US Nursing Home Finder: AVAMERE AT THREE FOUNTAINS MEDFORD OR

General Information: AVAMERE AT THREE FOUNTAINS
Nursing home name	AVAMERE AT THREE FOUNTAINS
Address	835 CRATER LAKE AVENUE MEDFORD, OR 97504
Phone number	(541) 773-7717
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	BOTH
Certified number of beds	156
Total number of residents	103
Perc of occupied beds	66
Sprinkler status	fully sprinklered
Last health survey date	09/03/2009
Fire survey date:	08/20/2009

Ratings Summary: AVAMERE AT THREE FOUNTAINS
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	2 out of 5 stars

Nursing Home Staffing Info: AVAMERE AT THREE FOUNTAINS
	National Average	AVAMERE AT THREE FOUNTAINS
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	103
Total Number of Licensed Nurse Staff Hours per Resident per Day	1.4 hours	1.21 hours
Registered Nurses Hours per Residents per Day	0.6 hours	0.37 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day	0.8 hours	0.84 hours
Certified Nursing Assistants Hours per Residents per Day	0.6 hours	0.37 hours

Health Inpections: AVAMERE AT THREE FOUNTAINS
Inspection Results: 09/03/2009
Corrected	Category	Deficiency	Severity
10/23/2009	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable.	E
10/23/2009	Resident Assessment Deficiencies	Make sure that doctors visit residents regularly, as required.	B
10/23/2009	Quality Care Deficiencies	Make sure that each resident's nutritional needs were met.	D
10/23/2009	Quality Care Deficiencies	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	E
10/23/2009	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
Inspection Results: 08/07/2008
Corrected	Category	Deficiency	Severity
09/26/2008	Resident Assessment Deficiencies	Keep assessments completed in the preceding 15 months in the resident's active record.	E
09/26/2008	Pharmacy Service Deficiencies	1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects.	D
09/26/2008	Quality Care Deficiencies	Make sure that residents receive treatment/services to continue to be able to care for themselves, unless a change is unavoidable.	D
09/26/2008	Pharmacy Service Deficiencies	Make sure that residents are safe from serious medication errors.	D
09/26/2008	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	D
09/26/2008	Resident Assessment Deficiencies	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	E
09/26/2008	Resident Assessment Deficiencies	Make a complete assessment that covers all questions for areas that are listed in official regulations.	D
09/26/2008	Resident Assessment Deficiencies	Do a new assessment after any major change in a resident's physical or mental health.	D
Inspection Results: 07/26/2007
Corrected	Category	Deficiency	Severity
09/14/2007	Pharmacy Service Deficiencies	At least once a month, have a licensed pharmacist check the drugs that each resident takes.	D
09/14/2007	Quality Care Deficiencies	Develop/implement required procedures for the administration of immunizations.	E
09/14/2007	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	D
09/14/2007	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	D

Fire Safety Inpections: AVAMERE AT THREE FOUNTAINS
Inspection Results: 08/20/2009
Corrected	Category	Deficiency	Severity
10/23/2009	Electrical Deficiencies	weekly inspections and monthly testing of generators.	F
10/23/2009	Furnishings and Decorations Deficiencies	restrictions on the use of highly flammable materials.	E
10/23/2009	Emergency Plans and Fire Drills Deficiencies	did not have a written emergency evacuation plan.	F
10/23/2009	Building Construction Deficiencies	approved construction type or materials.	D
Inspection Results: 08/04/2008
Corrected	Category	Deficiency	Severity
08/26/2008	Corridor Walls and Doors Deficiencies	corridor and hallway doors that block smoke.	E
Inspection Results: 07/26/2007
Corrected	Category	Deficiency	Severity
09/14/2007	Hazardous Area Deficiencies	properly installed hallway dispensers for alcohol-based hand rub.	D
09/14/2007	Electrical Deficiencies	properly installed electrical wiring and equipment.	D
09/14/2007	Automatic Sprinkler Systems Deficiencies	automatic sprinkler systems that have been maintained in working order.	F
09/14/2007	Fire Alarm Systems Deficiencies	an approved installation, maintenance and testing program for fire alarm systems.	F
09/14/2007	Smoke Compartmentation and Control Deficiencies	smoke barrier doors that can resist smoke for at least 20 minutes.	E

Resident Complaints: AVAMERE AT THREE FOUNTAINS
Date Complaint Substantiated: 10/01/2009
Corrected	Category	Deficiency	Severity
10/23/2009	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	D
Date Complaint Substantiated: 12/14/2007
Corrected	Category	Deficiency	Severity
02/02/2008	Quality Care Deficiencies	Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.	E
Date Complaint Substantiated: 01/25/2007
Corrected	Category	Deficiency	Severity
03/16/2007	Resident Rights Deficiencies	Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged.	D

Quality Measures: AVAMERE AT THREE FOUNTAINS
Quality Measures	National Average	AVAMERE AT THREE FOUNTAINS
Overall quality rating	Not Available	2 out of 5 stars
Long-Stay Residents
Percent of long-stay residents who have moderate to severe pain	3%	6%
Percent of long-stay residents who had a urinary tract infection	9%	10%
Percent of long-stay residents given influenza vaccination during the flu season	91%	90+%
Percent of long-stay residents who have/had a catheter inserted and left in their bladder	5%	10%
Percent of long-stay residents who lose too much weight	8%	14%
Percent of low-risk long-stay residents who lose control of their bowels or bladder	50%	56%
Percent of long-stay residents whose ability to move about in and around their room got worse	11%	6%
Percent of long-stay residents who were physically restrained	3%	4%
Percent of high-risk long-stay residents who have pressure sores	11%	11%
Percent of long-stay residents whose need for help with daily activities has increased	14%	5%
Percent of low-risk long-stay residents who have pressure sores	2%	0%
Percent of long-stay residents who are more depressed or anxious	14%	14%
Percent of long-stay residents who were assessed and given pneumococcal vaccination	89%	90+%
Percent of long-stay residents who spend most of their time in bed or in a chair	4%	8%
Short-Stay Residents
Percent of short-stay residents given influenza vaccination during the flu season	83%	76%
Percent of short-stay residents who were assessed and given pneumococcal vaccination	83%	90+%
Percent of short-stay residents who had moderate to severe pain	19%	59%
Percent of short-stay residents who have pressure sores	13%	17%
Percent of short-stay residents who have delirium	2%	9%

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

US Nursing Home Finder™: AVAMERE AT THREE FOUNTAINS MEDFORD OR