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Avalon Garden Ratings & Violations

Many residents in nursing facilities require a Hoyer lift or other type of equipment to transfer from their wheelchair to the bed, toilet, shower or tub. Without proper assistance, it is too easy for the resident to slip, fall and suffer serious injuries. Unfortunately, many staff members lack appropriate training on how to properly use a Hoyer lift or other lifting equipment which could place the health and well-being of the resident in immediate jeopardy. Sadly, the St. Louis elder abuse attorneys at Rosenfeld Injury Lawyers LLC have handled many cases where the resident suffered an injury that could have been prevented had the staff been properly trained to follow procedures and protocols.

Avalon Garden

Avalon Garden is a 77-certified bed for profit Medicare/Medicaid-approved nursing facility providing services to residents of St. Louis, St. Louis County, Missouri and St. Clair County, Illinois. The facility is located at:

4359 Taft Avenue
St. Louis, Missouri 63116
(314) 752-2022

St. Louis Nursing Home Resident Safety Concerns

To ensure families have the most accurate information on nursing facilities throughout the nation, both the federal government and state agencies routinely update their nursing home database systems. The information provides a long history of opened investigations, safety concerns, health violations, and filed complaints that can be found on numerous sites including

Currently, Avalon Garden maintains an overall four out of five available star rating in the Medicare star rating summary comparative analysis system. This includes four out of four stars for health inspections and staffing issues and two out of five stars for quality measures. However, our St. Louis nursing home neglect attorneys have found numerous complaints and safety concerns involving the facility that include:

  • Failure to Ensure That Every Resident Is Provided an Environment Free of Accident Hazards and Risks and Provided Adequate Supervision to Prevent Avoidable Accidents

    In a summary statement of deficiencies dated 09/01/2015, the state investigator noted the facility’s failure “to ensure safe and appropriate transfers with the use of a Hoyer (mechanical) lift for [two residents at the facility].” One incident involved and 8:36 AM 10/28/2015 observation of two Certified Nursing Assistants assisting a resident “to transfer from wheelchair to a bed with the use of a Hoyer lift.”

    With a left pad position on the resident, the “staff positioned the lift in front of the wheelchair connected the lift to the left pad crossing the straps between the resident’s legs.” However, the investigator noted that the “staff failed to lock the wheels of the wheelchair and the wheels of the lift prior to lifting the resident.” While raising the resident using the lift, “the wheelchair propelled backwards approximately six inches from where it sat. The lift pad appeared to be tangled and twisted. The resident’s buttocks slipped down the lift pad” where the lower part repositioned “on the resident’s lower back.

    The observer noted that the “lift straps were twisted around the resident’s knees [while the resident’s] buttocks and upper thighs fell out of the pad.” During the transfer, “the resident was bent in a position where [their] knees were almost to [their] chest.” Even so, the “staff continue to lift the resident, move the lift from in front of the wheelchair to the bed and lowered the resident into bed.” The investigator noted that the “staff failed to reposition the resident for the lift pad to secure the resident in a safe position prior to transferring the resident to the bed.” The investigator noted that the actions of the nursing staff at Avalon Garden failed to follow the facility’s 09/10/2009 Hoyer Lift Policy that states in part:

    “The purpose is to lift and move a resident safely… Position wheelchair and lock brakes.”
  • Failure to Provide Adequate Treatment to Residents That Require Additional Assistance with Feeding Tubes to Prevent Problems Including Vomiting, Aspiration Pneumonia, and Nasal-Pharyngeal Ulcers

    In a summary statement of deficiencies dated 09/01/2015, the state investigator noted the facility’s failure “to ensure resident with a gastronomy tube [surgically inserted into the stomach to provide medications, nutrition, and fluids] receive proper positioning as required to prevent aspiration during care.”

    The state investigator noted that the Certified Nursing Assistant providing the resident care with their gastronomy tube failed to “position the resident on to [their] back as they finished providing care. The resident moaned and had an audible gurgle upon acceleration of breath. Tube feeding formula ran down the right side of [their] mouth and was visible on [their] lips and teeth. The formula ran from the corner of the mouth to the chin.” While providing care, one of the Certified Nursing Assistants “used a washcloth to wipe the tube feeding from the corner the resident’s face [but] failed to clean the resident’s lips or mouth.”

St. Louis Missouri Nursing Home Abuse Lawyers

If your loved one was injured or died prematurely due to the negligent actions of the nursing staff at Avalon Garden or any nursing facility, Rosenfeld Injury Lawyers LLC can help. Our St. Louis elder abuse attorneys can handle the process to ensure you receive the financial recovery you deserve for your damages.

To ensure your case for compensation is successfully result, we encourage you to contact our St. Louis Missouri nursing home abuse law firm at (888) 424-5757 to schedule a no obligation, full case review. No upfront fees are required because we accept all personal injury cases using contingency fee agreements.

Disclaimer: The above inspection findings are take from public sources including the State Department of Health and from Medicare inspection conducted at the facility at least every fifteen months. Rosenfeld Injury Lawyers LLC cannot confirm that the content on this site is the most recent information related to the facilities mentions.

The inspection findings published are not complete. You may find the most up to date information here: or

The deficiencies/citations listed on this page may have been corrected or substantially corrected after the date of the inspection and date of publishing this material. This page is a legal advertisement and a resource of information for visitors. This material is not endorsed by the facility noted or by any governmental agency. Rosenfeld Injury Lawyers LLC does not have any affiliation with the facility.

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