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 105 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 a Follow-up Survey completed on February 19, 2025, it was determined that Avalon Care Center failed to correct the deficiencies identified during the survey of January 3, 2025, as related to the requirements of the 28 PA Code, Commonwealth of Pennsylvania Long Term Care Licensure Regulations.

Plan of Correction:

§ 211.12(f.1)(3) LICENSURE Nursing services. :

(3) Effective July 1, 2024, a minimum of 1 nurse aide per 10 residents during the day, 1 nurse aide per 11 residents during the evening, and 1 nurse aide per 15 residents overnight.

Observations:

Based on review of facility nursing staffing documents and staff interview, it was determined that the facility failed to meet the Nurse Aide (NA) ratios of one NA per 11 residents on the evening shift for one of seven days (2/14/25).

Findings include:

Review of facility nursing staffing documents for the time period from 2/12/25 through 2/18/25, revealed the following NA staffing shortages for the evening shift where the NA ratios were not met:

2/14/25 census of 76 residents 6.00 NAs worked and 6.91 were required

During a telephone interview on 2/19/25, at 3:53 p.m. the Nursing Home Administrator confirmed that the facility did not meet the minimum NA ratios for the above day and shift.

Plan of Correction - To be completed: 03/12/2025

The facility cannot correct that the nurse aide staffing ratio was not met on 2/14/25. There were no adverse effects to residents on the identified dates.
The scheduler will be re-educated regarding the state ratios by corporate clinical services.
Nursing Administration will be re-educated on staffing ratios by the Nursing Home Administrator/designee. Twice a day staffing meeting will be held to review the schedule with ratios. Nursing supervisors will monitor on weekends. If the facility is projected not to meet staffing ratios the scheduler/designee will call off duty facility staff and will utilize external staffing support resources.
Nursing Home Administrator/designee will audit staffing daily for three weeks and monthly for three months to ensure staffing ratios are being met. Outcomes will be reported to the Quality Assurance Performance Committee for review and recommendations.
Additionally, weekend nursing supervisors will be re-educated on staffing ratios

§ 211.12(i)(2) LICENSURE Nursing services.:

(2) Effective July 1, 2024, the total number of hours of general nursing care provided in each 24-hour period shall, when totaled for the entire facility, be a minimum of 3.2 hours of direct resident care for each resident.

Observations:

Based on review of facility nursing staffing documents and staff interview, it was determined that the facility failed to meet the 3.2 minimum number of general nursing care hours for each 24-hour period for one of seven days reviewed (2/14/25).

Findings include:

Review of facility nursing staffing documents for the time period from 2/12/25 through 2/18/25, revealed the following general nursing care hours was below the minimum 3.2 per patient day (PPD) on the following days:

2/14/25 3.13 PPD

During a telephone interview on 2/19/25, at 3:53 p.m. the Nursing Home Administrator confirmed that the facility did not meet the 3.2 PPD minimum direct nursing care hours on the above date.

Plan of Correction - To be completed: 03/12/2025

The facility cannot correct that the State required PPD (per patient day) minimum hours of 3.20 was not met on 2/14/25.
The scheduler will be re-educated on the state required PPD by Corporate Clinical Services
Nursing Administration will be re-educated on state required PPD by the Nursing Home Administrator/designee. Twice a day staffing meeting will be held to review PPD and projected PPD. Nursing supervisors will monitor on weekends. If facility is projected not to meet daily PPD the scheduler/designee will call off duty facility staff and will utilize external staffing support resources.
Nursing Home Administrator/designee will audit staffing daily for three weeks and monthly for three months to ensure daily PPD is being met. Outcomes will be reported to the Quality Assurance Performance Commitee for review and recommendations.
Additionally, weekend nursing supervisors will be re-educated on staffing ratios.

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