FOUR CORNERS GOOD SAMARITAN VILLAGE (AZTEC, NM) Detailed Nursing Home Profile

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased

This Nursing Home:	9.8%
New Mexico:	18.0%

Percent of long-stay residents who self-report moderate to severe pain

This Nursing Home:	39.8%
New Mexico:	12.4%

Percent of long-stay high-risk residents with pressure ulcers

Here:	3.8%
State:	7.3%

Percent of long-stay residents who lose too much weight

This Nursing Home:	10.3%
State:	9.1%

Percent of long-stay residents who have had a catheter inserted and left in their bladder

This Nursing Home:	2.8%
New Mexico:	3.6%

Percent of long-stay residents with a urinary tract infection

This Nursing Home:	10.3%
State:	6.9%

Percent of long-stay residents who have depressive symptoms

This Nursing Home:	1.5%
New Mexico:	6.2%

Percent of long-stay residents who were physically restrained

Here:	1.4%
State:	1.7%

Percent of long-stay residents experiencing one or more falls with major injury

This Nursing Home:	5.7%
New Mexico:	4.1%

Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine

This Nursing Home:	87.0%
New Mexico:	87.6%

Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine

Here:	82.9%
State:	81.5%

Percent of short-stay residents who self-report moderate to severe pain

This Nursing Home:	32.3%
New Mexico:	27.1%

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine

This Nursing Home:	90.9%
New Mexico:	70.6%

Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine

Here:	81.6%
State:	67.2%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	8.6%
State:	21.5%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.800
New Mexico:	0.722

Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day

Here:	0.410
State:	0.509

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.210
State:	1.227

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.070
State:	0.109

Number Therapy Hours Per Resident Per Day

Here:	0.070
State:	0.113

Complaint Deficiency

Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed
- Harm: Minimal harm or potential for actual harm
- Scope: Some
A two-hour-resistant firewall in common walls
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Hire sufficient dietary support personnel
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Send and promptly deliver unopened mail to residents
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Posted No-smoking signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Allow the resident the right to participate in the planning or revision of the resident's care plan
- Harm: Minimal harm or potential for actual harm
- Scope: Few
A fire alarm system that can be heard throughout the facility
- Harm: Minimal harm or potential for actual harm
- Scope: Many
An approved automatic sprinkler system connected to the fire alarm system
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Weekly inspections and monthly testing of generators
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Record of quarterly fire drills for each shift under varying conditions
- Harm: Minimal harm or potential for actual harm
- Scope: Many
A fire alarm system that can be heard throughout the facility
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Portable fire extinguishers
- Harm: Potential for minimal harm
- Scope: Many
Properly protected cooking facilities
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Proper medical gas storage and administration areas
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Weekly inspections and monthly testing of generators
- Harm: Minimal harm or potential for actual harm
- Scope: Many
1) 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
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property
- Harm: Minimal harm or potential for actual harm
- Scope: Some
1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Develop policies and procedures for influenza and pneumococcal immunizations
- Harm: Minimal harm or potential for actual harm
- Scope: Some

FOUR CORNERS GOOD SAMARITAN VILLAGE - AZTEC, NM

Quality Measures

Staff Information

Complaint Deficiency

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