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Albuquerque Heights Healthcare And Rehabilitation

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About Albuquerque Heights Healthcare And Rehabilitation

General Information

Legal Business NameAlbuquerque Heights Healthcare And Rehabilitation Center, LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareMay 1, 1992 (25 years)
Capacity134
Residents117
Percent Occupied87%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Albuquerque Heights Healthcare And Rehabilitation

Albuquerque Heights Healthcare And Rehabilitation
was reviewed by Medicare to have a rating of 2 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of New Mexico Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

June 16, 2015 - 1 year ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$7,000 fine
JFewImmediate JeopardyComplaint+InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
FManyPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
ESomePotential for HarmComplaint+InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
ESomePotential for HarmComplaint+InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
ESomePotential for HarmComplaint+InspectionPrepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
ESomePotential for HarmHealth InspectionProvide activities to meet the interests and needs of each resident.
DFewPotential for HarmComplaint+InspectionAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmComplaint+InspectionProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmComplaint+InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
DFewPotential for HarmComplaint+InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
DFewPotential for HarmComplaint+InspectionEnsure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.
DFewPotential for HarmComplaint+InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DFewPotential for HarmComplaint+InspectionGive residents a notice of rights, rules, services and charges.
DFewPotential for HarmComplaint+InspectionProvide residents with private access to a telephone.
DFewPotential for HarmComplaint+InspectionDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
DFewPotential for HarmComplaint+InspectionReasonably accommodate the needs and preferences of each resident.
DFewPotential for HarmComplaint+InspectionConduct initial and periodic assessments of each resident's functional capacity.

June 9, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
ESomePotential for HarmFire Safety InspectionSmoke barrier doors that can resist smoke for at least 20 minutes.

August 8, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$1,625 fine
---Fine$1,625 fine
FManyPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
GFewActual HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
GFewActual HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
ESomePotential for HarmHealth InspectionHave enough nurses to care for every resident in a way that maximizes the resident's well being.
ESomePotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmHealth InspectionReasonably accommodate the needs and preferences of each resident.
ESomePotential for HarmHealth InspectionProtect each resident from mistreatment, neglect and misappropriation of personal property.
ESomePotential for HarmHealth InspectionDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
DFewPotential for HarmHealth InspectionEnsure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.
DFewPotential for HarmHealth InspectionCoordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients.

August 6, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionAn approved automatic sprinkler system connected to the fire alarm system.
FManyPotential for HarmFire Safety InspectionHeating and ventilation systems that have been properly installed according to the manufacturer's instructions.
FManyPotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.
FManyPotential for HarmFire Safety InspectionProper backup exit lighting.
FManyPotential for HarmFire Safety InspectionRooms that can be unlocked from inside without a key.
DFewPotential for HarmFire Safety InspectionOther fire safety features required by fire safety codes.
DFewPotential for HarmFire Safety InspectionPosted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
DFewPotential for HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Albuquerque Heights Healthcare And Rehabilitation require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 20min
2hr 20min
ReportedExpected
CNA
25min
35min
ReportedExpected
LPN
45min
55min
ReportedExpected
RN
3hr 30min
3hr 50min
ReportedExpected
Total Nursing

This facility also provides approximately 20min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

63.9%
62.9%
62.9%
87.8%
Q1 2015Q2 2015Q3 2015NM
Assessed and Appropriately Given the Seasonal Influenza Vaccine
60.8%
17.2%
24.0%
78.9%
Q1 2015Q2 2015Q3 2015NM
Assessed and Appropriately Given the Pneumococcal Vaccine
75.9%
66.7%
71.7%
43.9%
Q1 2015Q2 2015Q3 2015NM
Low Risk Residents Who Lose Control of Their Bowel or Bladder
4.2%
1.1%
12.9%
16.3%
Q1 2015Q2 2015Q3 2015NM
Received an Antipsychotic Medication
22.7%
15.1%
30.3%
18.2%
Q1 2015Q2 2015Q3 2015NM
Need for Help with ADLs has Increased
7.4%
7.8%
11.1%
9.8%
Q1 2015Q2 2015Q3 2015NM
Self Report Moderate to Severe Pain
4.2%
4.1%
5.1%
6.8%
Q1 2015Q2 2015Q3 2015NM
Lose Too Much Weight
1.6%
0.0%
2.8%
6.0%
Q1 2015Q2 2015Q3 2015NM
High Risk Residents With Pressure Ulcers
0.0%
0.0%
0.0%
3.0%
Q1 2015Q2 2015Q3 2015NM
Have Depressive Symptoms
1.0%
0.0%
3.1%
4.3%
Q1 2015Q2 2015Q3 2015NM
With a Urinary Tract Infection
3.1%
2.0%
2.0%
3.8%
Q1 2015Q2 2015Q3 2015NM
Experiencing One or More Falls with Major Injury
3.0%
4.2%
5.4%
3.3%
Q1 2015Q2 2015Q3 2015NM
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
3.0%
0.6%
Q1 2015Q2 2015Q3 2015NM
Were Physically Restrained

Quality Measures for Short Stay Residents

79.5%
91.9%
86.7%
69.5%
Q1 2015Q2 2015Q3 2015NM
Assessed and Appropriately Given the Pneumococcal Vaccine
79.1%
73.8%
73.8%
68.2%
Q1 2015Q2 2015Q3 2015NM
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
-
21.1%
22.6%
24.2%
Q1 2015Q2 2015Q3 2015NM
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
2.1%
0.8%
0.9%
2.3%
Q1 2015Q2 2015Q3 2015NM
Newly Received an Antipsychotic Medication
0.3%
1.2%
0.7%
1.3%
Q1 2015Q2 2015Q3 2015NM
With Pressure Ulcers That Are New or Worsened