ST THERESA HEALTHCARE AND REHABILITATION CENTER - ALBUQUERQUE, NM
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Address 7900 CONSTITUTION AVENUE NEPhone (make sure to verify first before calling): (505) 296-5565 Number of Certified Beds: 134 Total Number of Residents: 122 Percent of Occupied Beds: 91% Sprinkler Status: Fully Sprinklered Program Participation: Medicare and Medicaid Type of Ownership: For profit - Individual Located Within a Hospital?: No Multi Nursing Home Ownership?: No Resident and Family Councils: Resident Continuing Care Retirement Community?: No Quality Indicator Survey?: Yes Special Focus Facility?: No Type: Skilled Nursing Facilities Overall Star Rating: 3 Stars Health Inspections Star Rating: 4 Stars Nurse Staffing Star Rating: 1 Star Quality Measures Star Rating: 4 Stars RN Only Star Rating: 1 Star Employment Full-Time EquivalentAdministrative Staff - Full Time: 7.87Certified Nurse Aides - Full Time: 34.01 Dietitians - Under Contract: 0.23 Food Service Personnel - Full Time: 12.77 Housekeeping Personnel - Full Time: 9.79 Licensed Practical/ Vocational Nurses - Full Time: 21.06 Medical Directors - Under Contract: 0.14 Mental Health Services Personnel - Under Contract: 0.14 Nurses With Administrative Duties - Full Time: 3.43 Occupational Therapy Aides - Full Time: 1.14 Registered Nurses - Full Time: 2.26 Rn Director Of Nursing - Full Time: 1.14 Social Workers - Full Time: 1.23 Activities Professionals - Full Time: 1.14 Pharmacists - Under Contract: 0.14 Podiatrists - Under Contract: 0.14 Other Physicians - Under Contract: 0.14 Physician Extenders - Under Contract: 0.29 Sppech Pathologists - Full Time: 0.70 Occupational Therapists - Full Time: 1.20 Physical Therapists - Full Time: 1.71 Occupational Therapy Assistants - Full Time: 1.51 Physical Therapy Aide - Full Time: 1.14 Medication Aides/ Technicians - Full Time: 9.04 Provided Services
Staff InformationNumber of Registered Nurses Hours Per Resident Per Day
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
Total Number of Licensed Staff Hours Per Resident Per Day
Number of ,Certified Nurse Assistant Hours Per Resident Per Day
Number Therapy Hours Per Resident Per Day
Quality MeasuresPercent of long-stay residents whose need for help with daily activities has increased
Percent of long-stay residents who self-report moderate to severe pain
Percent of long-stay high-risk residents with pressure ulcers
Percent of long-stay residents who lose too much weight
Percent of long-stay low-risk residents who lose control of their bowels or bladder
Percent of long-stay residents who have had a catheter inserted and left in their bladder
Percent of long-stay residents with a urinary tract infection
Percent of long-stay residents experiencing one or more falls with major injury
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
Percent of short-stay residents who self-report moderate to severe pain
Percent of short-stay residents with Pressure ulcers that are new or worsened
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
Percent of short-stay residents who newly received an antipsychotic medication
Percent of long-stay residents who received an antipsychotic medication
Complaint DeficiencyProperly constructed linen or trash chutes: Some (Minimal harm or potential for actual harm)Exits that are accessible at all times: Some (Minimal harm or potential for actual harm) Properly located and lighted Exit signs: Many (Minimal harm or potential for actual harm) Proper power supply for life support equipment: Some (Potential for minimal harm) Proper fire barriers, ventilation and signs for the transport of oxygen: Few (Minimal harm or potential for actual harm) Give each resident a notice of rights, rules, services and charges. Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for: Few (Minimal harm or potential for actual harm) Provide housekeeping and maintenance services: Some (Minimal harm or potential for actual harm) Provide care by qualified persons according to each resident's written plan of care: Some (Minimal harm or potential for actual harm) Develop policies and procedures for influenza and pneumococcal immunizations: Some (Minimal harm or potential for actual harm) Store, cook, and serve food in a safe and clean way: Some (Minimal harm or potential for actual harm) Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour: Some (Minimal harm or potential for actual harm) Properly protected cooking facilities: Some (Minimal harm or potential for actual harm) Exits that are free from obstructions and can be used at all times: Some (Minimal harm or potential for actual harm) Weekly inspections and monthly testing of generators: Many (Minimal harm or potential for actual harm) 1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being: Few (Minimal harm or potential for actual harm) Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist: Some (Minimal harm or potential for actual harm) Corridors that are separated from common areas by walls constructed to limit the passage of smoke: Many (Minimal harm or potential for actual harm) Corridor and hallway doors that block smoke: Some (Potential for minimal harm) Construction that can resist fire for one hour or an approved fire extinguishing system: Many (Minimal harm or potential for actual harm) Exits that are accessible at all times: Few (Minimal harm or potential for actual harm) An approved automatic sprinkler system connected to the fire alarm system: Many (Minimal harm or potential for actual harm) Heating and ventilation systems that have been properly installed according to the manufacturer's instructions: Many (Minimal harm or potential for actual harm) Properly installed electrical wiring and equipment: Some (Minimal harm or potential for actual harm) Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public: Many (Minimal harm or potential for actual harm) Keep accurate, complete and organized clinical records on each resident that meet professional standards: Some (Minimal harm or potential for actual harm) Other nearby hospitals and nursing homes
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