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Casa Maria Healthcare Center And Pecos Valley Reha

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About Casa Maria Healthcare Center And Pecos Valley Reha

General Information

Legal Business NameCasa Maria Of New Mexico, LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareMarch 27, 1998 (19 years)
Capacity118
Residents84
Percent Occupied71%
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 Casa Maria Healthcare Center And Pecos Valley Reha

Casa Maria Healthcare Center And Pecos Valley Reha
was reviewed by Medicare to have a rating of 3 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

November 20, 2015 - 13 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionOffer other nutritional food to each resident who will not eat the food served.
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.
ESomePotential for HarmHealth Inspection1) Hire only people with 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.
ESomePotential for HarmHealth InspectionProvide residents with private access to a telephone.

November 18, 2015 - 13 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionProper fire barriers, ventilation and signs for the transfilling of oxygen.
ESomePotential for HarmFire Safety InspectionAn approved installation, maintenance and testing program for fire alarm systems.
DFewPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
DFewPotential for HarmFire Safety InspectionAn externally vented heating system.

June 23, 2015 - 18 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.
GFewActual HarmComplaintAllow residents the right to participate in the planning or revision of care and treatment.
GFewActual HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaintQuickly tell the resident's doctor the results of laboratory tests.
DFewPotential for HarmComplaintMake sure that a working call system is available in each resident's room or bathroom and bathing area.
DFewPotential for HarmComplaintBe licensed under State and local laws.

October 21, 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 InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.
FManyPotential for HarmFire Safety InspectionA fire alarm system that can be heard throughout the facility.
FManyPotential for HarmFire Safety InspectionProper backup exit lighting.
ESomePotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.

November 8, 2013 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$1,625 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 Casa Maria Healthcare Center And Pecos Valley Reha 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.

1hr 50min
2hr 25min
ReportedExpected
CNA
30min
40min
ReportedExpected
LPN
45min
1hr 5min
ReportedExpected
RN
3hr 5min
4hr 15min
ReportedExpected
Total Nursing

This facility also provides approximately 2hr 15min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

89.6%
90.5%
90.5%
87.8%
Q1 2015Q2 2015Q3 2015NM
Assessed and Appropriately Given the Seasonal Influenza Vaccine
85.1%
91.0%
89.4%
78.9%
Q1 2015Q2 2015Q3 2015NM
Assessed and Appropriately Given the Pneumococcal Vaccine
59.0%
57.5%
53.8%
43.9%
Q1 2015Q2 2015Q3 2015NM
Low Risk Residents Who Lose Control of Their Bowel or Bladder
12.7%
7.9%
9.7%
16.3%
Q1 2015Q2 2015Q3 2015NM
Received an Antipsychotic Medication
-
-
-
18.2%
Q1 2015Q2 2015Q3 2015NM
* The data for this facility for some quarters is unavailable.
Need for Help with ADLs has Increased
3.1%
5.5%
5.7%
9.8%
Q1 2015Q2 2015Q3 2015NM
Self Report Moderate to Severe Pain
7.5%
7.6%
3.1%
6.8%
Q1 2015Q2 2015Q3 2015NM
Lose Too Much Weight
10.6%
4.3%
4.9%
6.0%
Q1 2015Q2 2015Q3 2015NM
High Risk Residents With Pressure Ulcers
1.7%
0.0%
3.4%
3.0%
Q1 2015Q2 2015Q3 2015NM
Have Depressive Symptoms
6.2%
4.5%
4.6%
4.3%
Q1 2015Q2 2015Q3 2015NM
With a Urinary Tract Infection
1.5%
3.0%
3.0%
3.8%
Q1 2015Q2 2015Q3 2015NM
Experiencing One or More Falls with Major Injury
2.3%
1.1%
0.0%
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

86.4%
83.8%
81.9%
69.5%
Q1 2015Q2 2015Q3 2015NM
Assessed and Appropriately Given the Pneumococcal Vaccine
88.8%
87.3%
87.3%
68.2%
Q1 2015Q2 2015Q3 2015NM
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
28.1%
24.4%
28.8%
24.2%
Q1 2015Q2 2015Q3 2015NM
Self Report Moderate to Severe Pain
3.2%
1.2%
1.5%
2.3%
Q1 2015Q2 2015Q3 2015NM
Newly Received an Antipsychotic Medication
1.8%
0.0%
0.0%
1.3%
Q1 2015Q2 2015Q3 2015NM
With Pressure Ulcers That Are New or Worsened