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LADERA CARE AND REHABILITATION CENTER

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LADERA CARE AND REHABILITATION CENTER VS
All other Nursing Homes USA
General
City ALBUQUERQUE   vs 0.1% Nursing Homes USA have ALBUQUERQUE
State attribute explanation NM   vs 0.5% Nursing Homes USA have NM
Street 5901 OURAY ROAD NW  
Zip Code 87120  
Phone 5058360023  
Overall Star Rating
(2.11 lower than average)
vs
3.11

Health Inspections Star Rating
(1.83 lower than average)
vs
2.83

Nurse Staffing Star Rating
(2.17 lower than average)
vs
3.17

Quality Measures Star Rating
(1.31 lower than average)
vs
3.31

RN Only Star Rating
(1.17 lower than average)
vs
3.17

Number of Certified Beds
120  (11.06 higher than average)
vs
108.94

Total Number of Residents
113  (21.75 higher than average)
vs
91.25

Percent of Occupied Beds
94 % (10.35 % higher than average)
vs
83.65 %

Health Survey Date 5/24/2011  
Fire Survey Date 5/18/2011  
Sprinkler Status Fully Sprinklered  vs 90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicare And Medicaid  vs 91.5% Nursing Homes USA have Medicare and Medicaid
Type of Ownership For Profit - Corporation  vs 56.7% Nursing Homes USA have For profit - Corporation
Located Within a Hospital? No  vs 93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? Yes  vs 54.9% Nursing Homes USA have Multi Nursing Home Ownership?
Resident and Family Councils Both  vs 29.8% Nursing Homes USA have Both
Continuing Care Retirement Community? No  vs 90.9% Nursing Homes USA don't have Continuing Care Retirement Community?
Quality Indicator Survey? Yes  vs 31.3% Nursing Homes USA have Quality Indicator Survey?
Special Focus Facility? No  vs 99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count
(56.16 lower than average)
vs
58.16

Total Enforcement Actions Count
(54.31 lower than average)
vs
56.31

# of deficiencies
(0.48 lower than average)
vs
7.48

Staff Information
Number of Residents
113  (21.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.52  (0.25 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.64  (0.2 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.15  (0.44 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.19  (5.3 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.19  (0.09 higher than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Safe, Easy To Use, Clean And Comfortable For Residents, Staff And The Public.
survey Date: 02/25/2010
date Of Correction: 03/23/2010 

Mistreatment Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 08/20/2010
date Of Correction: 10/14/2010 

Deficiency #2 Scope: Some
level Of Harm: 4
deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.
survey Date: 08/20/2010
date Of Correction: 10/14/2010 

Quality Care Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 4
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 08/20/2010
date Of Correction: 10/14/2010 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 02/25/2010
date Of Correction: 03/23/2010 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Develop Policies And Procedures For Influenza And Pneumococcal Immunizations.
survey Date: 06/16/2009
date Of Correction: 07/09/2009 

Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents.
survey Date: 09/04/2009
date Of Correction: 09/25/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
7 % (18.09 % lower than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
0.5 - 2.0 % (32.45 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
26.2 % (9.54 % higher than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
21.7 % (9.12 % higher than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
75.2 % (63.37 % higher than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
27 % (17.54 % lower than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
11.5 % (4.13 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
4.5 % (8.96 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms 7.9:1 % 
Percent of long-stay residents who were physically restrained 10.1:1 % 
Percent of short-stay residents who self-report moderate to severe pain
26.5 % (1.48 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
78.8 % (5.84 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
82 % (1.94 % lower than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
75.2  (29.3 higher than average)
vs
45.90

Percent of long-stay residents experiencing one or more falls with major injury
1.1 % (14.42 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication 11.8:1 % 
Percent of long-stay residents whose need for help with daily activities has increased
0.5 - 2.0 % (23.2 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
17.9 (64.2) % (3.8 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
20.1 % (10.88 % higher than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
0.4 % (8.1 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
26 % (17.38 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder 12.6:1 % 
Percent of long-stay residents with a urinary tract infection
6.2 % (3.38 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
3.5 % (16.36 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained 8.1 / 8.8 % 
Percent of long-stay residents experiencing one or more falls with major injury
0.8 % (9.93 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
23.7 (74.7) % (1.06 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
79 % (2.44 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
78.2 % (3.45 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
1.9 % (15.44 % lower than average)
vs
17.34 %



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