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St John Health And Rehabilitation Center
2216 LESTER DRIVE NE
Albuquerque, NM 87112
(505) 296-4808
General
Ratings
Deficiencies
Resident Stats
Staff Stats
| Certified Beds: | 140 |
| 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? | No |
| Resident and Family Councils? | Resident |
| Continuing Care Retirement Community? | No |
| Quality Indicator Survey? | Yes |
| Special Focus Facility? | No |
| Overall: |  |
| Health Inspection: |  |
| Nurse Staffing: | |
| Quality Measures: |  |
| RN Only: | |
| Date | Type | Category | Deficiency | Scope | Level of Harm | Date of Correction |
| 20071016 | Health | Mistreatment Deficiencies | 1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Pattern | Actual harm | 20071116 |
| 20071016 | Health | Resident Rights Deficiencies | Provide care in a way that keeps or builds each resident's dignity and self respect. | Pattern | Minimal harm or potential for actual harm | 20071116 |
| 20071016 | Health | Environmental Deficiencies | Provide needed housekeeping and maintenance. | Widespread | Minimal harm or potential for actual harm | 20071116 |
| 20071016 | Health | Environmental Deficiencies | Keep temperature levels comfortable and safe. | Isolated | Minimal harm or potential for actual harm | 20071116 |
| 20071016 | Health | Resident Assessment Deficiencies | Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | Pattern | Minimal harm or potential for actual harm | 20071116 |
| 20071016 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Actual harm | 20071116 |
| 20071016 | Health | Quality Care Deficiencies | Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Isolated | Actual harm | 20071116 |
| 20071016 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Pattern | Actual harm | 20071116 |
| 20071016 | Health | Pharmacy Service Deficiencies | Properly mark drugs and other similar products. | Pattern | Minimal harm or potential for actual harm | 20071116 |
| 20071016 | Health | Environmental Deficiencies | Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Widespread | Minimal harm or potential for actual harm | 20080110 |
| 20071016 | Health | Administration Deficiencies | Keep accurate and appropriate medical records. | Pattern | Minimal harm or potential for actual harm | 20071116 |
| 20090212 | Health | Mistreatment Deficiencies | Keep each resident free from physical restraints, unless needed for medical treatment. | Isolated | Minimal harm or potential for actual harm | 20090312 |
| 20090212 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Minimal harm or potential for actual harm | 20090312 |
| 20090729 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Actual harm | 20090829 |
| 20090729 | Health | Resident Assessment Deficiencies | Screen residents when they are first admitted to send them to an area with special care for people with developmental disabilities or mental illness, if needed. | Isolated | Minimal harm or potential for actual harm | 20090829 |
| 20091207 | Health | Quality Care Deficiencies | Provide social services for related medical problems to help each resident achieve the highest possible quality of life. | Isolated | Minimal harm or potential for actual harm | 20100107 |
| 20091207 | Health | Resident Rights Deficiencies | Help and prepare each resident for a safe and easy discharge and transfer from the nursing home. | Isolated | Minimal harm or potential for actual harm | 20100107 |
| Value | Notes | |
| Percent of long-stay residents given influenza vaccination during the flu season: | 80 | |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination: | 53 | |
| Percent of long-stay residents whose need for help with daily activities has increased: | 14 | |
| Percent of long-stay residents who have moderate to severe pain: | 3 | |
| Percent of high-risk long-stay residents who have pressure sores: | 4 | |
| Percent of low-risk long-stay residents who have pressure sores: | 1 | |
| Percent of long-stay residents who were physically restrained: | 12 | |
| Percent of long-stay residents who are more depressed or anxious: | 16 | |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder: | 43 | |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder: | 8 | |
| Percent of long-stay residents who spend most of their time in bed or in a chair: | 1 | |
| Percent of long-stay residents whose ability to move about in and around their room got worse: | 6 | |
| Percent of long-stay residents who had a urinary tract infection: | 3 | |
| Percent of long-stay residents who lose too much weight: | 6 | |
| Percent of short-stay residents given influenza vaccination during the flu season: | 56 | |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination: | 56 | |
| Percent of short-stay residents who have delirium: | 0 | |
| Percent of short-stay residents who had moderate to severe pain: | 5 | |
| Percent of short-stay residents who have pressure sores: | 5 | |
| # of Residents: | 122 |
| # RN Hours per Resident: | 0.24 |
| # LPN Hours per Resident: | 0.53 |
| # CNA Hours per Resident: | 2.31 |
| Total Staff Hours per Resident: | 0.77 |
