Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Avon Nursing Home L L C during CMS and state inspections, most recent first.
A resident experienced significant weight loss due to meal refusals and decreased intake over two months. The facility failed to notify nursing leadership, dietary staff, or the medical team, and no interventions were implemented. Staff interviews revealed a lack of awareness and communication regarding the resident's nutritional decline.
A resident with COPD, schizophrenia, and pneumonia was found with an inhaler at their bedside without an assessment or physician's order for self-administration. The facility's policy requires an interdisciplinary team assessment and physician approval for residents to self-administer medications, which was not documented in this case.
A resident with profound hearing loss did not have a comprehensive care plan addressing their communication needs, such as the use of an amplifier or lip reading, despite being cognitively intact and requiring hearing aids. Observations showed staff wearing surgical masks, hindering the resident's ability to read lips, and interviews confirmed the care plan's inadequacy.
Failure to Maintain Nutritional Status
Penalty
Summary
The facility failed to maintain acceptable nutritional parameters for a resident, leading to a significant unplanned weight loss. The resident, who had a recent stroke, depression, and adult failure to thrive, experienced multiple meal refusals and decreased intake over approximately two months, resulting in a 31-pound weight loss. Despite the facility's policy requiring monitoring and documentation of dietary intake and weight, there was no evidence that nursing leadership, dietary staff, or the medical team were notified of the resident's nutritional decline, nor were any supplemental interventions implemented. Observations and interviews revealed that the resident frequently refused meals, with documentation showing numerous instances of meal refusals or minimal intake. Staff failed to consistently document meal intakes, and there was no communication to the medical team about the resident's nutritional status. The resident's care plan included interventions for suboptimal nutrition, but these were not effectively executed, as evidenced by the lack of follow-up on the resident's declining intake and weight loss. Interviews with facility staff, including CNAs, LPNs, and the Acting Director of Nursing, indicated a lack of awareness and communication regarding the resident's nutritional issues. The Registered Dietician and Physician were not adequately informed of the resident's condition, and no new interventions were ordered despite the resident's significant weight loss. The facility's failure to address the resident's nutritional needs resulted in actual harm, though not immediate jeopardy, to the resident.
Failure to Assess Resident for Safe Self-Administration of Medication
Penalty
Summary
The facility failed to ensure that an interdisciplinary team assessed a resident's ability to safely self-administer medication. Specifically, a resident with diagnoses including Chronic Obstructive Pulmonary Disease, schizophrenia, and pneumonia was observed with a prescribed inhaler at their bedside. There was no documented evidence of an assessment to determine the resident's capability to self-administer the inhaler, nor was there a physician's order permitting self-administration. The facility's policy requires that medications be administered according to prescribed orders and that residents may self-administer only if deemed capable by the attending physician and interdisciplinary care team. During the survey, it was noted that the resident's comprehensive care plan did not include any information regarding an assessment for safe self-administration of inhalers. The physician's orders for the inhaler did not authorize self-administration or indicate that the inhaler could be kept at the bedside. Interviews with nursing staff revealed that the inhaler was removed from the resident's room until a proper order could be obtained. The acting Director of Nursing confirmed that the resident should not have had the inhaler in their room without an assessment and appropriate documentation.
Deficiency in Comprehensive Care Planning for Resident with Hearing Loss
Penalty
Summary
The facility failed to develop and implement a comprehensive care plan for a resident with profound hearing loss, which was identified during a recertification survey. The resident, who had a history of stroke, right-sided hemiplegia, and hearing loss, was cognitively intact and required the use of hearing aids or other hearing appliances. However, the resident's care plan did not include any information about their hearing loss, the use of an amplifier, or interventions such as lip reading to assist with communication. This omission was noted despite the resident's Minimum Data Set Resident Assessment indicating moderate difficulty with hearing and the need for communication support. Observations and interviews revealed that the resident struggled to communicate with staff wearing surgical masks, as they relied on lip reading. The resident expressed a preference for staff to wear clear masks to facilitate communication. Staff members, including a CNA and a PT, were observed wearing surgical masks, which hindered the resident's ability to read lips. Interviews with facility staff, including the RN Manager/Acting DON and a social worker, confirmed that the resident's care plan lacked specific details regarding their hearing needs and the use of a hearing amplifier, highlighting a deficiency in the facility's care planning process.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 156 citations issued within 25 miles in the last 12 months — including the 6 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Avon
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Conesus Lake Nursing Home, Llc | 6.2 mi | ★★★★★ | 0 | 0 |
| Leroy Village Green Residential Health C F, Inc | 13.7 mi | ★★★★★ | 0 | 0 |
| Livingston County Center For Nursing And Rehabilit | 14.3 mi | ★★★★★ | 4 | 0 |
| The Hurlbut | 14.6 mi | ★★★★★ | 0 | 0 |
| Monroe Community Hospital | 15.4 mi | ★★★★★ | 3 | 2 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Avon Nursing Home L L C.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.