Provider Name: SOUTHERN UTAH VETERANS HOME - IVINS
Address: 160 NORTH 200 EAST, IVINS, UT 84738
Phone: (435) 634-5220
County: Washington (260)
Ownership Type: For profit - Corporation
Certified Beds: 108
Average Residents Per Day: 104. ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: AVALON CARE CENTER - VA IVINS LLC
First Approved Date: August 14, 2013
Affiliated Entity: AVALON HEALTH CARE (57)
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 5 ()
Health Inspection Rating: 5 ()
QM Rating: 5 ()
Long Stay QM Rating: 5 ()
Short Stay QM Rating: 5 ()
Staffing Rating: 5 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.98231, LPN Staff Hours Per Day: 0.8196, RN Staff Hours Per Day: 1.3904, Licensed Staff Hours Per Day: 2.2101
Total Nurse Staff Hours Per Day, per resident: 5.19245
Weekend Nurse Staff Hours: 4.81876, Weekend RN Staff Hours: 1.0447
PT Staff Hours Per Day, per resident: 0.0518
Nurse Staff Turnover: 58.3, Nurse Turnover Note:
RN Turnover: 34.1, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 1.9414, Case Mix LPN Hours Per Day: 0.6803, Case Mix RN Hours Per Day: 0.3128
Adjusted Nurse Aide Hours Per Day, per resident: 3.12954, Adjusted LPN Hours Per Day: 0.8891, Adjusted RN Hours Per Day: 1.6749
Total Adjusted Nurse Hours Per Day, per resident: 5.57726
Adjusted Weekend Nurse Hours Per Day, per resident: 5.17588
Health Survey Dates and Scores: Cycle 1: 2023-06-28 (Score: 4), Cycle 2: 2021-09-29 (Score: 0), Cycle 3: 2019-07-17 (Score: 20)
Total Weighted Health Score: 5.333
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations:
Fines and Penalties: Number of Fines: 0, Total Fines in Dollars: 0.00, Payment Denials Number: 0, Total Penalties Number: 0
Location and GPS: 160 NORTH 200 EAST,IVINS,UT,84738 (37.1711, -113.675)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: Assure that each resident’s assessment is updated at least once every 3 months.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-07-31
Type: Health, Deficiency: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-08-13
Type: Health, Deficiency: Provide and implement an infection prevention and control program.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-08-13
Type: Health, Deficiency: Develop and implement policies and procedures for flu and pneumonia vaccinations.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-08-13
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Fire Safety, Tag: 0521, Version: New
Description: Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-08-05
Type: Fire Safety, Tag: 0920, Version: New
Description: Ensure proper usage of power strips and extension cords.
Severity: C - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-08-05