D+
50/100

Avalon Place Inspection Report, Violations & Safety Grade (MONROE, Louisiana)

4385 OLD STERLINGTON ROAD, MONROE, Louisiana 71203

Phone: 3183222000

CMS Overall:1/5

Overview & Bed Count

Certified Beds
113
Avg Residents/Day
72
Ownership
For profit - Partnership
Provider Type
Medicare and Medicaid
County
Ouachita
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall1/5
Health3/5
Staffing1/5
Quality1/5

Nurse Staffing Check

MetricThis FacilityLouisiana AvgDifference
RN Hours per Resident per Day0.200.31-0.12
Total Nurse Hours per Resident per Day3.163.82-0.66
CMS Staffing Rating1/52.4/5-
Nursing Staff Turnover57.0%47.1%-

Health Citation History

30 health citations on record

DateCategoryDescriptionSeverity
2025-12-03Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.E – Moderate Harm Potential
2025-12-03Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.E – Moderate Harm Potential
2025-12-03Nursing and Physician Services DeficienciesEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.E – Moderate Harm Potential
2025-12-03Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D – Moderate Harm Potential
2025-12-03Resident Assessment and Care Planning DeficienciesEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.D – Moderate Harm Potential
2025-12-03Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2025-12-03Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2024-12-04Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D – Moderate Harm Potential
2024-10-16Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.E – Moderate Harm Potential
2024-10-16Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E – Moderate Harm Potential
2024-10-16Quality of Life and Care DeficienciesProvide safe, appropriate dialysis care/services for a resident who requires such services.E – Moderate Harm Potential
2024-10-16Quality of Life and Care DeficienciesTry 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.E – Moderate Harm Potential
2024-10-16Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.E – Moderate Harm Potential
2024-10-16Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2024-10-16Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D – Moderate Harm Potential
2024-10-16Freedom from Abuse, Neglect, and Exploitation DeficienciesEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.D – Moderate Harm Potential
2024-10-16Resident Rights DeficienciesProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D – Moderate Harm Potential
2024-10-16Resident Assessment and Care Planning DeficienciesAssure that each resident’s assessment is updated at least once every 3 months.D – Moderate Harm Potential
2024-10-16Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2024-10-16Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2024-10-16Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2024-10-16Quality of Life and Care DeficienciesProvide 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.D – Moderate Harm Potential
2024-10-16Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.D – Moderate Harm Potential
2023-10-11Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.E – Moderate Harm Potential
2023-10-11Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.E – Moderate Harm Potential
2023-10-11Pharmacy Service DeficienciesImplement 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.E – Moderate Harm Potential
2023-10-11Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2023-10-11Administration DeficienciesHave the Quality Assessment and Assurance group have the required members and meet at least quarterlyE – Moderate Harm Potential
2023-10-11Environmental DeficienciesKeep all essential equipment working safely.E – Moderate Harm Potential
2023-10-11Quality of Life and Care DeficienciesProvide 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.D – Moderate Harm Potential

Fire Safety Citation History

9 fire safety citations on record

DateCategoryDescriptionSeverity
2025-12-03Egress DeficienciesAdd doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.D – Moderate Harm Potential
2025-12-03Gas, Vacuum, and Electrical Systems DeficienciesMeet requirements for the use of electrical equipment.D – Moderate Harm Potential
2024-10-16Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.C – Minimal Harm Potential
2023-10-11Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.D – Moderate Harm Potential
2023-10-11Smoke DeficienciesProvide properly protected cooking facilities.D – Moderate Harm Potential
2023-10-11Smoke DeficienciesConstruct fire resistant interior walls.D – Moderate Harm Potential
2023-10-11Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.D – Moderate Harm Potential
2023-10-11Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.D – Moderate Harm Potential
2023-10-11Gas, Vacuum, and Electrical Systems DeficienciesHave power receptacles that are properly grounded.D – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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