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Avalon Southwest Health & Rehabilitation

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 240
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: 10/07/2011

Date of last standard health inspection: 10/07/2011
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 1
Average number of Health Deficiencies in AZ: 4
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in AZ: 0 - 12
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing 02/07/2012 01/01/2001 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report

Inspection, 02/03/2011

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate 02/03/2011 00/04/2002 Few complete and organized clinical records on each re
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure each resident receives an accurate assessment by a qualified health professional. 02/03/2011 00/04/2002 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide timely notification to the resident before transfer or discharge. 02/03/2011 00/04/2002 2 Few

Inspection, 00/07/2010

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Post nurse staffing information/data on a daily basis. 00/07/2010 02/01/2012 1 Many
Post nurse staffing information/data on a daily basis. 00/07/2010 02/01/2012 1 Many
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/07/2010 02/01/2012 3 Few
Make sure that a working call system is available in each resident's room or bathroom and bathing area. 00/07/2010 02/01/2012 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/07/2010 02/01/2012 3 Few
Make sure that a working call system is available in each resident's room or bathroom and bathing area. 00/07/2010 02/01/2012 2 Some
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. 00/07/2010 02/01/2012 2 Some
Store 00/07/2010 02/01/2012 and serve food in a safe and clean way. cook
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. 00/07/2010 02/01/2012 2 Few
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 00/07/2010 02/01/2012 2 Some
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. 00/07/2010 02/01/2012 2 Few
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 00/07/2010 02/01/2012 2 Some
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. 00/07/2010 02/01/2012 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 00/07/2010 02/01/2012 2 Few
Allow residents the right to participate in the planning or revision of care and treatment. 00/07/2010 02/01/2012 2 Few
Conduct initial and periodic assessments of each resident's functional capacity. 00/07/2010 02/01/2012 2 Few
Allow residents the right to participate in the planning or revision of care and treatment. 00/07/2010 02/01/2012 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. 00/07/2010 02/01/2012 2 Few
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. 00/07/2010 02/01/2012 2 Some
Allow residents to easily view the results of the nursing home's most recent inspection. 00/07/2010 02/01/2012 1 Many
Give residents a notice of rights 00/07/2010 02/01/2012 services and charges. rules
Properly hold 00/07/2010 02/01/2012 and manage each resident's personal money which is secure
Allow residents to easily view the results of the nursing home's most recent inspection. 00/07/2010 02/01/2012 1 Many

Inspection, 02/08/2009

Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Allow residents to self-administer drugs if determined safe. 02/08/2009 01/00/2011 2 Few

Inspection, 00/08/2007

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. 00/08/2007 02/00/2008 2 Some
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly 00/08/2007 02/00/2008 Some and develop corrective plans of action.
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. 00/08/2007 02/00/2008 2 Few
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. 00/08/2007 02/00/2008 2 Few
1) Hire only people with no legal history of abusing 00/08/2007 02/00/2008 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 00/08/2007 02/00/2008 investigation identification
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. 00/08/2007 02/00/2008 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/08/2007 02/00/2008 2 Few
Ensure services provided by the nursing facility meet professional standards of quality. 00/08/2007 02/00/2008 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/08/2007 02/00/2008 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 00/08/2007 02/00/2008 2 Few
Immediately tell the resident 00/08/2007 02/00/2008 and a family member of situations (injury/decline/ the resident's doctor

Inspection, 02/09/2003

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/09/2003 00/09/2005 2 Some
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing 02/09/2003 00/09/2005 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
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 02/09/2003 00/09/2005 2 Some

Inspection, 02/06/2001

Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that residents are safe from serious medication errors. 02/06/2001 01/03/2003 3 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/06/2001 01/03/2003 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. 02/06/2001 01/03/2003 2 Few

Inspection, 01/01/2001

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. 01/01/2001 02/02/2002 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 01/01/2001 02/02/2002 2 Few
Maintain comfortable sound levels. 01/01/2001 02/02/2002 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/01/2001 02/02/2002 2 Some
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. 01/01/2001 02/02/2002 2 Few
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. 01/01/2001 02/02/2002 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 01/01/2001 02/02/2002 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. 01/01/2001 02/02/2002 2 Some
Ensure services provided by the nursing facility meet professional standards of quality. 01/01/2001 02/02/2002 2 Some
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/01/2001 02/02/2002 2 Few
Ensure 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. 01/01/2001 02/02/2002 2 Some
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. 01/01/2001 02/02/2002 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/01/2001 02/02/2002 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure each resident receives an accurate assessment by a qualified health professional. 01/01/2001 02/02/2002 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 01/01/2001 02/02/2002 2 Few
Allow residents the right to participate in the planning or revision of care and treatment. 01/01/2001 02/02/2002 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. 01/01/2001 02/02/2002 1 Some
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 01/01/2001 02/02/2002 2 Few
Keep residents' personal and medical records private and confidential. 01/01/2001 02/02/2002 2 Few
Try to resolve each resident's complaints quickly. 01/01/2001 02/02/2002 2 Few
Help and prepare each resident for a safe and easy discharge or transfer from the nursing home. 01/01/2001 02/02/2002 2 Few
Reasonably accommodate the needs and preferences of each resident. 01/01/2001 02/02/2002 2 Some
Give notice to the resident before a room or roommate change. 01/01/2001 02/02/2002 2 Few
Help and prepare each resident for a safe and easy discharge or transfer from the nursing home. 01/01/2001 02/02/2002 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 3 out of 5 stars
Total Number of Residents 86 79 145
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 15 hours 10 minutes 1 hour 47 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 14 hours 17 minutes 31 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 14 hours 24 minutes 1 hour 15 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 15 hours 56 minutes 3 hours 55 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: 10/07/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 10/07/2011
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, 00/07/2010

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 00/07/2010 00/09/2011 2 Few
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 00/07/2010 00/09/2011 2 Some
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 00/07/2010 00/09/2011 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. 00/07/2010 00/09/2011 2 Few
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. 00/07/2010 00/09/2011 2 Few

Inspection, 00/07/2007

Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 00/07/2007 01/03/2008 2 Some
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 00/07/2007 01/03/2008 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. 00/07/2007 01/03/2008 2 Few

Inspection, 01/06/2001

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 01/06/2001 02/00/2002 2 Few
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 01/06/2001 02/00/2002 2 Some
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 01/06/2001 02/00/2002 2 Many
Properly installed electrical wiring and equipment. 01/06/2001 02/00/2002 2 Few
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridors or aisles that are unobstructed and are at least 8 feet in width. 01/06/2001 02/00/2002 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. 01/06/2001 02/00/2002 2 Some
Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper medical gas storage and administration areas. 01/06/2001 02/00/2002 2 Many
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. 01/06/2001 02/00/2002 2 Many
 

2900 East Milber Street
Tucson, AZ 85714

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