Pennsylvania Department of Health
AVALON CARE CENTER
Patient Care Inspection Results

Note: If you need to change the font size, click the "View" menu at the top of the page, place the mouse over the "Text Size" menu item, and select the desired font size.

Severity Designations


Minimal Citation - No Harm	Minimal Harm	Actual Harm	Serious Harm

AVALON CARE CENTER
Inspection Results For:

There are 120 surveys for this facility. Please select a date to view the survey results.

Surveys don't appear on this website until at least 41 days have elapsed since the exit date of the survey.


AVALON CARE CENTER - Inspection Results	Scope of Citation Number of Residents Affected By Deficient Practice

Initial comments:

Based on an Abbreviated Complaint Survey completed on April 15, 2026, it was determined that Avalon Care Center was not in compliance with the following Requirements of 42 CFR Part 483, Subpart B, Requirements for Long Term Care Facilities and the 28 PA Code, Commonwealth of Pennsylvania Long Term Care Licensure Regulations.

Plan of Correction:

483.90(i)(4) REQUIREMENT Maintains Effective Pest Control Program:

This is a less serious (but not lowest level) deficiency and is isolated to the fewest number of residents, staff, or occurrences. This deficiency is one that results in minimal discomfort to the resident or has the potential (not yet realized) to negatively affect the resident's ability to achieve his/her highest functional status.

§483.90(i)(4) Maintain an effective pest control program so that the facility is free of pests and rodents.

Observations:

Based on observations, and resident and staff interviews, it was determined that the facility failed to maintain an effective pest control program for one of two buildings that residents reside (Building One).

Findings include:

No facility policy provided.

Observations on 4/13/26, at approximately 11:00 a.m. revealed seven windows open with no screens throughout Building One. During the time of observations, the Maintenance Director confirmed that the facility did not have screens for any windows, including the seven windows that were observed open in the facility.

Interviews with Residents R1, R2, and R3 on 4/13/26, at 11:45 a.m. through 12:20 p.m. revealed that a snake was observed in a resident's room and hallway of Building One the evening of 4/09/26. Resident R1 and R2 further indicated that the snake likely came in through an open window due to no screens in the window, allowing pests to enter freely.

Interview with the Nursing Home Administrator (NHA) on 4/13/26, at 2:35 p.m. confirmed that a snake was in the building on 4/09/26, and the facility was unaware of how the snake got in the building. The NHA further confirmed that windows can be readily opened throughout the facility, and the facility lacks screens for the windows of Building One and Building Two that could allow pests to enter through those areas.

28 Pa. Code 201.14 (a) Responsibility of licensee

Plan of Correction - To be completed: 05/26/2026

The facility will have professional exterminator do a walk through making sure that both buildings are free from pest. The exterminator is currently scheduled to be at Avalon on 5/1/26. During the time the exterminator is at Avalon he will be educating the Maintenance staff/Housekeeping supervisor as it relates to signs to identify infestation of pest both internal/external. The maintenance director/designee will audit for pest 3 times per week for 2 weeks, 2 times a week for one week and monthly thereafter. The audit will included checking for any infestation and that screens are still secured in the windows for pest prevention. Audits and any concerns will be brought to the Quality Assurance and performance Improvement committee.

§ 204.15(a) LICENSURE Windows.:

(a) Each window opening in the exterior walls that are used for ventilation shall be effectively covered by screening.

Observations:

Based on observations and staff interviews, it was determined that the facility failed to maintain screens for window openings on exterior walls used for ventilation for two of two buildings that residents reside (Building One and Building Two).

Findings include:

No facility policy provided.

Observations on 4/13/26, at approximately 11:00 a.m. revealed seven windows open with no screens throughout Building One. During the time of observations, the Maintenance Director confirmed that the facility did not have screens for any windows, including the seven windows that were observed open in the facility.

Interview with the Nursing Home Administrator on 4/13/26, at 2:35 p.m. confirmed that windows can be readily opened throughout the facility, and the facility has no screens for the windows on exterior walls that can be used for ventilation for Building One and Building Two.

Plan of Correction - To be completed: 05/26/2026

The facility will have maintenance measure and count all windows for screens.
Once screens are delivered to Avalon Care Center maintenance will install and make sure they are fitting appropriately.
The maintenance department will audit monthly that screens are secure in windows so that compliance is maintained. Audits and concerns will be brought to the Quality Assurance and performance Improvement committee.

§ 211.12(f.1)(4) LICENSURE Nursing services. :

(4) Effective July 1, 2023, a minimum of 1 LPN per 25 residents during the day, 1 LPN per 30 residents during the evening, and 1 LPN per 40 residents overnight.

Observations:

Based on review of facility nursing staffing documents and staff interview, it was determined that the facility failed to ensure the Licensed Practical Nurse (LPN) ratios of one LPN per 25 residents on the day shift were met for one of 21 days (4/11/26).

Findings include:

Review of facility nursing staffing documents for the time period from 3/24/26, through 4/13/26, revealed the following LPN staffing shortage for the day shift where the LPN ratios were not met:

4/11/26 census of 73 residents 2.33 LPNs worked and 2.92 were required.

During an interview on 4/14/26, at 3:25 p.m. the Director of Nursing confirmed that the facility did not meet the minimum LPN ratio for the above day and shift.

Plan of Correction - To be completed: 05/26/2026

The facility will meet the minimum licensed practical nurse to resident ratio each day based on current census levels.
The Nursing Home Administrator will educate the Director of Nursing, Nursing supervisors, and staff scheduler on required ratios to ensure facility is meeting ratios. Also, they will be educated on what action to take if staffing is not meeting requirements which will include utilizing agency staff.
System changes to help ensure proper staffing ratios are met include, offer extra shift bonus to current staff for picking up shifts, ensure all vacant positions are in recruitment.
The Director of Nursing/ designee will audit to ensure that the facility meets the required minimum numbers of licensed practical nurses to resident staffing ratio. The audit will review the current working schedule and assignment sheets prior to the day worked and after the day is completed to ensure compliance. Audits will be completed daily for one month and weekly for two months. Audits will be reviewed as part of facilities Quality Assurance and performance Improvement committee for monitoring and recommendations.

Back to County Map

Home : Press Releases : Administration
Health Planning and Assessment : Office of the Secretary
Health Promotion and Disease Prevention : Quality Assurance

Copyright © 2001 Commonwealth of Pennsylvania. All Rights Reserved.
Commonwealth of PA Privacy Statement