Table of Contents
Avon Nursing Home, LLC
Inspection Report, Updated April 2013
PFI: 0387
Regional Office: WRO--Rochester Area Office
This report displays citations for the three most recent Certification Surveys, and citations for Complaint Surveys during the past three years.
Summary
This table summarizes the citations in the details section of this report and compares them against the statewide average.
| Measure | This Facility | Statewide Average |
|---|---|---|
| Standard Health Deficiencies | 28 | 18 |
| Life Safety Code Deficiencies | 3 | 7 |
| Total Deficiencies | 31 | 25 |
| Deficiencies Related to Actual Harm or Immediate Jeopardy | 0 | 1 |
| % of Deficiencies Related to Actual Harm or Immediate Jeopardy | 0% | 4% |
Details of Certification and Complaint Surveys
Key to understanding citations and surveys:
Potential for no more than Minimal Harm
Potential for more than Minimal Harm
Actual Harm
Immediate Jeopardy
Isolated
Pattern
Widespread
- Certification surveys are on-site inspections required every 9-15 months by the federal government.
- Complaint surveys are on-site inspections held as the result of a complaint. They are only shown here if they resulted in a citation.
January 7, 2013 Certification Survey
View Statement of Deficiencies issued for this Inspection Cycle
Standard Health Inspection
| Deficiency | Severity  | Residents Affected | Substandard Quality of Care | Correction Date |
|---|---|---|---|---|
DEVELOPMENT/PREPARE/REVIEW OF COMPREHENSIVE CARE PLAN  | | |  | March 7, 2013 |
| DRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS | | | | March 7, 2013 |
| FACILITY IS FREE OF ACCIDENT HAZARDS | | | | March 7, 2013 |
| PROPER LABELING OF DRUGS AND BIOLOGICALS | | | | March 7, 2013 |
| PROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING | | | | March 7, 2013 |
| RESIDENTS FREE FROM SIGNIFICANT MEDICATION ERRORS | | | | March 7, 2013 |
| SERVICES BY QUALIFIED PERSONS IN ACCORDANCE WITH CARE PLAN | | | | March 7, 2013 |
| NURSE STAFFING | | | | January 24, 2013 |
Standard Life Safety Code Inspection
| Deficiency | Severity | Residents Affected | Substandard Quality of Care | Correction Date |
|---|---|---|---|---|
| EXIT ACCESS | | | | January 21, 2013 |
February 9, 2012 Certification Survey
View Statement of Deficiencies issued for this Inspection Cycle
Standard Health Inspection
| Deficiency | Severity | Residents Affected | Substandard Quality of Care | Correction Date |
|---|---|---|---|---|
| ORGANIZATION AND ADMINISTRATION | | | | April 7, 2012 |
| STORE/PREPARE/DISTRIBUTE FOOD UNDER SANITARY CONDITIONS | | | | April 7, 2012 |
| FACILITY PROVIDES DRUGS AND BIOLOGICALS | | | | February 25, 2012 |
| DEVELOPMENT/PREPARE/REVIEW OF COMPREHENSIVE CARE PLAN | | | | April 7, 2012 |
| FREQUENCY AND TIMELINESS OF PHYSICIAN VISIT | | | | February 25, 2012 |
| NOT EMPLOY PERSONS GUILTY OF ABUSE | | | | April 7, 2012 |
| PROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING | | | | April 7, 2012 |
| RESIDENT NOT CATHETERIZED UNLESS UNAVOIDABLE | | | | February 10, 2012 |
| SERVICES PROVIDED MEET PROFESSIONAL STANDARDS | | | | April 7, 2012 |
| PROPER LABELING OF DRUGS AND BIOLOGICALS | | | | April 7, 2012 |
Standard Life Safety Code Inspection
| Deficiency | Severity | Residents Affected | Substandard Quality of Care | Correction Date |
|---|---|---|---|---|
| OTHER | | | | March 9, 2012 |
January 10, 2011 Certification Survey
View Statement of Deficiencies issued for this Inspection Cycle
Standard Health Inspection
| Deficiency | Severity | Residents Affected | Substandard Quality of Care | Correction Date |
|---|---|---|---|---|
| STORE/PREPARE/DISTRIBUTE FOOD UNDER SANITARY CONDITIONS | | | | February 10, 2011 |
| CORRIDORS HAVE FIRMLY SECURED HANDRAILS | | | | January 27, 2011 |
| DEVELOPMENT/PREPARE/REVIEW OF COMPREHENSIVE CARE PLAN | | | | March 3, 2011 |
| FACILITY IS FREE OF ACCIDENT HAZARDS | | | | March 3, 2011 |
| RESIDENT MAINTAIN NUTRITIONAL STATUS UNLESS UNAVOIDABLE | | | | March 3, 2011 |
| STANDARDS OF CONSTRUCTION FOR NEW NURSING HOME | | | | February 10, 2011 |
| CRIMINAL HISTORY RECORD CHECK TEMPORARY APPROVAL PENDING RESULTS/ SUPERVISION REQUIRED | | | | January 27, 2011 |
| PASARR REQUIREMENTS FOR MI AND MR | | | | February 1, 2011 |
| PROPER LABELING OF DRUGS AND BIOLOGICALS | | | | March 3, 2011 |
Standard Life Safety Code Inspection
| Deficiency | Severity | Residents Affected | Substandard Quality of Care | Correction Date |
|---|---|---|---|---|
| AUTOMATIC SPRINKLER SYSTEM | | | | January 31, 2011 |
April 9, 2010 Complaint Survey
View Statement of Deficiencies issued for this Inspection Cycle
Standard Health Inspection
| Deficiency | Severity | Residents Affected | Substandard Quality of Care | Correction Date |
|---|---|---|---|---|
| PROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING | | | | April 10, 2010 |
Note: If the latest survey included in this report is more than 12 months old, the Department of Health may have recently surveyed this nursing home or is currently inspecting this home.
If you have questions about the current quality of service delivery at the nursing home, you should contact the facility and request a copy of the latest survey inspection report. The facility is required to post the report in a public area of the nursing home. If you request the report and the nursing home refuses to provide it, please call the New York State Nursing Home Complaint hotline at 1-888-201-4563.