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Sombrillo Nursing & Rehabilitation
1011 SOMBRILLO COURT
Los Alamos, NM 87544
(505) 662-4300
General
Ratings
Deficiencies
Resident Stats
Staff Stats
| Certified Beds: | 64 |
| Number of Residents: | 55 |
| Percent of Occupied Beds: | 86% |
| Sprinkler Status: | Fully Sprinklered |
| Program Participation: | Medicare and Medicaid |
| Type of Ownership: | Non profit - Other |
| Located Within a Hospital? | No |
| Multi Nursing Home Ownership? | Yes |
| Resident and Family Councils? | Both |
| Continuing Care Retirement Community? | Yes |
| 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 |
| 20070913 | Health | Administration Deficiencies | Choose a doctor to be the medical director. | Widespread | Minimal harm or potential for actual harm | 20070926 |
| 20070913 | Health | Administration Deficiencies | Set up or keep a group of people to review and ensure quality. | Pattern | Minimal harm or potential for actual harm | 20070926 |
| Value | Notes | |
| Percent of long-stay residents given influenza vaccination during the flu season: | 89 | |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination: | 59 | |
| Percent of long-stay residents whose need for help with daily activities has increased: | 22 | |
| Percent of long-stay residents who have moderate to severe pain: | 7 | |
| Percent of high-risk long-stay residents who have pressure sores: | 9 | |
| Percent of low-risk long-stay residents who have pressure sores: | 5 | |
| Percent of long-stay residents who were physically restrained: | 2 | |
| Percent of long-stay residents who are more depressed or anxious: | 10 | |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder: | 72 | |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder: | 2 | |
| Percent of long-stay residents who spend most of their time in bed or in a chair: | 3 | |
| Percent of long-stay residents whose ability to move about in and around their room got worse: | 12 | |
| Percent of long-stay residents who had a urinary tract infection: | 11 | |
| Percent of long-stay residents who lose too much weight: | 7 | |
| Percent of short-stay residents given influenza vaccination during the flu season: | 75 | |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination: | 73 | |
| Percent of short-stay residents who have delirium: | 1 | |
| Percent of short-stay residents who had moderate to severe pain: | 18 | |
| Percent of short-stay residents who have pressure sores: | 11 | |
| # of Residents: | 55 |
| # RN Hours per Resident: | 0.3 |
| # LPN Hours per Resident: | 0.5 |
| # CNA Hours per Resident: | 2.01 |
| Total Staff Hours per Resident: | 0.8 |
