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Avalon Place Kirbyville
700 N HERNDON
Kirbyville, TX 75956
(409) 423-6111
General
Ratings
Deficiencies
Resident Stats
Staff Stats
| Certified Beds: | 114 |
| Number of Residents: | 76 |
| Percent of Occupied Beds: | 67% |
| Sprinkler Status: | Fully Sprinklered |
| Program Participation: | Medicare and Medicaid |
| Type of Ownership: | For profit - Partnership |
| Located Within a Hospital? | No |
| Multi Nursing Home Ownership? | Yes |
| Resident and Family Councils? | Resident |
| Continuing Care Retirement Community? | No |
| Quality Indicator Survey? | No |
| Special Focus Facility? | No |
| Overall: |  |
| Health Inspection: | |
| Nurse Staffing: | |
| Quality Measures: |  |
| RN Only: | |
| Date | Type | Category | Deficiency | Scope | Level of Harm | Date of Correction |
| 20070925 | Health | Resident Assessment Deficiencies | Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | Isolated | Minimal harm or potential for actual harm | 20071019 |
| 20070925 | Health | Pharmacy Service Deficiencies | Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. | Pattern | Minimal harm or potential for actual harm | 20071019 |
| 20070925 | Health | Environmental Deficiencies | Have a program to keep infection from spreading. | Pattern | Minimal harm or potential for actual harm | 20071019 |
| 20080131 | Health | Pharmacy Service Deficiencies | Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. | Pattern | Minimal harm or potential for actual harm | 20080229 |
| 20080131 | Health | Quality Care Deficiencies | Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion. | Pattern | Minimal harm or potential for actual harm | 20080229 |
| 20080131 | Health | 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. | Pattern | Minimal harm or potential for actual harm | 20080229 |
| 20080131 | Health | 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. | Pattern | Minimal harm or potential for actual harm | 20080229 |
| 20080326 | Health | 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. | Pattern | Minimal harm or potential for actual harm | 20080327 |
| 20080326 | Health | Pharmacy Service Deficiencies | Make sure that residents are safe from serious medication errors. | Isolated | Actual harm | 20080327 |
| 20080326 | Health | Mistreatment Deficiencies | Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | Pattern | Minimal harm or potential for actual harm | 20080327 |
| 20080703 | Health | 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. | Isolated | Minimal harm or potential for actual harm | 20080707 |
| 20080703 | Health | Mistreatment Deficiencies | Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | Isolated | Minimal harm or potential for actual harm | 20080707 |
| 20080717 | Health | 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. | Pattern | Potential for minimal harm | 20080718 |
| 20081118 | Health | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable. | Pattern | Minimal harm or potential for actual harm | 20081215 |
| 20090122 | Health | Mistreatment Deficiencies | Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | Pattern | Minimal harm or potential for actual harm | 20090227 |
| 20090122 | Health | 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. | Pattern | Minimal harm or potential for actual harm | 20090227 |
| 20091014 | Health | 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. | Pattern | Minimal harm or potential for actual harm | 20091016 |
| 20091014 | Health | Mistreatment Deficiencies | Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | Pattern | Minimal harm or potential for actual harm | 20091016 |
| Value | Notes | |
| Percent of long-stay residents given influenza vaccination during the flu season: | 98 | |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination: | 100 | |
| Percent of long-stay residents whose need for help with daily activities has increased: | 13 | |
| Percent of long-stay residents who have moderate to severe pain: | 2 | |
| Percent of high-risk long-stay residents who have pressure sores: | 15 | |
| Percent of low-risk long-stay residents who have pressure sores: | 1 | |
| Percent of long-stay residents who were physically restrained: | 0 | |
| Percent of long-stay residents who are more depressed or anxious: | 20 | |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder: | 46 | |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder: | 4 | |
| Percent of long-stay residents who spend most of their time in bed or in a chair: | 9 | |
| Percent of long-stay residents whose ability to move about in and around their room got worse: | 9 | |
| Percent of long-stay residents who had a urinary tract infection: | 4 | |
| Percent of long-stay residents who lose too much weight: | 3 | |
| Percent of short-stay residents given influenza vaccination during the flu season: | 94 | |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination: | 100 | |
| Percent of short-stay residents who have delirium: | 9 | |
| Percent of short-stay residents who had moderate to severe pain: | 12 | |
| Percent of short-stay residents who have pressure sores: | 12 | |
| # of Residents: | 76 |
| # RN Hours per Resident: | 0.33 |
| # LPN Hours per Resident: | 0.96 |
| # CNA Hours per Resident: | 2.27 |
| Total Staff Hours per Resident: | 1.29 |
