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Avalon Care Center - Shadow Mountain

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 120
Continuing Care? No
Resident Council? Yes
Family Council? No
Multi-Home Chain? No
Located in a Hospital? No
Special Focus Facility? No

View:    Health Inspections  |  Quality Measures  |  Staffing  |  Fire Inspections

Health Inspections  

Most Recent Inspection: 06/29/2011

Date of last standard health inspection: 06/29/2011
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 0
Average number of Health Deficiencies in AZ: 4
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in AZ: 0 - 12

Inspection, 03/00/2011

Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing 03/00/2011 00/04/2001 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report
Develop and implement policies for 1) screening and training employees; and the 2) prevention 03/00/2011 00/04/2001 investigation identification
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure 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. 03/00/2011 00/04/2001 2 Few

Inspection, 01/03/2009

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 01/03/2009 01/07/2010 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/03/2009 01/07/2010 2 Some
Have a program that investigates, controls and keeps infection from spreading. 01/03/2009 01/07/2010 2 Few
Make sure that a working call system is available in each resident's room or bathroom and bathing area. 01/03/2009 01/07/2010 2 Few
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
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. 01/03/2009 01/07/2010 2 Few
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 01/03/2009 01/07/2010 2 Some
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure 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. 01/03/2009 01/07/2010 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 01/03/2009 01/07/2010 2 Few
Prevent a loss in range of motion among residents who entered the nursing home with a full range of motion, unless it is unavoidable due to resident 01/03/2009 01/07/2010 2 Few
Ensure 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. 01/03/2009 01/07/2010 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Allow residents the right to participate in the planning or revision of care and treatment. 01/03/2009 01/07/2010 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give residents a notice of rights, rules, services and charges. 01/03/2009 01/07/2010 2 Few

Inspection, 02/09/2006

Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
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. 02/09/2006 00/04/2008 2 Few
1) Hire only people with no legal history of abusing 02/09/2006 00/04/2008 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 02/09/2006 00/04/2008 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 02/09/2006 00/04/2008 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 02/09/2006 00/04/2008 3 Few
Ensure residents maintain acceptable nutritional status. 02/09/2006 00/04/2008 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 02/09/2006 00/04/2008 3 Few
Ensure residents maintain acceptable nutritional status. 02/09/2006 00/04/2008 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Allow residents to easily view the results of the nursing home's most recent inspection. 02/09/2006 00/04/2008 1 Some
Allow residents to easily view the results of the nursing home's most recent inspection. 02/09/2006 00/04/2008 1 Some

Inspection, 02/06/2003

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 02/06/2003 01/00/2006 2 Some
Keep accurate 02/06/2003 01/00/2006 Some complete and organized clinical records on each re
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure 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. 02/06/2003 01/00/2006 2 Few
Ensure that residents are safe from serious medication errors. 02/06/2003 01/00/2006 2 Few
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 02/06/2003 01/00/2006 2 Few
Ensure 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. 02/06/2003 01/00/2006 2 Few
Ensure that residents are safe from serious medication errors. 02/06/2003 01/00/2006 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide medically-related social services to help each resident achieve the highest possible quality of life. 02/06/2003 01/00/2006 2 Few
Ensure services provided by the nursing facility meet professional standards of quality. 02/06/2003 01/00/2006 2 Some
Provide care by qualified persons according to each resident's written plan of care. 02/06/2003 01/00/2006 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/06/2003 01/00/2006 3 Few
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 02/06/2003 01/00/2006 2 Some
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 02/06/2003 01/00/2006 3 Few
Ensure 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. 02/06/2003 01/00/2006 2 Few
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. 02/06/2003 01/00/2006 2 Few
Provide medically-related social services to help each resident achieve the highest possible quality of life. 02/06/2003 01/00/2006 2 Few
Ensure services provided by the nursing facility meet professional standards of quality. 02/06/2003 01/00/2006 2 Some
Provide care by qualified persons according to each resident's written plan of care. 02/06/2003 01/00/2006 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/06/2003 01/00/2006 3 Few
Assist those residents who need help with eating/drinking 02/06/2003 01/00/2006 Some grooming and personal and oral hygiene.
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 02/06/2003 01/00/2006 3 Few
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia 02/06/2003 01/00/2006 vomiting diarrhea
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Review or revise the resident's care plan after any major change in physical or mental health. 02/06/2003 01/00/2006 2 Few
Ensure each resident receives an accurate assessment by a qualified health professional. 02/06/2003 01/00/2006 2 Few
Review or revise the resident's care plan after any major change in physical or mental health. 02/06/2003 01/00/2006 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. 02/06/2003 01/00/2006 2 Few
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 02/06/2003 01/00/2006 2 Few
Reasonably accommodate the needs and preferences of each resident. 02/06/2003 01/00/2006 2 Few
Let residents refuse treatment 02/06/2003 01/00/2006 or formulate advance directives. refuse to take part in an experiment
Immediately tell the resident 02/06/2003 01/00/2006 and a family member of situations (injury/decline/ the resident's doctor
Reasonably accommodate the needs and preferences of each resident. 02/06/2003 01/00/2006 2 Few

Nursing Home Staffing  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

National Average Average in AZ Golden Living Center, Asheville
RN Staff Only1 N/A N/A 5 out of 5 stars
Total Number of Residents 86 79 84
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 15 hours 10 minutes 1 hour 26 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 14 hours 17 minutes 1 hour 9 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 14 hours 24 minutes 16 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 15 hours 56 minutes 2 hours 4 minutes

1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.

Quality Measures  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

Long-Term Residents

Short-Term Residents

Fire Safety Inspections

Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.

Most Recent Inspection: 06/29/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 06/29/2011
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Fire Safety Deficiencies for this nursing home: 0
Average number of Fire Safety Deficiencies in AZ: 0
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in AZ: 0 - 0

Inspection, 01/09/2009

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 01/09/2009 01/07/2010 1 Many
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 01/09/2009 01/07/2010 1 Many
Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Record of quarterly fire drills for each shift under varying conditions. 01/09/2009 01/07/2010 2 Some

Inspection, 02/09/2006

Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 02/09/2006 00/03/2008 2 Few
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 02/09/2006 00/03/2008 2 Few

Inspection, 03/00/2003

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 03/00/2003 01/01/2005 2 Some
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 03/00/2003 01/01/2005 2 Few
Properly installed electrical wiring and equipment. 03/00/2003 01/01/2005 2 Some
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 03/00/2003 01/01/2005 2 Some
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Walls that prevent smoke from passing through and would resist fire for at least one hour. 03/00/2003 01/01/2005 2 Many
 

11150 North 92nd Street
Scottsdale, AZ 85260

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