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Casa Maria Healthcare Center And Pecos Valley Reha
1601 SOUTH MAIN STREET
Roswell, NM 88201
(575) 623-6008
General
Ratings
Deficiencies
Resident Stats
Staff Stats
| Certified Beds: | 118 |
| Number of Residents: | 86 |
| Percent of Occupied Beds: | 73% |
| 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? | 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 |
| 20080214 | Health | Resident Assessment Deficiencies | 1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan. | Isolated | Actual harm | 20080331 |
| 20080214 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Actual harm | 20080331 |
| 20080807 | Health | Administration Deficiencies | Hire nurse aides who have shown that they are skilled and care for residents safely on-the-job. | Pattern | Minimal harm or potential for actual harm | 20080915 |
| 20080807 | Health | Administration Deficiencies | Make sure that nurse aides show they have the skills to be able to care for residents. | Pattern | Minimal harm or potential for actual harm | 20080915 |
| 20080807 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Pattern | Minimal harm or potential for actual harm | 20080915 |
| 20100112 | Health | Resident Assessment Deficiencies | 1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan. | Isolated | Minimal harm or potential for actual harm | 20100426 |
| 20100317 | Health | Resident Assessment Deficiencies | 1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan. | Isolated | Actual harm | 20100426 |
| 20100317 | 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 | 20100426 |
| 20100317 | Health | Administration Deficiencies | Make sure that nurse aides show they have the skills to be able to care for residents. | Pattern | Minimal harm or potential for actual harm | 20100426 |
| 20100317 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Pattern | Immediate jeopardy to resident health or safety | 20100426 |
| 20100317 | Health | Administration Deficiencies | Hire nurse aides who have shown that they are skilled and care for residents safely on-the-job. | Isolated | Minimal harm or potential for actual harm | 20100426 |
| 20100317 | Health | Resident Rights Deficiencies | Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. | Isolated | Actual harm | 20100428 |
| 20100317 | Health | Resident Rights Deficiencies | Protect the resident from a transfer or discharge that is not wanted or needed. | Isolated | Minimal harm or potential for actual harm | 20100428 |
| 20100317 | Health | Resident Rights Deficiencies | Tell the resident or the resident's representative in writing how long the nursing home will hold the resident's bed when the resident temporarily leaves the facility. | Isolated | Minimal harm or potential for actual harm | 20100426 |
| 20100317 | Health | Mistreatment Deficiencies | Protect residents from mistreatment, neglect, and/or theft of personal property. | Isolated | Immediate jeopardy to resident health or safety | 20100426 |
| 20100317 | Health | Mistreatment Deficiencies | Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | Isolated | Immediate jeopardy to resident health or safety | 20100426 |
| 20100317 | 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. | Isolated | Actual harm | 20100426 |
| Value | Notes | |
| Percent of long-stay residents given influenza vaccination during the flu season: | 84 | |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination: | 64 | |
| Percent of long-stay residents whose need for help with daily activities has increased: | 24 | |
| Percent of long-stay residents who have moderate to severe pain: | 7 | |
| Percent of high-risk long-stay residents who have pressure sores: | 8 | |
| Percent of low-risk long-stay residents who have pressure sores: | 1 | |
| Percent of long-stay residents who were physically restrained: | 1 | |
| Percent of long-stay residents who are more depressed or anxious: | 11 | |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder: | 42 | |
| 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: | 5 | |
| Percent of long-stay residents whose ability to move about in and around their room got worse: | 23 | |
| Percent of long-stay residents who had a urinary tract infection: | 15 | |
| Percent of long-stay residents who lose too much weight: | 10 | |
| Percent of short-stay residents given influenza vaccination during the flu season: | 53 | |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination: | 28 | |
| Percent of short-stay residents who have delirium: | 1 | |
| Percent of short-stay residents who had moderate to severe pain: | 22 | |
| Percent of short-stay residents who have pressure sores: | 8 | |
| # of Residents: | 86 |
| # RN Hours per Resident: | 0.56 |
| # LPN Hours per Resident: | 0.67 |
| # CNA Hours per Resident: | 2.05 |
| Total Staff Hours per Resident: | 1.23 |
