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Mimbres Memorial Nursing Home

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900 West Ash Street
Deming, NM 88031
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Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 66
Continuing Care? No
Resident Council? Yes
Family Council? No
Multi-Home Chain? No
Located in a Hospital? No
Special Focus Facility? No

View:    Health Inspections  |  Quality Measures  |  Staffing  |  Fire Inspections

Health Inspections  

Most Recent Inspection: 04/17/2009

Date of last standard health inspection: 04/17/2009
Quality Indicator Survey No
Dates of Complaint Investigations: 05/01/2009 - 04/30/2010
Total number of Health Deficiencies for this nursing home: 5
Average number of Health Deficiencies in NM: 5
Average number of Health Deficiencies in US: 8
Range of Health Deficiencies in NM: 0 - 19
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that the nursing home area is free of dangers that cause accidents. 04/17/2009 05/29/2009 Minimal harm or potential for actual harm Isolated
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give each resident care and services to get or keep the highest quality of life possible. 04/17/2009 05/29/2009 Actual harm Isolated
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 04/17/2009 05/29/2009 Actual harm Isolated
Use a registered nurse at least 8 hours a day, 7 days a week. 04/17/2009 05/29/2009 Potential for minimal harm Pattern
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan. 04/17/2009 05/29/2009 Minimal harm or potential for actual harm Isolated

Inspection, 10/23/2008

Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make a complete assessment that covers all questions for areas that are listed in official regulations. 10/23/2008 12/12/2008 Minimal harm or potential for actual harm Isolated
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. 10/23/2008 12/12/2008 Minimal harm or potential for actual harm Isolated

Inspection, 02/29/2008

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that the nursing home area is free of dangers that cause accidents. 02/29/2008 03/03/2008 Minimal harm or potential for actual harm Isolated

Inspection, 02/15/2008

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Review the work of each nurse aide every year; or 2) give regular training for the nurse aides. 02/15/2008 03/16/2008 Potential for minimal harm Widespread
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep a resident apart from the others if the resident has an infection that can spread. 02/15/2008 03/16/2008 Potential for minimal harm Pattern
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and give out food in a safe and clean way. 02/15/2008 03/16/2008 Potential for minimal harm Widespread
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. 02/15/2008 03/16/2008 Minimal harm or potential for actual harm Pattern

Inspection, 05/30/2007

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that each residents' abilities to take care of themselves does not lessen, unless a change cannot be avoided. 05/30/2007 07/14/2007 Minimal harm or potential for actual harm Pattern
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 05/30/2007 07/14/2007 Actual harm Isolated

Inspection, 03/08/2007

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide needed housekeeping and maintenance. 03/08/2007 05/04/2007 Minimal harm or potential for actual harm Pattern
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. 03/08/2007 05/04/2007 Minimal harm or potential for actual harm Pattern
Make sure that residents are safe from serious medication errors. 03/08/2007 05/04/2007 Minimal harm or potential for actual harm Isolated
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give professional services that follow each resident's written care plan. 03/08/2007 05/04/2007 Minimal harm or potential for actual harm Isolated
Develop/implement required procedures for the administration of immunizations. 03/08/2007 05/04/2007 Minimal harm or potential for actual harm Pattern
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. 03/08/2007 05/04/2007 Minimal harm or potential for actual harm Isolated
1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan. 03/08/2007 05/04/2007 Minimal harm or potential for actual harm Isolated
Provide a final summary of the resident's health status and a summary of the resident's stay, when the resident is ready to leave the nursing home. 03/08/2007 05/04/2007 Minimal harm or potential for actual harm Isolated

Nursing Home Staffing  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

National Average Average in NM Golden Living Center, Asheville
RN Staff Only1 N/A N/A 3 out of 5 stars
Total Number of Residents 88 79 36
Total, Licensed Nurse Staff Hours
per Resident per Day 		1 hour 26 minutes 1 hour 16 minutes 1 hour 57 minutes
RN Hours
per Resident per Day 		36 minutes 41 minutes 37 minutes
LPN/LVN Hours
per Resident per Day 		49 minutes 34 minutes 1 hour 19 minutes
CNA Hours
per Resident per Day 		2 hours 24 minutes 2 hours 31 minutes 2 hours 12 minutes

1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.

Quality Measures  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

Long-Term Residents

Percent of high-risk long-stay residents who have pressure sores 13%
Percent of long-stay residents given influenza vaccination during the flu season 85%
Percent of long-stay residents who are more depressed or anxious 24%
Percent of long-stay residents who had a urinary tract infection 12%
Percent of long-stay residents who have moderate to severe pain 15%
Percent of long-stay residents who have/had a catheter inserted and left in their bladder 13%
Percent of long-stay residents who spend most of their time in bed or in a chair 17%
Percent of long-stay residents who were assessed and given pneumococcal vaccination 58%
Percent of long-stay residents who were physically restrained 0%
Percent of long-stay residents whose ability to move about in and around their room got worse 16%
Percent of long-stay residents whose need for help with daily activities has increased 17%
Percent of low-risk long-stay residents who have pressure sores Not Available
Percent of low-risk long-stay residents who lose control of their bowels or bladder 75%

Short-Term Residents

Percent of long-stay residents who lose too much weight 5%
Percent of short-stay residents given influenza vaccination during the flu season 79%
Percent of short-stay residents who had moderate to severe pain 46%
Percent of short-stay residents who have delirium 1%
Percent of short-stay residents who have pressure sores 15%
Percent of short-stay residents who were assessed and given pneumococcal vaccination 56%

Fire Safety Inspections

Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.

Most Recent Inspection: 04/15/2009

Automatic Sprinkler Systems in all required areas fully sprinklered
Date of last standard fire safety inspection: 04/15/2009
Dates of Complaint Investigations: 05/01/2009 - 04/30/2010
Total number of Fire Safety Deficiencies for this nursing home: 7
Average number of Fire Safety Deficiencies in NM: 4
Average number of Fire Safety Deficiencies in US: 4
Range of Fire Safety Deficiencies in NM: 0 - 7
Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
an approved automatic sprinkler system connected to the fire alarm system. 04/15/2009 05/19/2009 Minimal harm or potential for actual harm Widespread
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
an externally vented heating system. 04/15/2009 06/01/2009 Minimal harm or potential for actual harm Widespread
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
weekly inspections and monthly testing of generators. 04/15/2009 06/01/2009 Minimal harm or potential for actual harm Isolated
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
a fire alarm system that can be heard throughout the facility. 04/15/2009 05/19/2009 Minimal harm or potential for actual harm Widespread
Furnishings and Decorations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
exits that are free from obstructions and can be used at all times. 04/15/2009 06/01/2009 Minimal harm or potential for actual harm Widespread
Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
proper medical gas storage and administration areas. 04/15/2009 06/01/2009 Minimal harm or potential for actual harm Widespread
proper fire barriers, ventilation and signs for the transport of oxygen. 04/15/2009 06/01/2009 Minimal harm or potential for actual harm Widespread

Inspection, 02/12/2008

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
automatic sprinkler systems that have been maintained in working order. 02/12/2008 02/14/2008 Minimal harm or potential for actual harm Pattern
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
properly protected cooking facilities. 02/12/2008 02/12/2008 Minimal harm or potential for actual harm Widespread
Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
record of quarterly fire drills for each shift under varying conditions. 02/12/2008 02/20/2008 Minimal harm or potential for actual harm Pattern

Inspection, 03/21/2007

Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
corridor and hallway doors that block smoke. 03/21/2007 05/03/2007 Minimal harm or potential for actual harm Pattern
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
weekly inspections and monthly testing of generators. 03/21/2007 05/03/2007 Potential for minimal harm Widespread
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
properly maintained smoke detectors. 03/21/2007 05/03/2007 Potential for minimal harm Widespread
Furnishings and Decorations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
exits that are free from obstructions and can be used at all times. 03/21/2007 05/04/2007 Minimal harm or potential for actual harm Isolated
restrictions on the use of highly flammable materials. 03/21/2007 05/03/2007 Minimal harm or potential for actual harm Isolated