Avalon Gardens Rehabilitation & Health Care Center

7 Route 25a
Smithtown, NY 11787
Suffolk County
Phone: 631-724-2200
Provider Number: 335175
Last Inspection: 06/04/2015

About the Nursing Home About the Staff

Number of Beds
Number of
Beds
353
Number of Residents
Number of
Residents
338
Number of Beds Available
Beds Available
15
Percent Occupancy
Percent Occupancy
96%
Accepts Insurance
Insurance Accepted
Medicare & Medicaid
Types of Councils
Types of Councils
Resident
Type of Ownership
Type of Ownership
For profit - Partnership
Within a Hospital?
Within Hospital?
NO

State Inspection Deficiencies About State Inspection Deficiencies

Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home. We suggest you use our Nursing Home Checklist to help evaluate the nursing homes you plan to visit.


Deficiency Ratings what is a deficiency rating?
By Region


  • Facility
  • County
  • NY
  • USA
  • 44
  • 15
  • 16
  • 20
Lower Numbers are Better

Deficiency Ratings what is a deficiency rating?
By Year


  • 2015
  • 2014
  • 2013
  • 44
  • 45
  • 13
Lower Numbers are Better

Details by Inspection Date

 

6/4/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. Isolated : Minimal 3 7/24/2015
Failed To: Reasonably accommodate the needs and preferences of each resident. Isolated : Minimal 3 7/24/2015
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 7/24/2015
Failed To: Conduct initial and periodic assessments of each resident's functional capacity. Isolated : Minimal 3 7/24/2015
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 7/24/2015
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 7/24/2015
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 7/24/2015
Failed To: Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Isolated : Minimal 3 7/24/2015
Failed To: Develop policies and procedures for influenza and pneumococcal immunizations. Isolated : Minimal 3 7/24/2015
Failed To: Have enough nurses to care for every resident in a way that maximizes the resident's well being. Isolated : Minimal 3 7/24/2015
Failed To: Store, cook, and serve food in a safe and clean way. Isolated : Minimal 3 7/24/2015
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 7/24/2015
Failed To: Keep all essential equipment working safely. Pattern : Minimal 4 7/24/2015
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 7/24/2015
 

5/9/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. Pattern : Potential 3 6/30/2014
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 6/30/2014
Failed To: Provide clean bed and bath linens that are in good condition. Isolated : Minimal 3 6/30/2014
Failed To: Provide adequate and comfortable lighting levels in all areas. Isolated : Minimal 3 6/30/2014
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 6/30/2014
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Pattern : Minimal 4 6/30/2014
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Minimal 3 6/30/2014
Failed To: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Pattern : Minimal 4 6/30/2014
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 6/30/2014
Failed To: Keep all essential equipment working safely. Pattern : Minimal 4 6/30/2014
Failed To: Make sure that a working call system is available in each resident's room or bathroom and bathing area. Pattern : Potential 3 6/30/2014
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Pattern : Minimal 4 6/30/2014
Failed To: Put firmly secured handrails on each side of hallways. Pattern : Minimal 4 6/30/2014
 

5/14/2013 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated : Minimal 3 7/11/2013
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 7/11/2013
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 7/11/2013
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 7/11/2013


 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

 

9/18/2014 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 10/27/2014
 

3/7/2014 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. Widespread : Immediate 7 4/1/2014
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Widespread : Immediate 7 4/1/2014
Failed To: Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . Widespread : Immediate 7 4/1/2014
Failed To: Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility. Widespread : Immediate 7 4/1/2014
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Widespread : Immediate 7 4/1/2014
 

12/12/2013 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. Isolated : Minimal 3 2/21/2014
 

7/19/2013 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide medically-related social services to help each resident achieve the highest possible quality of life. Pattern : Immediate 6 8/12/2013
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Immediate 6 8/12/2013
Failed To: Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . Pattern : Immediate 6 8/12/2013
Failed To: Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility. Pattern : Immediate 6 8/12/2013
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Pattern : Immediate 6 8/12/2013

 

About The Staff About the Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg NY State Avg
Number of Residents 338 182.55 167.03
Registered Nurses 0.89 0.82 0.72
Licensed Practical / Vocational Nurses 0.66 0.80 0.86
Certified Nursing Assistants 2.24 2.26 2.30
Total Staff Hours 3.79 3.88 3.88

About the Residents About the Staff

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% NY State Avg%
High Risk Long Stay Residents With Pressure Ulcers 6 6 7
Long Stay Residents Experiencing One or More Falls with Major Injury 2 2 2
Long Stay Residents Who Have Depressive Symptoms 18 10 10
Long Stay Residents Who Lose Too Much Weight 5 6 6
Long Stay Residents Who Received an Antipsychotic Medication 28 15 16
Long Stay Residents Who Self Report Moderate to Severe Pain 1 2 5
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 4 1 3
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 4 1 2
Long Stay Residents Who Were Physically Restrained 6 1 1
Long Stay Residents Whose Need for Help with ADLs has Increased 26 10 14
Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3 2 2
Long Stay Residents With a Urinary Tract Infection 2 4 4
Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 38 52 47
Short Stay Residents Who Newly Received an Antipsychotic Medication 4 1 2
Short Stay Residents Who Self Report Moderate to Severe Pain 3 7 12
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 13 9 17
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 20 8 15
Short Stay Residents With Pressure Ulcers That Are New or Worsened 2 0 1