General Information: AVALON CARE CENTER - SHADOW MOUNTAIN
Nursing home name AVALON CARE CENTER - SHADOW MOUNTAIN
Address11150 NORTH 92ND STREET
SCOTTSDALE, AZ 85260
Phone number (480) 860-1766
Located within a hospital No
Type of ownership For profit - Corporation
Owner operates multiple homesYes
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils Resident
Certified number of beds 120
Total number of residents 65
Perc of occupied beds 54
Sprinkler status Yes
Number of Facility Reported Incidents0
Number of Substantiated Complaints3
Number of Fines0
Total Amount of Fines$0
Total Number of Penalties1
Total Number of Penalties1
Ratings Summary: AVALON CARE CENTER - SHADOW MOUNTAIN
Overall rating 3
3
Nursing Home Staffing 5
5
Registered Nurses only 5
5
Health Inspections 2
2
Quality Measures 3
3
Nursing Home Staffing Info: AVALON CARE CENTER - SHADOW MOUNTAIN
National AverageArizona AverageAVALON CARE CENTER - SHADOW MOUNTAIN
Overall staff rating NA NA 5
5
Registered Nurses only rating NANA 5
5
Total Number of Residents NA NA 65
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 4.56 hours 6.3 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.94 hours 2.9 hours
Registered Nurses Hours per Residents per Day 0.81 hours 1.03 hours 2.24 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.91 hours 0.67 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.62 hours 3.4 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.16 hours 0.08 hours
Health Survey: AVALON CARE CENTER - SHADOW MOUNTAIN
Heath Survey Summary on 2013-11-07
Total Number of Health Deficiencies 8
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Heath Survey Summary on 2012-09-13
Total Number of Health Deficiencies 12
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Heath Survey Summary on 2011-06-29
Total Number of Health Deficiencies 5
Scope and Severity of most Severe Health Deficiency Isolated/Actual harm
Health Survey Details: AVALON CARE CENTER - SHADOW MOUNTAIN
Inspection Results: 11/07/2013
Corrected Deficiency Scope and Severity
12/09/2013 Upon the death of a resident, convey the residents personal funds and an accounting of those funds to the appropriate party. Isolated/Minimal harm or potential for actual harm
12/09/2013 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 harm or potential for actual harm
12/09/2013 Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated/Minimal harm or potential for actual harm
12/09/2013 Provide clean bed and bath linens that are in good condition. Pattern/Minimal harm or potential for actual harm
12/09/2013 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated/Minimal harm or potential for actual harm
12/09/2013 Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated/Minimal harm or potential for actual harm
12/09/2013 Have a program that investigates, controls and keeps infection from spreading. Isolated/Minimal harm or potential for actual harm
12/09/2013 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated/Minimal harm or potential for actual harm
Inspection Results: 09/13/2012
Corrected Deficiency Scope and Severity
10/17/2012 Ensure services provided by the nursing facility meet professional standards of quality. Isolated/Minimal harm or potential for actual harm
10/17/2012 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern/Minimal harm or potential for actual harm
10/17/2012 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. Isolated/Minimal harm or potential for actual harm
10/17/2012 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 residents clinical condition. Isolated/Minimal harm or potential for actual harm
10/17/2012 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. Isolated/Minimal harm or potential for actual harm
10/17/2012 Allow residents the right to participate in the planning or revision of care and treatment. Isolated/Minimal harm or potential for actual harm
10/17/2012 Provide housekeeping and maintenance services. Pattern/Minimal harm or potential for actual harm
10/17/2012 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 harm or potential for actual harm
10/17/2012 Make sure that a working call system is available in each resident's room or bathroom and bathing area. Isolated/Minimal harm or potential for actual harm
10/17/2012 Store, cook, and serve food in a safe and clean way. Pattern/Minimal harm or potential for actual harm
10/17/2012 Have a program that investigates, controls and keeps infection from spreading. Isolated/Minimal harm or potential for actual harm
10/17/2012 Give residents a notice of rights, rules, services and charges. Isolated/Minimal harm or potential for actual harm
Inspection Results: 06/29/2011
Corrected Deficiency Scope and Severity
08/04/2011 Allow residents to easily view the results of the nursing home's most recent inspection. Pattern/Potential for minimal harm
08/04/2011 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 harm or potential for actual harm
08/04/2011 Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated/Actual harm
08/04/2011 Ensure residents maintain acceptable nutritional status. Isolated/Minimal harm or potential for actual harm
08/04/2011 Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated/Minimal harm or potential for actual harm

Fire Safety Survey: AVALON CARE CENTER - SHADOW MOUNTAIN
Fire Safety Survey Summary on 2013-11-12
Total Number of Fire SafetyDeficiencies 10
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2012-09-19
Total Number of Fire SafetyDeficiencies 3
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2011-06-29
Total Number of Fire SafetyDeficiencies 2
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Fire Safety Survey: AVALON CARE CENTER - SHADOW MOUNTAIN
Fire Safety Survey Results: 11/12/2013
Corrected Deficiency Severity
12/05/2013 Corridor and hallway doors that block smoke. Isolated/Minimal harm or potential for actual harm
12/05/2013 Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. Isolated/Minimal harm or potential for actual harm
12/05/2013 Corridors or aisles that are unobstructed and are at least 8 feet in width. Widespread /Minimal harm or potential for actual harm
12/05/2013 Record of quarterly fire drills for each shift under varying conditions. Pattern/Minimal harm or potential for actual harm
12/05/2013 An approved automatic sprinkler system connected to the fire alarm system. Isolated/Minimal harm or potential for actual harm
12/05/2013 Properly installed electrical wiring and equipment. Pattern/Minimal harm or potential for actual harm
12/05/2013 Weekly inspections and monthly testing of generators. Isolated/Minimal harm or potential for actual harm
12/05/2013 Properly protected cooking facilities. Widespread /Minimal harm or potential for actual harm
12/05/2013 Restrictions on the use of highly flammable decorations. Widespread /Minimal harm or potential for actual harm
12/05/2013 Proper medical gas storage and administration areas. Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Results: 09/19/2012
Corrected Deficiency Severity
10/17/2012 Record of quarterly fire drills for each shift under varying conditions. Pattern/Minimal harm or potential for actual harm
10/17/2012 Automatic sprinkler systems that have been maintained in working order. Widespread/Potential for minimal harm
10/17/2012 Weekly inspections and monthly testing of generators. Widespread/Potential for minimal harm
Fire Safety Survey Results: 06/29/2011
Corrected Deficiency Severity
08/03/2011 Corridor and hallway doors that block smoke. Isolated/Minimal harm or potential for actual harm
08/03/2011 Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. Isolated/Minimal harm or potential for actual harm

Resident Complaints: AVALON CARE CENTER - SHADOW MOUNTAIN
Date Complaint Substantiated: 11/30/2011
CorrectedCategoryDeficiencySeverity
01/04/2012Ensure 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. D
01/04/2012Develop 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. D
01/04/20121) 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. D

Quality Measures: AVALON CARE CENTER - SHADOW MOUNTAIN
Quality Measures National Average Arizona Average AVALON CARE CENTER - SHADOW MOUNTAIN
Overall quality rating NA NA 3
3
Long-Stay Residents
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased 15.4% 15.3% 23.1%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 10.7% 14.3%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 6.1% 4.2%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 6.7% 9.9%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 51.5% 34.9%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 4.5% 6.7%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 6.2% 6.5%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 4.0% 0.9%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 0.7% 0.0%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 2.7% 10.3%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 95.0% 89.5%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 95.9% 97.4%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 20.3% 20.0%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 23.7% 32.8%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 0.7% 0.3%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 89.9% 89.5%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 88.9% 96.5%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 2.0% 2.8%

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