 2015Q1 2016Q2 2016Q3 2016VA
Percentage of long-stay residents who have depressive symptoms
1.3%
2.8%
1.2%
0.0%
4.9%
Q4 2015Q1 2016Q2 2016Q3 2016VA
Percentage of long-stay residents with a urinary tract infection
2.5%
2.7%
2.5%
2.3%
3.5%
Q4 2015Q1 2016Q2 2016Q3 2016VA
Percentage of long-stay residents experiencing one or more falls with major injury
1.3%
0.0%
0.9%
0.9%
2.1%
Q4 2015Q1 2016Q2 2016Q3 2016VA
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
0.0%
0.0%
0.5%
Q4 2015Q1 2016Q2 2016Q3 2016VA
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

95.5%
95.7%
90.0%
85.0%
83.2%
Q4 2015Q1 2016Q2 2016Q3 2016VA
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
85.9%
88.3%
88.3%
88.3%
81.3%
Q4 2015Q1 2016Q2 2016Q3 2016VA
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
78.2%
63.7%
59.6%
76.3%
65.8%
Q4 2015Q1 2016Q2 2016Q3 2016VA
Percentage of short-stay residents who made improvements in function
30.0%
19.4%
17.7%
16.0%
16.1%
Q4 2015Q1 2016Q2 2016Q3 2016VA
Percentage of short-stay residents who self-report moderate to severe pain
2.5%
1.3%
0.0%
0.0%
1.9%
Q4 2015Q1 2016Q2 2016Q3 2016VA
Percentage of short-stay residents who newly received an antipsychotic medication
0.7%
1.4%
2.7%
3.0%
1.0%
Q4 2015Q1 2016Q2 2016Q3 2016VA
Percentage of short-stay residents with pressure ulcers that are new or worsened



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