US Nursing Home Finder™: AVALON VILLAGE LIGONIER IN

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General Info of AVALON VILLAGE
Ratings Summary of AVALON VILLAGE
Nursing Home Staffing info of AVALON VILLAGE
Health Inspections of AVALON VILLAGE
Fire Safety Inspections of AVALON VILLAGE
Resident Complaints of AVALON VILLAGE
Quality Measures of AVALON VILLAGE

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General Information: AVALON VILLAGE
Nursing home name	AVALON VILLAGE
Address	200 KINGSTON CIR LIGONIER, IN 46767
Phone number	(260) 894-7131
Located within a hospital	No
Type of ownership	For profit - Corporation
Owner operates multiple homes	Yes
Accept Medicare or Medicaid	Medicare and Medicaid
Continue Care Retirement Community	No
Resident and family councils	RESIDENT
Certified number of beds	67
Total number of residents	54
Perc of occupied beds	81
Sprinkler status	fully sprinklered
Last health survey date	10/30/2009
Fire survey date:	11/09/2009

Ratings Summary: AVALON VILLAGE
Overall rating	2 out of 5 stars
Nursing Home Staffing	1 out of 5 stars
Registered Nurses only	1 out of 5 stars
Health Inspections	3 out of 5 stars
Quality Measures	4 out of 5 stars

Nursing Home Staffing Info: AVALON VILLAGE
	National Average	AVALON VILLAGE
Overall staff rating	Not Available.	1 out of 5 stars
Registered Nurses only rating	Not Available	1 out of 5 stars
Total Number of Residents	94.2	54
Total Number of Licensed Nurse Staff Hours per Resident per Day	1.4 hours	1.5 hours
Registered Nurses Hours per Residents per Day	0.6 hours	0.39 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day	0.8 hours	1.11 hours
Certified Nursing Assistants Hours per Residents per Day	0.6 hours	0.39 hours

Health Inpections: AVALON VILLAGE
Inspection Results: 10/30/2009
Corrected	Category	Deficiency	Severity
11/17/2009	Administration Deficiencies	Give or get lab tests to meet the needs of residents.	D
11/05/2009	Environmental Deficiencies	Have a program to keep infection from spreading.	D
11/05/2009	Pharmacy Service Deficiencies	Properly mark drugs and other similar products.	D
11/05/2009	Pharmacy Service Deficiencies	Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.	D
11/05/2009	Resident Assessment Deficiencies	Make sure that doctors visit residents regularly, as required.	D
11/19/2009	Environmental Deficiencies	Get rid of garbage properly.	D
11/23/2009	Nutrition and Dietary Deficiencies	Make sure that residents are well nourished.	E
11/05/2009	Quality Care Deficiencies	Develop/implement required procedures for the administration of immunizations.	D
11/05/2009	Quality Care Deficiencies	Make sure that each resident's nutritional needs were met.	D
11/23/2009	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	D
11/23/2009	Quality Care Deficiencies	Give professional services that follow each resident's written care plan.	E
11/05/2009	Resident Assessment Deficiencies	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	D
11/05/2009	Resident Assessment Deficiencies	Make a complete assessment that covers all questions for areas that are listed in official regulations.	D
Inspection Results: 10/06/2008
Corrected	Category	Deficiency	Severity
10/20/2008	Administration Deficiencies	Keep clinical information safe, so that it will not be lost, destroyed or used by the wrong person.	D
10/20/2008	Administration Deficiencies	Keep accurate and appropriate medical records.	D
10/20/2008	Administration Deficiencies	Give or get lab tests to meet the needs of residents.	D
10/20/2008	Environmental Deficiencies	Keep all essential equipment working safely.	E
10/20/2008	Environmental Deficiencies	Have a program to keep infection from spreading.	D
10/20/2008	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	D
10/20/2008	Administration Deficiencies	post nurse staffing information.	C
10/20/2008	Resident Rights Deficiencies	Quickly give a resident's personal money to the heads of his or her estate after the resident's death.	B
10/20/2008	Quality Care Deficiencies	Give professional services that follow each resident's written care plan.	D
Inspection Results: 09/21/2007
Corrected	Category	Deficiency	Severity
10/21/2007	Administration Deficiencies	Keep accurate and appropriate medical records.	D
10/21/2007	Administration Deficiencies	Keep complete, dated lab records in the resident's file.	D
10/21/2007	Administration Deficiencies	Give or get lab tests to meet the needs of residents.	D
10/21/2007	Quality Care Deficiencies	Give professional services that follow each resident's written care plan.	D
10/21/2007	Environmental Deficiencies	Keep sound levels comfortable.	D

Fire Safety Inpections: AVALON VILLAGE
Inspection Results: 11/09/2009
Corrected	Category	Deficiency	Severity
12/09/2009	Electrical Deficiencies	properly installed electrical wiring and equipment.	D
12/09/2009	Automatic Sprinkler Systems Deficiencies	automatic sprinkler systems that have been maintained in working order.	F
12/09/2009	Automatic Sprinkler Systems Deficiencies	an approved automatic sprinkler system connected to the fire alarm system.	F
12/09/2009	Illumination and Emergency Power Deficiencies	emergency lighting that can last at least 1 1/2 hours.	F
12/09/2009	Smoke Compartmentation and Control Deficiencies	walls or barriers that prevent smoke from passing through and would resist fire for at least one hour.	E
Inspection Results: 10/08/2008
Corrected	Category	Deficiency	Severity
11/07/2008	Miscellaneous Deficiencies	fire safety features required by current fire safety codes.	E
11/07/2008	Electrical Deficiencies	weekly inspections and monthly testing of generators.	F
11/07/2008	Medical Gases and Anesthetizing Areas Deficiencies	proper fire barriers, ventilation and signs for the transport of oxygen.	E
11/07/2008	Electrical Deficiencies	properly installed electrical wiring and equipment.	D
11/07/2008	Automatic Sprinkler Systems Deficiencies	automatic sprinkler systems that have been maintained in working order.	E
11/07/2008	Exits and Egress Deficiencies	exits that are accessible at all times.	E
11/07/2008	Corridor Walls and Doors Deficiencies	corridors that are separated from common areas by walls constructed to limit the passage of smoke.	E
11/07/2008	Corridor Walls and Doors Deficiencies	corridor and hallway doors that block smoke.	E
11/07/2008	Corridor Walls and Doors Deficiencies	signs that state that exit doors are to be kept closed.	E
Inspection Results: 09/21/2007
Corrected	Category	Deficiency	Severity
10/21/2007	Miscellaneous Deficiencies	fire safety features required by current fire safety codes.	F
10/21/2007	Automatic Sprinkler Systems Deficiencies	automatic sprinkler systems that have been maintained in working order.	D
09/25/2007	Fire Alarm Systems Deficiencies	properly maintained smoke detectors.	F

Resident Complaints: AVALON VILLAGE
Not available

Quality Measures: AVALON VILLAGE
Quality Measures	National Average	AVALON VILLAGE
Overall quality rating	Not Available	4 out of 5 stars
Long-Stay Residents
Percent of low-risk long-stay residents who have pressure sores	2%	Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure.%
Percent of low-risk long-stay residents who lose control of their bowels or bladder	50%	57%
Percent of long-stay residents who have/had a catheter inserted and left in their bladder	5%	7%
Percent of long-stay residents who were physically restrained	3%	0%
Percent of long-stay residents who are more depressed or anxious	14%	14%
Percent of long-stay residents who lose too much weight	8%	15%
Percent of long-stay residents given influenza vaccination during the flu season	91%	90+%
Percent of long-stay residents who had a urinary tract infection	9%	8%
Percent of long-stay residents who spend most of their time in bed or in a chair	4%	5%
Percent of long-stay residents whose ability to move about in and around their room got worse	11%	5%
Percent of long-stay residents who were assessed and given pneumococcal vaccination	89%	90%
Percent of long-stay residents whose need for help with daily activities has increased	14%	14%
Percent of high-risk long-stay residents who have pressure sores	11%	14%
Percent of long-stay residents who have moderate to severe pain	3%	8%
Short-Stay Residents
Percent of short-stay residents who had moderate to severe pain	19%	42%
Percent of short-stay residents who have pressure sores	13%	11%
Percent of short-stay residents given influenza vaccination during the flu season	83%	84%
Percent of short-stay residents who have delirium	2%	0%
Percent of short-stay residents who were assessed and given pneumococcal vaccination	83%	80%

Severity Codes Explanation. Note: The higher the letter, the higher the severity.
A	Isolated /Potential for minimal harm
B	Pattern /Potential for minimal harm
C	Widespread /Potential for minimal harm
D	Isolated /Minimal harm or potential for actual harm
E	Pattern /Minimal harm or potential for actual harm
F	Widespread /Minimal harm or potential for actual harm
G	Isolated /Actual harm
H	Pattern /Actual harm
I	Widespread /Actual harm
J	Isolated /Immediate jeopardy to resident health or safety
K	Pattern /Immediate jeopardy to resident health or safety
L	Widespread /Immediate jeopardy to resident health or safety