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Mission Arch Center

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About Mission Arch Center

General Information

Legal Business NamePeak Medical Roswell LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareDecember 16, 1985 (32 years)
Capacity120
Residents107
Percent Occupied89%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsBoth
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Mission Arch Center

Mission Arch Center
was reviewed by Medicare to have a rating of 1 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 19, 2016 - 9 months ago

 Residents AffectedSeveritySource/TypeDescription
KSomeImmediate JeopardyComplaint+InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
KSomeImmediate JeopardyComplaint+InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
HSomeActual 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.
HSomeActual HarmComplaint+InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
HSomeActual HarmComplaint+InspectionAllow residents the right to participate in the planning or revision of care and treatment.
HSomeActual HarmComplaint+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.
FManyPotential for HarmComplaint+InspectionMake sure that the facility is administered in an acceptable way that maintains the well-being of each resident .
FManyPotential for HarmComplaint+InspectionMake sure that nurse aides show they have the skills and techniques to be able to care for residents' needs.
FManyPotential for HarmComplaint+Inspection1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews.
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+InspectionProvide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.
ESomePotential for HarmHealth InspectionReasonably accommodate the needs and preferences of each resident.
ESomePotential for HarmComplaint+InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmComplaint+InspectionProtect each resident from mistreatment, neglect and misappropriation of personal property.
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

July 22, 2016 - 11 months ago

 Residents AffectedSeveritySource/TypeDescription
---Payment DenialPayment denial for 31 days
ESomePotential for HarmComplaintChoose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility.
ESomePotential for HarmComplaintHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmComplaintAllow residents the right to participate in the planning or revision of care and treatment.
ESomePotential for HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

May 27, 2016 - 13 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.
ESomePotential for HarmComplaintAllow residents the right to participate in the planning or revision of care and treatment.

May 4, 2016 - 14 months ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$26,813 fine
---Payment DenialPayment denial for 12 days
ESomePotential for HarmComplaintEnsure that residents are safe from serious medication errors.
ESomePotential 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.
ESomePotential for HarmComplaint1) 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.
DFewPotential for HarmComplaintProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
DFewPotential for HarmComplaintAllow residents the right to participate in the planning or revision of care and treatment.

January 27, 2016 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$6,500 fine
---Payment DenialPayment denial for 3 days
JFewImmediate JeopardyComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
JFewImmediate JeopardyComplaintEnsure 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.
JFewImmediate JeopardyComplaintGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
JFewImmediate JeopardyComplaintProvide care by qualified persons according to each resident's written plan of care.
GFewActual HarmComplaintEnsure 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.
GFewActual HarmComplaintDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
ESomePotential for HarmComplaintMake sure that doctors visit residents regularly, as required.
ESomePotential for HarmComplaintGive or get quality laboratory services/tests in a timely manner to meet the needs of residents.
ESomePotential for HarmComplaint1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews.
DFewPotential for HarmComplaintQuickly tell the resident's doctor the results of laboratory tests.
DFewPotential for HarmComplaintTry to resolve each resident's complaints quickly.
DFewPotential for HarmComplaintGive proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible.

August 19, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
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 InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the 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 Mission Arch 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.

2hr 10min
2hr 20min
ReportedExpected
CNA
35min
35min
ReportedExpected
LPN
35min
60min
ReportedExpected
RN
3hr 25min
3hr 55min
ReportedExpected
Total Nursing

This facility also provides approximately 45min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

86.5%
89.5%
89.5%
89.5%
90.7%
Q4 2015Q1 2016Q2 2016Q3 2016NM
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
72.2%
63.3%
64.2%
67.0%
82.2%
Q4 2015Q1 2016Q2 2016Q3 2016NM
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
55.9%
50.0%
35.3%
32.3%
42.6%
Q4 2015Q1 2016Q2 2016Q3 2016NM
Percentage of low risk long-stay residents who lose control of their bowels or bladder
40.4%
45.5%
45.1%
38.6%
18.9%
Q4 2015Q1 2016Q2 2016Q3 2016NM
Percentage of long-stay residents who received an antianxiety or hypnotic medication
21.2%
33.6%
17.1%
25.4%
21.6%
Q4 2015Q1 2016Q2 2016Q3 2016NM
Percentage of long-stay residents whose ability to move independently worsened
21.6%
18.9%
19.5%
16.9%
17.1%
Q4 2015Q1 2016Q2 2016Q3 2016NM
Percentage of long-stay residents who received an antipsychotic medication
22.4%
38.5%
30.0%
35.5%
19.9%
Q4 2015Q1 2016Q2 2016Q3 2016NM
Percentage of long-stay residents whose need for help with daily activities has increased
11.2%
15.9%
16.8%
11.9%
11.6%
Q4 2015Q1 2016Q2 2016Q3 2016NM
Percentage of long-stay residents who self-report moderate to severe pain
9.4%
13.4%
9.6%
13.5%
7.1%
Q4 2015Q1 2016Q2 2016Q3 2016NM
Percentage of long-stay residents who lose too much weight
5.6%
6.8%
5.7%
8.2%
6.1%
Q4 2015Q1 2016Q2 2016Q3 2016NM
Percentage of high risk long-stay residents with pressure ulcers
3.4%
5.7%
1.2%
10.7%
3.5%
Q4 2015Q1 2016Q2 2016Q3 2016NM
Percentage of long-stay residents who have depressive symptoms
1.0%
4.1%
2.1%
1.1%
3.0%
Q4 2015Q1 2016Q2 2016Q3 2016NM
Percentage of long-stay residents with a urinary tract infection
5.2%
4.1%
4.2%
6.6%
4.4%
Q4 2015Q1 2016Q2 2016Q3 2016NM
Percentage of long-stay residents experiencing one or more falls with major injury
1.8%
1.8%
2.8%
5.3%
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

84.5%
84.3%
69.8%
35.9%
68.3%
Q4 2015Q1 2016Q2 2016Q3 2016NM
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
90.2%
72.5%
72.5%
72.5%
67.1%
Q4 2015Q1 2016Q2 2016Q3 2016NM
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
75.4%
76.5%
72.8%
89.7%
61.6%
Q4 2015Q1 2016Q2 2016Q3 2016NM
Percentage of short-stay residents who made improvements in function
30.9%
26.9%
31.7%
20.3%
23.7%
Q4 2015Q1 2016Q2 2016Q3 2016NM
Percentage of short-stay residents who self-report moderate to severe pain
5.0%
7.4%
3.6%
1.9%
2.6%
Q4 2015Q1 2016Q2 2016Q3 2016NM
Percentage of short-stay residents who newly received an antipsychotic medication
3.4%
1.9%
1.0%
1.1%
1.5%
Q4 2015Q1 2016Q2 2016Q3 2016NM
Percentage of short-stay residents with pressure ulcers that are new or worsened