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SAGECREST NURSING AND REHABILITATION

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SAGECREST NURSING AND REHABILITATION VS
Nursing Homes USA
General
City LAS CRUCES   0% Nursing Homes USA have LAS CRUCES
State attribute explanation NM   0.5% Nursing Homes USA have NM
Street 2029 SAGECREST COURT  
Zip Code 88011  
Phone 5755227000  
Overall Star Rating
3.11
Health Inspections Star Rating
2.83
Nurse Staffing Star Rating
3.17
Quality Measures Star Rating
3.31
RN Only Star Rating
3.17
Number of Certified Beds
120 
108.94
Total Number of Residents
89 
91.25
Percent of Occupied Beds
74 %
83.65 %
Health Survey Date 5/28/2011  
Fire Survey Date 5/25/2011  
Sprinkler Status Fully Sprinklered  90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicare And Medicaid  91.5% Nursing Homes USA have Medicare and Medicaid
Type of Ownership For Profit - Corporation  56.7% Nursing Homes USA have For profit - Corporation
Located Within a Hospital? No  93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? Yes  54.9% Nursing Homes USA have Multi Nursing Home Ownership?
Resident and Family Councils RESIDENT   66% Nursing Homes USA have RESIDENT
Continuing Care Retirement Community? No  90.9% Nursing Homes USA don't have Continuing Care Retirement Community?
Quality Indicator Survey? Yes  31.3% Nursing Homes USA have Quality Indicator Survey?
Special Focus Facility? No  99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count
58.16
Total Enforcement Actions Count
56.31
# of deficiencies
11 
7.48
Staff Information
Number of Residents
89 
91.38
Number of RN Hours Per Resident Per Day
0.67 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.73 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.4 
1.59
Number of CNA Hours Per Resident Per Day
0.11 
5.49
Number Therapy Hours Per Resident Per Day
0.11 
0.10
Environmental Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Make Sure That A Working Call System Is Available In Each Resident's Room Or Bathroom And Bathing Area.
survey Date: 11/19/2010
date Of Correction: 01/31/2011 
Quality Care Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 08/06/2010
date Of Correction: 10/01/2010 
Deficiency #2 Scope: Some
level Of Harm: 4
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 03/19/2010
date Of Correction: 05/15/2010 
Deficiency #3 Scope: Some
level Of Harm: 4
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 03/19/2010
date Of Correction: 05/15/2010 
Resident Assessment Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Make Sure That Doctors Visit Residents Regularly, As Required.
survey Date: 03/19/2010
date Of Correction: 05/15/2010 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Make Sure That Doctors See A Resident's Plan Of Care At Every Visit And Make Notes About Progress And Orders In Writing.
survey Date: 03/19/2010
date Of Correction: 05/15/2010 
Deficiency #3 Scope: Some
level Of Harm: 3
deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.
survey Date: 03/19/2010
date Of Correction: 05/15/2010 
Deficiency #4 Scope: Some
level Of Harm: 3
deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.
survey Date: 03/19/2010
date Of Correction: 05/15/2010 
Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Check And Assess Each Resident's Assessment At Least Every 3 Months.
survey Date: 03/19/2010
date Of Correction: 05/15/2010 
Deficiency #6 Scope: Few
level Of Harm: 2
deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.
survey Date: 12/04/2009
date Of Correction: 12/25/2009 
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: 03/19/2010
date Of Correction: 05/15/2010 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
25 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
0.9 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
25.7 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers 12.3:1 % 
Percent of long-stay residents who lose too much weight
2.5 %
11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
6.3 %
15.63 %
Percent of long-stay residents with a urinary tract infection
9.8 %
13.46 %
Percent of long-stay residents who have depressive symptoms
75.2 %
28.38 %
Percent of long-stay residents who were physically restrained
3.7 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain
47.6 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
58.3 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
60 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
5.8 %
45.90 %
Percent of long-stay residents experiencing one or more falls with major injury
2.4 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
25.5 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
0.6 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
25.5 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers 12.8:1 % 
Percent of long-stay residents who lose too much weight
3 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
60 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
6.7 %
10.65 %
Percent of long-stay residents with a urinary tract infection
6.6 %
9.58 %
Percent of long-stay residents who have depressive symptoms
1.8 %
19.86 %
Percent of long-stay residents who were physically restrained
3.3 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
2.9 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
44.7 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
55.9 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
53.1 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
22.1 (71.8) %
17.34 %

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