GOOD SAMARITAN SOCIETY LAS CRUCES VILLAGE (LAS CRUCES, NM) Detailed Nursing Home Profile

Complaint Deficiency

Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Proper backup exit lighting
- Harm: Actual harm
- Scope: Some
Back-up procedures in place for a faulty automatic sprinkler system
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly working alarms on sprinkler valves
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Completely assess the resident at least every twelve months
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Conduct initial and periodic assessments of each resident's functional capacity
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Corridors that are separated from common areas by walls constructed to limit the passage of smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Few
An approved automatic sprinkler system connected to the fire alarm system
- 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
Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide necessary care and services to maintain the highest well being of each resident
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores
- Harm: Actual harm
- Scope: Some
Make sure that each resident gets a nutritional and well balanced diet, unless it is not possible to do so
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Give each resident enough fluids to keep them healthy and prevent dehydration
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Make sure that doctors visit residents regularly, as required
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Weekly inspections and monthly testing of generators
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Construction that can resist fire for one hour or an approved fire extinguishing system
- 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: Many
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions
- 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: Few
Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%
- Harm: Minimal harm or potential for actual harm
- Scope: Some

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.820
New Mexico:	0.722

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

This Nursing Home:	0.530
New Mexico:	0.509

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.350
State:	1.227

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.080
State:	0.109

Number Therapy Hours Per Resident Per Day

Here:	0.080
State:	0.113

Quality Measures

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

This Nursing Home:	16.2%
State:	18.0%

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

Here:	15.9%
New Mexico:	12.4%

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

Here:	9.3%
New Mexico:	7.3%

Percent of long-stay residents who lose too much weight

This Nursing Home:	4.3%
State:	9.1%

Percent of long-stay low-risk residents who lose control of their bowels or bladder

Here:	68.4%
State:	42.9%

Percent of long-stay residents with a urinary tract infection

Here:	10.1%
State:	6.9%

Percent of long-stay residents who have depressive symptoms

This Nursing Home:	1.4%
State:	6.2%

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

Here:	5.8%
State:	4.1%

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

This Nursing Home:	97.1%
State:	87.6%

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

Here:	97.1%
State:	81.5%

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

Here:	33.8%
State:	27.1%

Percent of short-stay residents with Pressure ulcers that are new or worsened

This Nursing Home:	1.6%
New Mexico:	1.3%

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

Here:	86.1%
State:	70.6%

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

This Nursing Home:	81.3%
State:	67.2%

Percent of short-stay residents who newly received an antipsychotic medication

Here:	1.4%
New Mexico:	2.5%

Percent of long-stay residents who received an antipsychotic medication

Here:	23.5%
State:	21.5%

GOOD SAMARITAN SOCIETY LAS CRUCES VILLAGE - LAS CRUCES, NM

Complaint Deficiency

Staff Information

Quality Measures

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