Avalon Rehab and Care Center

In the surveyor’s words

From the most serious findings on record at Avalon Rehab and Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Jun 5, 2026

  Based on observation, interview, and facility policy review, the facility failed to date, label, and/or cover food products stored in the kitchen. This failure had the potential to create an environment for food-borne illnesses which could affect 154 of 159 residents who consume food prepared from the facility's kitchen.Findings include:An observation on 06/02/26 from 10:25 AM to 11:15 AM, with the Dietary Manager (DM), revealed the following: The main refrigerator contained 56 carrots in an open plastic bag with no date label.Two halves of lettuce heads in plastic wrap with no date label. An open cardboard box with ten limes with no date label. Two of the limes had visible white spots. […]

• No harm, potential for more than minimal, patternF623Dec 19, 2024

  Based on record review, interview, and facility policy review, the facility failed to ensure residents were provided with written transfer/discharge notice that contained the option to appeal the transfer/discharge for four of four residents (Resident (R) 50, R110, R123, and R57) reviewed for facility initiated emergent hospital transfer of 33 sample residents. This failure had the potential to affect the residents and their Resident Representative by not having the knowledge of where and why a resident was transferred, and/or how to appeal the transfer, if desired. Findings include: 1. […]

• No harm, potential for more than minimal, patternF625Dec 19, 2024

  Based on record review, interview, and facility policy review, the facility failed to ensure residents and/or resident representatives were provided with a written bed hold notice for facility initiated emergent hospital transfer for four of four residents (Resident (R) 50, R110, R123, R57) reviewed for facility initiated emergent hospital transfers of 33 sample residents. This failure had the potential for the residents to be denied return to their original room or denial of the resident returning to the facility. […]

• No harm, potential for more than minimal, patternF584May 17, 2024

  C#NJ 148344 C#NJ 148677 Based on observation, interview, and facility policy review, the facility failed to ensure window screens were in good repair, open windows had screens; and failed to ensure walls and floors in resident rooms were maintained in clean condition for 10 of 53 rooms. This failure created a non-homelike environment. Findings include: Observation on 05/14/24 at 3:38 PM of resident room [ROOM NUMBER] revealed the window screen in the window had a hole that extended the entire width of the window. Observation on 05/15/24 at 10:58 AM of resident room [ROOM NUMBER] revealed the window screen was torn all the way across the window. Observation on 05/15/25 at 2:41 PM of resident room [ROOM NUMBER] revealed the window screen was torn all the way across the window. […]

• No harm, potential for more than minimal, patternF803May 17, 2024

  C#NJ 148344 Based on observation interview, and facility policy review, the facility failed to ensure the meal menu was followed. This failure had the potential to result in weight loss and/or continued hunger for 40 of 119 residents. Findings include: Observation and interview on 05/14/24 at 11:45 AM in the kitchen revealed Dietary Employee (DE) 1 placed the scoops/serving utensils in the food items located on the steam table. He placed a #10 scoop (3.2-ounce scoop) in the sausage paella. He was observed to serve the residents on the first three carts the 3.2 ounce serving when the menu stated a 6-ounce portion should have been given. At 11:45 AM DE1 verified he used the #10 scoop to serve the sausage paella. […]