ALBUQUERQUE HEIGHTS HEALTHCARE AND REHABILITATION (ALBUQUERQUE, NM) Detailed Nursing Home Profile

Quality Measures

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

This Nursing Home:	16.4%
State:	18.0%

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

This Nursing Home:	6.0%
State:	12.4%

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

Here:	9.8%
State:	7.3%

Percent of long-stay residents who lose too much weight

This Nursing Home:	9.8%
State:	9.1%

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

Here:	41.7%
New Mexico:	42.9%

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

This Nursing Home:	4.6%
New Mexico:	3.6%

Percent of long-stay residents with a urinary tract infection

Here:	1.1%
State:	6.9%

Percent of long-stay residents who have depressive symptoms

This Nursing Home:	2.2%
New Mexico:	6.2%

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

Here:	2.1%
New Mexico:	4.1%

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

This Nursing Home:	77.4%
State:	87.6%

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

Here:	84.0%
New Mexico:	81.5%

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

Here:	25.3%
State:	27.1%

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

Here:	0.6%
State:	1.3%

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

Here:	46.8%
State:	70.6%

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

Here:	56.9%
State:	67.2%

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

This Nursing Home:	6.0%
State:	2.5%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	22.1%
New Mexico:	21.5%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.750
State:	0.722

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

This Nursing Home:	0.390
New Mexico:	0.509

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.140
New Mexico:	1.227

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.170
State:	0.109

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.170
New Mexico:	0.113

Complaint Deficiency

Keep accurate, complete and organized clinical records on each resident that meet professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
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
Signs that state that exit doors are to be kept closed
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Smoke barrier doors that can resist smoke for at least 20 minutes
- 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
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: Some
Keep each resident free from physical restraints, unless needed for medical treatment
- Harm: Minimal harm or potential for actual harm
- Scope: Some
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: Some
Provide care by qualified persons according to each resident's written plan of care
- 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: 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
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Exits that are accessible at all times
- 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
Protect each resident from all abuse, physical punishment, and being separated from others
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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: 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
Develop policies and procedures for influenza and pneumococcal immunizations
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Some
A fire alarm system that can be heard throughout the facility
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Protect each resident from all abuse, physical punishment, and being separated from others
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property
- Harm: Minimal harm or potential for actual harm
- Scope: Many
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: Some
Provide care by qualified persons according to each resident's written plan of care
- 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
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
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action
- Harm: Minimal harm or potential for actual harm
- Scope: Many

ALBUQUERQUE HEIGHTS HEALTHCARE AND REHABILITATION - ALBUQUERQUE, NM

Quality Measures

Staff Information

Complaint Deficiency

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