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Good Samaritan Society - Manzano Del Sol

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About Good Samaritan Society - Manzano Del Sol

General Information

Legal Business NameThe Evangelical Lutheran Good Samaritan Society
Ownership TypeNon Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareOctober 1, 1992 (24 years)
Capacity117
Residents88
Percent Occupied75%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityYes
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Good Samaritan Society - Manzano Del Sol

Good Samaritan Society - Manzano Del Sol
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

May 22, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Payment DenialPayment denial for 76 days
LManyImmediate JeopardyHealth InspectionStore, cook, and serve food in a safe and clean way.
FManyPotential for HarmHealth InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
FManyPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
FManyPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
ESomePotential for 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 InspectionMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionReasonably accommodate the needs and preferences of each resident.

May 18, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
DFewPotential for HarmFire Safety InspectionExits that are free from obstructions and can be used at all times.

June 30, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$1,170 fine
GFewActual HarmComplaint+InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaint+InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmComplaint+InspectionConduct initial and periodic assessments of each resident's functional capacity.

June 24, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionWeekly inspections and monthly testing of generators.
FManyPotential for HarmFire Safety InspectionAn approved automatic sprinkler system connected to the fire alarm system.
FManyPotential for HarmFire Safety InspectionA fire alarm system that can be heard throughout the facility.
FManyPotential for HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.
ESomePotential for HarmFire Safety InspectionProperly protected cooking facilities.
ESomePotential for HarmFire Safety InspectionExits that are accessible at all times.

January 25, 2013 - 4 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$35,490 fine

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Good Samaritan Society - Manzano Del Sol 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 35min
2hr 20min
ReportedExpected
CNA
15min
40min
ReportedExpected
LPN
55min
1hr
ReportedExpected
RN
3hr 45min
3hr 60min
ReportedExpected
Total Nursing

This facility also provides approximately 25min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

94.9%
95.1%
95.1%
87.8%
Q1 2015Q2 2015Q3 2015NM
Assessed and Appropriately Given the Seasonal Influenza Vaccine
61.0%
65.0%
53.6%
78.9%
Q1 2015Q2 2015Q3 2015NM
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
43.9%
Q1 2015Q2 2015Q3 2015NM
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
3.4%
5.0%
5.4%
16.3%
Q1 2015Q2 2015Q3 2015NM
Received an Antipsychotic Medication
27.9%
10.0%
12.5%
18.2%
Q1 2015Q2 2015Q3 2015NM
Need for Help with ADLs has Increased
21.0%
18.8%
9.1%
9.8%
Q1 2015Q2 2015Q3 2015NM
Self Report Moderate to Severe Pain
20.4%
13.8%
8.9%
6.8%
Q1 2015Q2 2015Q3 2015NM
Lose Too Much Weight
4.3%
7.0%
0.0%
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
5.1%
8.3%
8.9%
4.3%
Q1 2015Q2 2015Q3 2015NM
With a Urinary Tract Infection
1.7%
1.7%
0.0%
3.8%
Q1 2015Q2 2015Q3 2015NM
Experiencing One or More Falls with Major Injury
2.9%
3.4%
1.8%
3.3%
Q1 2015Q2 2015Q3 2015NM
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
0.6%
Q1 2015Q2 2015Q3 2015NM
Were Physically Restrained

Quality Measures for Short Stay Residents

42.8%
34.3%
18.4%
69.5%
Q1 2015Q2 2015Q3 2015NM
Assessed and Appropriately Given the Pneumococcal Vaccine
47.6%
47.6%
47.6%
68.2%
Q1 2015Q2 2015Q3 2015NM
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
34.8%
52.1%
41.5%
24.2%
Q1 2015Q2 2015Q3 2015NM
Self Report Moderate to Severe Pain
1.2%
0.6%
0.7%
2.3%
Q1 2015Q2 2015Q3 2015NM
Newly Received an Antipsychotic Medication
0.5%
0.4%
0.0%
1.3%
Q1 2015Q2 2015Q3 2015NM
With Pressure Ulcers That Are New or Worsened