US Nursing Home Finder: AVALON CARE CENTER AT NORTHPOINTE SPOKANE WA

General Information: AVALON CARE CENTER AT NORTHPOINTE
Nursing home name	AVALON CARE CENTER AT NORTHPOINTE
Address	9827 NORTH NEVADA SPOKANE, WA 99218
Phone number	(509) 468-7000
Located within a hospital	No
Type of ownership	For profit - Corporation
Owner operates multiple homes	No
Accept Medicare or Medicaid	Medicare and Medicaid
Continue Care Retirement Community	No
Resident and family councils	RESIDENT
Certified number of beds	119
Total number of residents	106
Perc of occupied beds	89
Sprinkler status	fully sprinklered
Last health survey date	12/10/2009
Fire survey date:	12/03/2009

Ratings Summary: AVALON CARE CENTER AT NORTHPOINTE
Overall rating	3 out of 5 stars
Nursing Home Staffing	3 out of 5 stars
Registered Nurses only	3 out of 5 stars
Health Inspections	3 out of 5 stars
Quality Measures	2 out of 5 stars

Nursing Home Staffing Info: AVALON CARE CENTER AT NORTHPOINTE
	National Average	AVALON CARE CENTER AT NORTHPOINTE
Overall staff rating	Not Available.	3 out of 5 stars
Registered Nurses only rating	Not Available	3 out of 5 stars
Total Number of Residents	94.2	106
Total Number of Licensed Nurse Staff Hours per Resident per Day	1.4 hours	1.27 hours
Registered Nurses Hours per Residents per Day	0.6 hours	0.74 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day	0.8 hours	0.53 hours
Certified Nursing Assistants Hours per Residents per Day	0.6 hours	0.74 hours

Health Inpections: AVALON CARE CENTER AT NORTHPOINTE
Inspection Results: 12/10/2009
Corrected	Category	Deficiency	Severity
01/24/2010	Administration Deficiencies	Train all employees on what to do in an emergency.	F
01/24/2010	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	F
01/24/2010	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.	D
01/24/2010	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	D
01/24/2010	Resident Assessment Deficiencies	1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan.	D
01/24/2010	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
01/24/2010	Quality Care Deficiencies	Provide social services for related medical problems to help each resident achieve the highest possible quality of life.	D
01/24/2010	Resident Rights Deficiencies	Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for; or 2) how to apply for Medicaid, along with the names and addresses of State groups that can help.	C
Inspection Results: 02/13/2009
Corrected	Category	Deficiency	Severity
03/03/2009	Pharmacy Service Deficiencies	Make sure that residents are safe from serious medication errors.	D
03/03/2009	Pharmacy Service Deficiencies	Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.	E
03/03/2009	Administration Deficiencies	Keep accurate and appropriate medical records.	D
03/03/2009	Pharmacy Service Deficiencies	Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.	D
03/03/2009	Quality Care Deficiencies	Make sure that each resident's nutritional needs were met.	D
03/03/2009	Quality Care Deficiencies	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	D
03/03/2009	Resident Assessment Deficiencies	Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.	D
03/03/2009	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	D
03/03/2009	Resident Assessment Deficiencies	1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan.	D
03/03/2009	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
Inspection Results: 01/08/2008
Corrected	Category	Deficiency	Severity
03/08/2008	Nutrition and Dietary Deficiencies	Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.	B
03/08/2008	Quality Care Deficiencies	Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.	D
03/08/2008	Resident Assessment Deficiencies	Make a complete assessment that covers all questions for areas that are listed in official regulations.	E

Fire Safety Inpections: AVALON CARE CENTER AT NORTHPOINTE
Inspection Results: 12/03/2009
Corrected	Category	Deficiency	Severity
01/12/2010	Electrical Deficiencies	properly installed electrical wiring and equipment.	E
01/12/2010	Automatic Sprinkler Systems Deficiencies	automatic sprinkler systems that have been maintained in working order.	E
Inspection Results: 02/11/2009
Corrected	Category	Deficiency	Severity
03/20/2009	Exits and Egress Deficiencies	exits that are accessible at all times.	D
03/20/2009	Electrical Deficiencies	weekly inspections and monthly testing of generators.	F
Inspection Results: 01/03/2008
Corrected	Category	Deficiency	Severity
03/03/2008	Automatic Sprinkler Systems Deficiencies	an approved automatic sprinkler system connected to the fire alarm system.	D
02/15/2008	Exits and Egress Deficiencies	exits that are accessible at all times.	B
03/03/2008	Corridor Walls and Doors Deficiencies	corridor and hallway doors that block smoke.	D

Resident Complaints: AVALON CARE CENTER AT NORTHPOINTE
Date Complaint Substantiated: 06/25/2009
Corrected	Category	Deficiency	Severity
08/09/2009	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
08/09/2009	Mistreatment Deficiencies	1) Hire only people who have 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
08/09/2009	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	D
Date Complaint Substantiated: 06/12/2008
Corrected	Category	Deficiency	Severity
06/25/2008	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	E
Date Complaint Substantiated: 08/01/2007
Corrected	Category	Deficiency	Severity
	Quality Care Deficiencies	Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.	D
Date Complaint Substantiated: 01/10/2007
Corrected	Category	Deficiency	Severity
02/23/2007	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.	D
02/23/2007	Environmental Deficiencies	Have a program to keep infection from spreading.	E

Quality Measures: AVALON CARE CENTER AT NORTHPOINTE
Quality Measures	National Average	AVALON CARE CENTER AT NORTHPOINTE
Overall quality rating	Not Available	2 out of 5 stars
Long-Stay Residents
Percent of long-stay residents who lose too much weight	8%	8%
Percent of high-risk long-stay residents who have pressure sores	11%	10%
Percent of long-stay residents who are more depressed or anxious	14%	26%
Percent of long-stay residents given influenza vaccination during the flu season	91%	90+%
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%	15%
Percent of long-stay residents who were physically restrained	3%	0%
Percent of long-stay residents who had a urinary tract infection	9%	12%
Percent of low-risk long-stay residents who have pressure sores	2%	4%
Percent of long-stay residents who have moderate to severe pain	3%	3%
Percent of long-stay residents who have/had a catheter inserted and left in their bladder	5%	4%
Percent of long-stay residents who spend most of their time in bed or in a chair	4%	2%
Percent of low-risk long-stay residents who lose control of their bowels or bladder	50%	69%
Percent of long-stay residents whose ability to move about in and around their room got worse	11%	9%
Short-Stay Residents
Percent of short-stay residents given influenza vaccination during the flu season	83%	90+%
Percent of short-stay residents who have delirium	2%	3%
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%	31%
Percent of short-stay residents who have pressure sores	13%	10%

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™: AVALON CARE CENTER AT NORTHPOINTE SPOKANE WA