Avocado Post Acute is a very large skilled nursing facility located in El Cajon, California, with a capacity of 256 beds. It operates as a for-profit LLC and participates in both Medicare and Medicaid, making it an option for a wide range of residents with varying coverage needs. While not part of a continuing care retirement community, Avocado Post Acute provides both short-term rehabilitation services and long-term nursing care for individuals who require ongoing assistance with activities of daily living or recovery after hospitalization.
The facility has received ratings reflecting distinct aspects of care. The short-term rehabilitation program is designed for patients who are transitioning from hospital stays and require focused therapy after incidents such as stroke, heart attack, infections, or injuries. Approximately one-third of short-term residents are able to return home following their rehab stay, and the rate of falls with major injury is minimal. However, some residents undergoing short-term rehabilitation have experienced infections leading to hospitalization, as well as emergency room visits during their care period. The long-term care program at Avocado Post Acute is intended to meet the daily medical and non-medical needs of residents, helping maintain their ability to perform essential self-care tasks such as mobility, eating, and personal hygiene. The facility maintains an average rate of emergency room visits for long-term residents and has an impressive flu vaccination record, with all residents receiving annual immunizations.
Nurse staffing levels at Avocado Post Acute are consistent, averaging more than four hours per resident per day, including on weekends. Weekend staffing is rated above average for its consistency compared to weekday staffing, indicating a stable level of care throughout the week. The facility is not equipped for Alzheimer's care and does not offer a continuum of care for residents who might desire to transition to other levels of support within the same community, but it is set up for individuals who need skilled nursing and rehabilitation services.
Recent inspection reports for Avocado Post Acute document attention to a variety of care areas. The facility has addressed issues such as accommodation of individual resident needs and preferences, timely reporting of suspected abuse or neglect, and the development of comprehensive care plans tailored to resident requirements. Other concerns identified and remedied include assistance with daily activities for residents who are unable, access to vision and hearing services, supervision and prevention of accident hazards, and general support in maintaining resident health through adequate food and fluid provision.
Food and nutrition services have been a focus, with the facility responding to recommendations regarding menu planning, dietary accommodations for allergies or personal preferences, and ensuring food is palatable and safely served. Infection prevention and control programs have also been reviewed and updated as needed, reflecting a commitment to maintaining a safe environment for all residents. In the most recent years, fines were paid in response to deficiencies, and subsequent improvements were made to address the areas of concern cited during inspections.
Throughout its operation, Avocado Post Acute remains dedicated to providing a stable and supportive environment for adults who need either short-term rehabilitation or ongoing long-term care. The blend of consistent nurse staffing, adherence to vaccination protocols, and responses to inspection findings demonstrate a focus on the health and wellbeing of residents. While there are areas that have required attention and improvement, Avocado Post Acute continues to serve a large community of seniors and medically dependent individuals in the El Cajon area.