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Good Samaritan Society Las Cruces Village

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About Good Samaritan Society Las Cruces Village

General Information

Legal Business NameThe Evangelical Lutheran Good Samaritan Society
Ownership TypeNon Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareApril 1, 1992 (25 years)
Capacity94
Residents71
Percent Occupied76%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsBoth
In HospitalNo
Continuing Care Retirement CommunityYes
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Good Samaritan Society Las Cruces Village

Good Samaritan Society Las Cruces Village
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

September 1, 2016 - 7 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintCoordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients.

July 1, 2016 - 9 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
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 InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionGive each resident enough fluids to keep them healthy and prevent dehydration.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.

October 23, 2015 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintMake sure that nurse aides show they have the skills and techniques to be able to care for residents' needs.
ESomePotential for HarmComplaint1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews.
ESomePotential for HarmComplaintGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
ESomePotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
ESomePotential for HarmComplaintProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmComplaintHave a program that investigates, controls and keeps infection from spreading.

May 1, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential 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 InspectionProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmHealth InspectionEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.

May 23, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$1,950 fine
GFewActual HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
GFewActual HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
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 InspectionProvide activities to meet the interests and needs of each resident.

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 Las Cruces Village 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
50min
40min
ReportedExpected
LPN
40min
1hr 10min
ReportedExpected
RN
4hr 5min
4hr 5min
ReportedExpected
Total Nursing

This facility also provides approximately 1hr 10min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

84.8%
100.0%
100.0%
100.0%
90.7%
Q4 2015Q1 2016Q2 2016Q3 2016NM
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
75.9%
68.9%
75.0%
77.8%
82.2%
Q4 2015Q1 2016Q2 2016Q3 2016NM
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
53.8%
55.6%
47.6%
42.9%
42.6%
Q4 2015Q1 2016Q2 2016Q3 2016NM
Percentage of low risk long-stay residents who lose control of their bowels or bladder
18.5%
20.8%
22.7%
25.0%
18.9%
Q4 2015Q1 2016Q2 2016Q3 2016NM
Percentage of long-stay residents who received an antianxiety or hypnotic medication
19.1%
35.8%
12.4%
18.7%
21.6%
Q4 2015Q1 2016Q2 2016Q3 2016NM
Percentage of long-stay residents whose ability to move independently worsened
12.7%
6.9%
6.0%
7.7%
17.1%
Q4 2015Q1 2016Q2 2016Q3 2016NM
Percentage of long-stay residents who received an antipsychotic medication
24.1%
22.0%
12.2%
14.0%
19.9%
Q4 2015Q1 2016Q2 2016Q3 2016NM
Percentage of long-stay residents whose need for help with daily activities has increased
-
16.0%
19.5%
24.3%
11.6%
Q4 2015Q1 2016Q2 2016Q3 2016NM
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents who self-report moderate to severe pain
3.4%
5.1%
13.7%
1.9%
7.1%
Q4 2015Q1 2016Q2 2016Q3 2016NM
Percentage of long-stay residents who lose too much weight
7.7%
5.1%
0.0%
5.3%
6.1%
Q4 2015Q1 2016Q2 2016Q3 2016NM
Percentage of high risk long-stay residents with pressure ulcers
0.0%
0.0%
0.0%
1.9%
3.5%
Q4 2015Q1 2016Q2 2016Q3 2016NM
Percentage of long-stay residents who have depressive symptoms
1.7%
1.7%
5.9%
1.9%
3.0%
Q4 2015Q1 2016Q2 2016Q3 2016NM
Percentage of long-stay residents with a urinary tract infection
8.6%
6.6%
5.8%
5.6%
4.4%
Q4 2015Q1 2016Q2 2016Q3 2016NM
Percentage of long-stay residents experiencing one or more falls with major injury
0.0%
1.5%
0.0%
0.0%
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

64.7%
52.7%
47.7%
48.0%
68.3%
Q4 2015Q1 2016Q2 2016Q3 2016NM
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
69.3%
42.6%
42.6%
42.6%
67.1%
Q4 2015Q1 2016Q2 2016Q3 2016NM
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
62.3%
56.3%
53.7%
62.3%
61.6%
Q4 2015Q1 2016Q2 2016Q3 2016NM
Percentage of short-stay residents who made improvements in function
26.4%
25.2%
30.6%
38.8%
23.7%
Q4 2015Q1 2016Q2 2016Q3 2016NM
Percentage of short-stay residents who self-report moderate to severe pain
0.0%
1.0%
0.8%
0.8%
2.6%
Q4 2015Q1 2016Q2 2016Q3 2016NM
Percentage of short-stay residents who newly received an antipsychotic medication
0.6%
2.0%
2.0%
0.9%
1.5%
Q4 2015Q1 2016Q2 2016Q3 2016NM
Percentage of short-stay residents with pressure ulcers that are new or worsened