AVON NURSING HOME

Nursing Home Inspector

215 CLINTON STREET
AVON, NY 14414
Livingston County
Phone: 585-226-2225
Provider Number: 335216
Last Inspection: 09/08/2016

About the Nursing Home

Number of Beds: 40
Number of Residents: 38
Beds Available: 2
Percent Occupancy: 95%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Both
Ownership: For profit - Corporation
Within Hospital?: NO

About State Inspection Deficiencies

Nursing Homes that are Medicare and/or Medicaid certified are licensed by the state and are required to comply with rigid standards enforced by regular facility inspections and extensive evaluations.

The state inspection deficiencies provided here are accounts reported by state inspectors of every discrepancy found where the home failed to meet the minimum standards set forth by state and federal regulations. If a home does not show any deficiencies, it has met the minimum standards required.

Please note: 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.


Deficiency Ratings

Our nursing home inspector tool compares the severity of deficiences rather than the number of deficiences. We calculate the severity of each deficiency using the formula:

Severity Rating = Scope + Level of Harm.

Deficiency Rating= Sum of ALL Severity Ratings

Severity Scope Level of Harm
2 1-Isolated 1-Potential for minimal harm
3 2-Pattern 1-Potential for minimal harm
3 1-Isolated 2-Minimal harm or potential for actual harm
4 3-Widespread 1-Potential for minimal harm
4 2-Pattern 2-Minimal harm or potential for actual harm
4 1-Isolated 3-Actual harm
5 3-Widespread 2-Minimal harm or potential for actual harm
5 2-Pattern 3-Actual harm
5 1-Isolated 4-Immediate jeopardy to resident health or safety
6 3-Widespread 3-Actual harm
6 2-Pattern 4-Immediate jeopardy to resident health or safety
7 3-Widespread 4-Immediate jeopardy to resident health or safety

Deficiency Ratings
By Region

Lower Numbers Are Better

 

18

Facility
20

County
14

NY
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

18

2016
34

2015
9

2015

Medicare Ratings

Overall Rating: Overall Rating
Health Rating: Health Rating
Staff Rating: Staff Rating
Quality Rating: Quality Rating

 

Details by Inspection Date

9/8/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide residents with private access to a telephone. Pattern : Potential 3 10/4/2016
 
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 10/4/2016
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 10/4/2016
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3 10/4/2016
 
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Minimal 3 10/24/2016
 
Failed To: Provide or obtain dental services for each resident. Isolated : Minimal 3 10/24/2016
 

11/10/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Give residents a notice of rights, rules, services and charges. Pattern : Potential 3 12/31/2015
 
Failed To: 1) 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. Isolated : Minimal 3 12/31/2015
 
Failed To: Provide activities to meet the interests and needs of each resident. Isolated : Minimal 3 12/31/2015
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Pattern : Minimal 4 12/31/2015
 
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 12/31/2015
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 12/31/2015
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3 12/31/2015
 
Failed To: Ensure residents maintain acceptable nutritional status. Pattern : Minimal 4 12/31/2015
 
Failed To: Ensure that residents are safe from serious medication errors. Isolated : Minimal 3 12/31/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 12/31/2015
 

4/24/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Minimal 3 5/15/2015
 
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Minimal 3 5/15/2015
 
Failed To: Make sure that doctors visit residents regularly, as required. Isolated : Minimal 3 5/15/2015
 

Complaint Investigation Deficiencies

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

No Complaint Deficiencies Reported

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg NY State Avg
Number of Residents 38 115.67 167.28
Registered Nurses 0.56 0.50 0.74
Licensed Practical / Vocational Nurses 0.65 0.77 0.84
Certified Nursing Assistants 2.21 2.31 2.30
Total Staff Hours 3.43 3.58 3.88

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% NY State Avg%
of high risk long-stay residents with pressure ulcers 4 5 6
of long-stay residents assessed and appropriately given the pneumococcal vaccine 100 98 95
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99 99 96
of long-stay residents experiencing one or more falls with major injury 3 2 2
of long-stay residents who have depressive symptoms 6 4 8
of long-stay residents who lose too much weight 3 4 6
of long-stay residents who received an antianxiety or hypnotic medication 8 13 15
of long-stay residents who received an antipsychotic medication 4 13 13
of long-stay residents who self-report moderate to severe pain 22 10 3
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 24 22 16
of long-stay residents whose need for help with daily activities has increased 25 18 13
of long-stay residents with a catheter inserted and left in their bladder 0 1 1
of long-stay residents with a urinary tract infection 6 5 3
of low risk long-stay residents who lose control of their bowels or bladder 63 63 50
of short-stay residents assessed and appropriately given the pneumococcal vaccine 95 92 81
of short-stay residents who made improvements in function 71 10 9
of short-stay residents who newly received an antipsychotic medication 0 74 68
of short-stay residents who self-report moderate to severe pain 23 0 1
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 97 22 9
of short-stay residents with pressure ulcers that are new or worsened 0 93 82