Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 056023

Avalon Villa Care Center

120 federal citations on record , including 1 at the Immediate Jeopardy level, and 4 federal enforcement actions totaling $66,612.

Special Focus Status 1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
120
Total citations
104
Last 3 years
3
Actual harm+
4
Federal penalties
$66,612
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care23 Care Planning20 Resident Rights19 Nutrition & Dietary15 Medication & Pharmacy12

Most common F-tags at this facility

F6568 F5506 F8806 F8125 F6095

Citation history

120 on record
SurveyF-TagViolationSeveritySource
Jan 27, 2026F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Dec 23, 2025F907Provide enough space and equipment to meet each resident's needsDComplaint
Dec 23, 2025F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DComplaint
Dec 23, 2025F552Ensure that residents are fully informed and understand their health status, care and treatments.DComplaint
Dec 12, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Dec 12, 2025F710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.DComplaint
Dec 12, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Dec 12, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Dec 12, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Dec 12, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Nov 21, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DComplaint
Sep 19, 2025F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.DComplaint
Sep 19, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Sep 11, 2025F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.FComplaint
Sep 11, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint
Sep 11, 2025F558Reasonably accommodate the needs and preferences of each resident.DComplaint
Sep 11, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Aug 19, 2025F839Employ staff that are licensed, certified, or registered in accordance with state laws.DComplaint
Aug 19, 2025F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.DComplaint
Aug 19, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint
Aug 6, 2025F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DComplaint
Aug 6, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Aug 6, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Aug 6, 2025F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DComplaint
Jul 29, 2025F880Provide and implement an infection prevention and control program.DComplaint
Jul 29, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jun 17, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Jun 17, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Jun 6, 2025F760Ensure that residents are free from significant medication errors.DComplaint
Jun 6, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
May 21, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint
May 21, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Apr 16, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Apr 16, 2025F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DComplaint
Feb 25, 2025F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DComplaint
Feb 25, 2025F760Ensure that residents are free from significant medication errors.DComplaint
Feb 25, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Feb 25, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Feb 25, 2025F558Reasonably accommodate the needs and preferences of each resident.DComplaint
Jan 31, 2025F880Provide and implement an infection prevention and control program.FStandard
Jan 31, 2025F850Hire a qualified full-time social worker in a facility with more than 120 beds.DStandard
Jan 31, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Jan 31, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Jan 31, 2025F810Provide special eating equipment and utensils for residents who need them and appropriate assistance.DStandard
Jan 31, 2025F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard
Jan 31, 2025F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.DStandard
Jan 31, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard
Jan 31, 2025F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.EStandard
Jan 31, 2025F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DStandard
Jan 31, 2025F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard
Jan 31, 2025F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Jan 31, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Jan 31, 2025F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.FStandard
Jan 31, 2025F712Ensure that the resident and his/her doctor meet face-to-face at all required visits.DStandard
Jan 31, 2025F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.DStandard
Jan 31, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Jan 31, 2025F692Provide enough food/fluids to maintain a resident's health.DStandard
Jan 31, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JStandard
Jan 31, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Jan 31, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Jan 31, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Jan 31, 2025F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Jan 31, 2025F641Ensure each resident receives an accurate assessment.DStandard
Jan 31, 2025F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.FStandard
Jan 31, 2025F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.FStandard
Jan 31, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
Jan 31, 2025F558Reasonably accommodate the needs and preferences of each resident.DStandard
Jan 31, 2025F552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard
Jan 31, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Mar 6, 2024F880Provide and implement an infection prevention and control program.DComplaint
Jan 24, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.GComplaint
Jan 24, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Jan 24, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Dec 29, 2023F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DComplaint
Dec 29, 2023F880Provide and implement an infection prevention and control program.EComplaint
Dec 29, 2023F865Have a plan that describes the process for conducting QAPI and QAA activities.FComplaint
Dec 29, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint
Dec 29, 2023F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DComplaint
Dec 29, 2023F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EComplaint
Dec 29, 2023F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.EComplaint
Dec 29, 2023F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DComplaint
Dec 29, 2023F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint
Dec 29, 2023F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
Dec 29, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Dec 29, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint
Dec 29, 2023F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.EComplaint
Dec 29, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Dec 29, 2023F685Assist a resident in gaining access to vision and hearing services.DComplaint
Dec 29, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Dec 29, 2023F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DComplaint
Dec 29, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Dec 29, 2023F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.EComplaint
Dec 29, 2023F558Reasonably accommodate the needs and preferences of each resident.DComplaint
Dec 29, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EComplaint
Dec 19, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Dec 1, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Nov 1, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Oct 19, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Oct 16, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Sep 1, 2023F880Provide and implement an infection prevention and control program.DComplaint

Federal enforcement history

Federal regulators have imposed 4 enforcement actions against this facility, including 2 civil money penalties totaling $66,612 and 2 payment-denial actions spanning 62 days.

DateTypeFinePayment denial
Jan 31, 2025Fine$41,457—
Jan 31, 2025Payment Denial—Mar 1, 2025 · 24 days
Oct 16, 2023Fine$25,155—
Oct 16, 2023Payment Denial—Jan 16, 2024 · 38 days
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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