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Belen Meadows Healthcare And Rehabilitation Center

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About Belen Meadows Healthcare And Rehabilitation Center

General Information

Legal Business NameBelen Meadows Healthcare And Rehabilitation Center, LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJune 1, 1992 (25 years)
Capacity120
Residents92
Percent Occupied77%
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 Belen Meadows Healthcare And Rehabilitation Center

Belen Meadows Healthcare And Rehabilitation Center
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

June 16, 2016 - 9 months ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaintAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmComplaintEnsure each resident receives an accurate assessment by a qualified health professional.
DFewPotential for HarmComplaintDevelop 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.

April 19, 2016 - 11 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmComplaint+InspectionHave a program that investigates, controls and keeps infection from spreading.
FManyPotential for HarmComplaint+InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
ESomePotential 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+InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
DFewPotential for HarmComplaint+InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
DFewPotential for HarmComplaint+InspectionDevelop policies and procedures for influenza and pneumococcal immunizations.

May 1, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
FManyPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
ESomePotential for HarmHealth InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
ESomePotential for HarmHealth InspectionProvide housekeeping and maintenance services.
ESomePotential for HarmHealth InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

January 15, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintEnsure that residents are safe from serious medication errors.
ESomePotential for HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
ESomePotential for HarmComplaintEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
ESomePotential for HarmComplaintDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CManyPotential for Minimal HarmComplaintUse a registered nurse at least 8 hours a day, 7 days a week.

July 11, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$975 fine
GFewActual HarmHealth InspectionProvide or obtain dental services for each resident.
ESomePotential for HarmHealth InspectionProvide housekeeping and maintenance services.
ESomePotential for HarmHealth InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
DFewPotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmHealth InspectionConduct initial and periodic assessments of each resident's functional capacity.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Belen Meadows Healthcare And Rehabilitation Center 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 55min
2hr 25min
ReportedExpected
CNA
10min
40min
ReportedExpected
LPN
35min
60min
ReportedExpected
RN
2hr 45min
4hr
ReportedExpected
Total Nursing

Quality Measures for Long Stay Residents

44.7%
82.9%
82.9%
82.9%
90.7%
Q4 2015Q1 2016Q2 2016Q3 2016NM
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
89.5%
97.4%
100.0%
96.1%
82.2%
Q4 2015Q1 2016Q2 2016Q3 2016NM
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
37.5%
28.1%
25.8%
17.2%
42.6%
Q4 2015Q1 2016Q2 2016Q3 2016NM
Percentage of low risk long-stay residents who lose control of their bowels or bladder
19.1%
15.5%
15.5%
10.3%
18.9%
Q4 2015Q1 2016Q2 2016Q3 2016NM
Percentage of long-stay residents who received an antianxiety or hypnotic medication
3.6%
10.0%
13.7%
32.4%
21.6%
Q4 2015Q1 2016Q2 2016Q3 2016NM
Percentage of long-stay residents whose ability to move independently worsened
6.2%
10.8%
6.2%
8.1%
17.1%
Q4 2015Q1 2016Q2 2016Q3 2016NM
Percentage of long-stay residents who received an antipsychotic medication
7.5%
5.9%
8.6%
22.7%
19.9%
Q4 2015Q1 2016Q2 2016Q3 2016NM
Percentage of long-stay residents whose need for help with daily activities has increased
7.6%
4.7%
2.8%
8.8%
11.6%
Q4 2015Q1 2016Q2 2016Q3 2016NM
Percentage of long-stay residents who self-report moderate to severe pain
1.4%
1.3%
5.2%
5.4%
7.1%
Q4 2015Q1 2016Q2 2016Q3 2016NM
Percentage of long-stay residents who lose too much weight
6.7%
6.0%
7.7%
0.0%
6.1%
Q4 2015Q1 2016Q2 2016Q3 2016NM
Percentage of high risk long-stay residents with pressure ulcers
2.7%
5.3%
3.9%
5.4%
3.5%
Q4 2015Q1 2016Q2 2016Q3 2016NM
Percentage of long-stay residents who have depressive symptoms
1.3%
1.3%
0.0%
4.1%
3.0%
Q4 2015Q1 2016Q2 2016Q3 2016NM
Percentage of long-stay residents with a urinary tract infection
2.6%
2.6%
5.1%
6.6%
4.4%
Q4 2015Q1 2016Q2 2016Q3 2016NM
Percentage of long-stay residents experiencing one or more falls with major injury
1.5%
3.8%
1.2%
2.2%
3.5%
Q4 2015Q1 2016Q2 2016Q3 2016NM
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
0.0%
0.0%
0.5%
Q4 2015Q1 2016Q2 2016Q3 2016NM
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

78.9%
95.7%
98.9%
81.8%
68.3%
Q4 2015Q1 2016Q2 2016Q3 2016NM
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
55.7%
77.8%
77.8%
77.8%
67.1%
Q4 2015Q1 2016Q2 2016Q3 2016NM
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
44.7%
52.2%
55.7%
45.3%
61.6%
Q4 2015Q1 2016Q2 2016Q3 2016NM
Percentage of short-stay residents who made improvements in function
13.8%
9.9%
7.7%
26.5%
23.7%
Q4 2015Q1 2016Q2 2016Q3 2016NM
Percentage of short-stay residents who self-report moderate to severe pain
0.0%
1.8%
1.9%
0.0%
2.6%
Q4 2015Q1 2016Q2 2016Q3 2016NM
Percentage of short-stay residents who newly received an antipsychotic medication
2.5%
2.4%
1.2%
0.0%
1.5%
Q4 2015Q1 2016Q2 2016Q3 2016NM
Percentage of short-stay residents with pressure ulcers that are new or worsened