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306 Nizhoni Blvd
Gallup, NM 87301
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| Type of Ownership | For profit - Corporation |
| Participates in Medicare? | Yes |
| Participates in Medicaid? | Yes |
| Certified Beds | 62 |
| 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
| Date of last standard health inspection: | 05/11/2011 |
| Quality Indicator Survey | No |
| Dates of Complaint Investigations: | 12/01/2010 - 11/30/2011 |
| Total number of Health Deficiencies for this nursing home: | 1 |
| Average number of Health Deficiencies in NM: | 4 |
| Average number of Health Deficiencies in US: | 8 |
| Range of Health Deficiencies in NM: | 0 - 13 |
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make sure that the nursing home area is free of dangers that cause accidents. | 05/11/2011 | 06/10/2011 | Minimal harm or potential for actual harm | Isolated |
Pharmacy Service Deficiencies |
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| 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%. | 06/22/2010 | 07/15/2010 | Minimal harm or potential for actual harm | Pattern |
| Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. | 06/22/2010 | 07/15/2010 | Minimal harm or potential for actual harm | Pattern |
Administration Deficiencies |
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| 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. | 06/18/2009 | 08/14/2009 | Minimal harm or potential for actual harm | Pattern |
Nutrition and Dietary Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 1) Provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day. | 06/18/2009 | 08/14/2009 | Minimal harm or potential for actual harm | Pattern |
Pharmacy Service Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make sure that residents are safe from serious medication errors. | 06/18/2009 | 08/14/2009 | Minimal harm or potential for actual harm | Isolated |
Quality Care Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Give professional services that follow each resident's written care plan. | 06/18/2009 | 08/14/2009 | Minimal harm or potential for actual harm | Pattern |
Quality Care Deficiencies |
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| 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. | 06/18/2009 | 08/14/2009 | Actual harm | Isolated |
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 | NA |
| Total Number of Residents | 86 | 79 | 59 |
|
Total, Licensed Nurse Staff Hours per Resident per Day |
1 hour 29 minutes | 1 hour 11 minutes | |
|
RN Hours per Resident per Day |
40 minutes | 40 minutes | |
|
LPN/LVN Hours per Resident per Day |
49 minutes | 31 minutes | |
|
CNA Hours per Resident per Day |
2 hours 25 minutes | 2 hours 26 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.
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.
| Percent of high-risk long-stay residents who have pressure sores | 18% |
| Percent of long-stay residents given influenza vaccination during the flu season | 66% |
| Percent of long-stay residents who are more depressed or anxious | 12% |
| Percent of long-stay residents who had a urinary tract infection | 10% |
| Percent of long-stay residents who have moderate to severe pain | 1% |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder | 4% |
| Percent of long-stay residents who spend most of their time in bed or in a chair | 0% |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination | 76% |
| Percent of long-stay residents who were physically restrained | 14% |
| Percent of long-stay residents whose ability to move about in and around their room got worse | 9% |
| Percent of long-stay residents whose need for help with daily activities has increased | 13% |
| Percent of low-risk long-stay residents who have pressure sores | 2% |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder | 57% |
| Percent of long-stay residents who lose too much weight | 10% |
| Percent of short-stay residents given influenza vaccination during the flu season | 46% |
| Percent of short-stay residents who had moderate to severe pain | 9% |
| Percent of short-stay residents who have delirium | 0% |
| Percent of short-stay residents who have pressure sores | 8% |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination | 46% |
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.
| Automatic Sprinkler Systems in all required areas | fully sprinklered |
| Date of last standard fire safety inspection: | 05/04/2011 |
| Dates of Complaint Investigations: | 12/01/2010 - 11/30/2011 |
| Total number of Fire Safety Deficiencies for this nursing home: | 3 |
| Average number of Fire Safety Deficiencies in NM: | 1 |
| Average number of Fire Safety Deficiencies in US: | 4 |
| Range of Fire Safety Deficiencies in NM: | 0 - 1 |
Building Service Equipment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | 05/04/2011 | 06/15/2011 | Minimal harm or potential for actual harm | Widespread |
Hazardous Area Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| construction that can resist fire for one hour or an approved fire extinguishing system. | 05/04/2011 | 06/15/2011 | Minimal harm or potential for actual harm | Widespread |
Smoke Compartmentation and Control Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| smoke barrier doors that can resist smoke for at least 20 minutes. | 05/04/2011 | 06/15/2011 | Minimal harm or potential for actual harm | Isolated |
Automatic Sprinkler Systems Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| an approved automatic sprinkler system connected to the fire alarm system. | 06/15/2010 | 07/15/2010 | Minimal harm or potential for actual harm | Widespread |
Electrical Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| weekly inspections and monthly testing of generators. | 06/15/2010 | 07/15/2010 | Minimal harm or potential for actual harm | Widespread |
Emergency Plans and Fire Drills Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| record of quarterly fire drills for each shift under varying conditions. | 06/15/2010 | 07/15/2010 | Minimal harm or potential for actual harm | Widespread |
Fire Alarm Systems Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| properly maintained smoke detectors. | 06/15/2010 | 07/15/2010 | Minimal harm or potential for actual harm | Widespread |
Illumination and Emergency Power Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| emergency lighting that can last at least 1 1/2 hours. | 06/15/2010 | 07/15/2010 | Minimal harm or potential for actual harm | Widespread |
Smoking Regulations Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| posted "No-smoking" signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed. | 06/15/2010 | 07/15/2010 | Minimal harm or potential for actual harm | Pattern |
Building Service Equipment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| an externally vented heating system. | 06/18/2009 | 07/18/2009 | Minimal harm or potential for actual harm | Widespread |
Electrical Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| weekly inspections and monthly testing of generators. | 06/18/2009 | 07/18/2009 | Minimal harm or potential for actual harm | Widespread |
Medical Gases and Anesthetizing Areas Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| proper fire barriers, ventilation and signs for the transport of oxygen. | 06/18/2009 | 07/18/2009 | Minimal harm or potential for actual harm | Widespread |