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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)

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