ST JOHN HEALTHCARE AND REHABILITATION CENTER, LLC - ALBUQUERQUE, NM

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Address

2216 LESTER DRIVE NE
ALBUQUERQUE, NM, 87112

Phone (make sure to verify first before calling): (505) 296-4808

Number of Certified Beds: 140
Total Number of Residents: 122
Percent of Occupied Beds: 87%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Corporation
Located Within a Hospital?: No
Multi Nursing Home Ownership?: Yes
Resident and Family Councils: Resident
Continuing Care Retirement Community?: No
Quality Indicator Survey?: No
Special Focus Facility?: No
Type: Skilled Nursing Facilities

Overall Star Rating: 3 Stars
Health Inspections Star Rating: 2 Stars
Nurse Staffing Star Rating: 3 Stars
Quality Measures Star Rating: 5 Stars
RN Only Star Rating: 3 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 6.86
Certified Nurse Aides - Full Time: 89.86
Dietitians - Under Contract: 0.23
Food Service Personnel - Full Time: 8.64
Licensed Practical/ Vocational Nurses - Full Time: 30.73
Medical Directors - Under Contract: 0.11
Nurses With Administrative Duties - Full Time: 3.43
Occupational Therapy Aides - Full Time: 0.57
Registered Nurses - Full Time: 2.67
Rn Director Of Nursing - Full Time: 0.23
Social Workers - Full Time: 1.14
Activities Professionals - Full Time: 1.14
Nurses With Administrative Duties - Part Time: 0.69
Pharmacists - Under Contract: 0.11
Housekeeping Personnel - Under Contract: 3.83
Registered Nurses - Under Contract: 6.49
Sppech Pathologists - Full Time: 1.14
Occupational Therapists - Full Time: 1.14
Physical Therapists - Full Time: 1.14
Occupational Therapy Assistants - Full Time: 1.14
Physical Therapy Aide - Full Time: 1.14
Certified Nurse Aides - Under Contract: 15.94
Medication Aides/ Technicians - Full Time: 14.76

Provided Services

Activities Services Are Provided Onsite To Residents
Diagnostic Xray Services Are Provided Onsite To Residents
Dietary Services Are Provided Onsite To Residents
Housekeeping Services Are Provided Onsite To Residents
Nursing Services Are Provided Onsite To Residents
Occupational Therapy Services Are Provided Onsite To Residents
Pharmacy Services Are Provided Onsite To Residents
Physical Therapy Services Are Provided Onsite To Residents
Physician Extender Services Are Provided Onsite To Residents
Physician Services Are Provided Onsite To Residents
Social Work Services Are Provided Onsite To Residents
Speech/Language Pathology Services Are Provided Onsite To Residents

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.510
New Mexico:	0.722

Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day

Here:	0.350
New Mexico:	0.509

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	0.870
State:	1.227

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.040
New Mexico:	0.109

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.040
New Mexico:	0.113

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased

This Nursing Home:	20.4%
New Mexico:	18.0%

Percent of long-stay residents who self-report moderate to severe pain

This Nursing Home:	2.6%
State:	12.4%

Percent of long-stay high-risk residents with pressure ulcers

Here:	10.7%
State:	7.3%

Percent of long-stay residents who lose too much weight

Here:	6.4%
New Mexico:	9.1%

Percent of long-stay low-risk residents who lose control of their bowels or bladder

Here:	50.7%
State:	42.9%

Percent of long-stay residents who have had a catheter inserted and left in their bladder

Here:	2.7%
State:	3.6%

Percent of long-stay residents with a urinary tract infection

Here:	3.7%
State:	6.9%

Percent of long-stay residents who have depressive symptoms

This Nursing Home:	10.4%
State:	6.2%

Percent of long-stay residents who were physically restrained

Here:	0.9%
State:	1.7%

Percent of long-stay residents experiencing one or more falls with major injury

This Nursing Home:	2.7%
State:	4.1%

Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine

This Nursing Home:	94.5%
State:	87.6%

Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine

This Nursing Home:	69.1%
State:	81.5%

Percent of short-stay residents who self-report moderate to severe pain

Here:	4.0%
New Mexico:	27.1%

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine

Here:	88.6%
State:	70.6%

Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine

Here:	79.6%
New Mexico:	67.2%

Percent of short-stay residents who newly received an antipsychotic medication

Here:	13.0%
New Mexico:	2.5%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	38.6%
State:	21.5%

Complaint Deficiency

Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene: Few (Minimal harm or potential for actual harm)

Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death: Few (Immediate jeopardy to resident health or safety)

A fire alarm system that can be heard throughout the facility: Few (Minimal harm or potential for actual harm)

A separate and independent backup electrical power source: Few (Minimal harm or potential for actual harm)

Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed: Few (Immediate jeopardy to resident health or safety)

A two-hour-resistant firewall in common walls: Some (Minimal harm or potential for actual harm)

Keep accurate, complete and organized clinical records on each resident that meet professional standards: Few (Minimal harm or potential for actual harm)

Corridor and hallway doors that block smoke: Few (Minimal harm or potential for actual harm)

Exits that are accessible at all times: Many (Minimal harm or potential for actual harm)

Record of quarterly fire drills for each shift under varying conditions: Many (Minimal harm or potential for actual harm)

Portable fire extinguishers: Many (Minimal harm or potential for actual harm)

Posted No-smoking signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed: Few (Minimal harm or potential for actual harm)

Heating and ventilation systems that have been properly installed according to the manufacturer's instructions: Few (Minimal harm or potential for actual harm)

Proper fire barriers, ventilation and signs for the transport of oxygen: Many (Minimal harm or potential for actual harm)

Keep each resident free from physical restraints, unless needed for medical treatment: Many (Minimal harm or potential for actual harm)

Provide a safe, clean, comfortable and homelike environment: Few (Minimal harm or potential for actual harm)

Provide housekeeping and maintenance services: Some (Minimal harm or potential for actual harm)

Conduct initial and periodic assessments of each resident's functional capacity: Some (Minimal harm or potential for actual harm)

Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured: Some (Minimal harm or potential for actual harm)

Allow the resident the right to participate in the planning or revision of the resident's care plan: Some (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)

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests: Some (Minimal harm or potential for actual harm)

Properly located and lighted Exit signs: Some (Minimal harm or potential for actual harm)

Record of quarterly fire drills for each shift under varying conditions: Many (Minimal harm or potential for actual harm)

Posted No-smoking signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed: Some (Minimal harm or potential for actual harm)

Weekly inspections and monthly testing of generators: Many (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: Many (Minimal harm or potential for actual harm)

An approved automatic sprinkler system connected to the fire alarm system: Some (Minimal harm or potential for actual harm)

Restrictions on the use of flammable curtains: Some (Minimal harm or potential for actual harm)

Properly installed electrical wiring and equipment: 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)

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards: Few (Minimal harm or potential for actual harm)

Make sure that a working call system is available in each resident's room or bathroom and bathing area: 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: Few (Minimal harm or potential for actual harm)

Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action: Many (Minimal harm or potential for actual harm)

Other nearby hospitals and nursing homes

KLARUS HOME CARE (0.73 miles)
PRESBYTERIAN KASEMAN HOSPITAL (1.00 miles)
ST THERESA HEALTHCARE AND REHABILITATION CENTER (1.11 miles)
MAXIM HEALTHCARE SERVICES (1.33 miles)
PRESBYTERIAN HOSPICE INPATIENT UNIT (1.00 miles)
KASEMAN SUBACUTE AND REHABILITATION (1.00 miles)
PRESBYTERIAN HOME HEALTHCARE (1.08 miles)

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