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Laguna Rainbow Corporation
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I-40 Exit 108 1/2 Mile South State Road 23
Canoncito, NM 87026
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0 Recommendations
Details
| Type of Ownership | Non profit - Corporation |
| Participates in Medicare? | No |
| Participates in Medicaid? | Yes |
| Certified Beds | 58 |
| Continuing Care? | No |
| Resident Council? | Yes |
| Family Council? | Yes |
| 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: 06/10/2011
| Date of last standard health inspection: | 06/10/2011 |
| Quality Indicator Survey | No |
| Dates of Complaint Investigations: | 12/01/2010 - 11/30/2011 |
| Total number of Health Deficiencies for this nursing home: | 6 |
| Average number of Health Deficiencies in NM: | 4 |
| Average number of Health Deficiencies in US: | 8 |
| Range of Health Deficiencies in NM: | 0 - 13 |
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%. | 06/10/2011 | 08/10/2011 | Minimal harm or potential for actual harm | Widespread |
Resident Assessment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Electronically record and report resident status assessments in a timely manner as required in order to monitor resident health and progress. | 06/10/2011 | 07/10/2011 | Minimal harm or potential for actual harm | Widespread |
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. | 01/27/2011 | 03/21/2011 | Actual harm | Isolated |
Quality Care Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | 01/27/2011 | 01/27/2011 | Actual harm | Isolated |
Resident Assessment Deficiencies |
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| 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. | 01/27/2011 | 03/21/2011 | 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. | 01/27/2011 | 03/21/2011 | Minimal harm or potential for actual harm | Isolated |
Inspection, 06/01/2009
Resident Rights Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Properly hold, secure and manage each resident's personal money which is deposited with the nursing home. | 06/01/2009 | 07/31/2009 | Minimal harm or potential for actual harm | Pattern |
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 | 5 out of 5 stars |
| Total Number of Residents | 86 | 79 | 52 |
|
Total, Licensed Nurse Staff Hours per Resident per Day |
1 hour 29 minutes | 1 hour 11 minutes | 1 hour 6 minutes |
|
RN Hours per Resident per Day |
40 minutes | 40 minutes | 42 minutes |
|
LPN/LVN Hours per Resident per Day |
49 minutes | 31 minutes | 24 minutes |
|
CNA Hours per Resident per Day |
2 hours 25 minutes | 2 hours 26 minutes | 2 hours 1 minute |
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 | 11% |
| Percent of long-stay residents given influenza vaccination during the flu season | 90+% |
| Percent of long-stay residents who are more depressed or anxious | 3% |
| Percent of long-stay residents who had a urinary tract infection | 12% |
| Percent of long-stay residents who have moderate to severe pain | 4% |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder | 6% |
| 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 | 90+% |
| 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 | 8% |
| Percent of low-risk long-stay residents who have pressure sores | 5% |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder | 45% |
Short-Term Residents
| Percent of long-stay residents who lose too much weight | 13% |
| Percent of short-stay residents given influenza vaccination during the flu season | Not Available |
| Percent of short-stay residents who had moderate to severe pain | Not Available |
| Percent of short-stay residents who have delirium | Not Available |
| Percent of short-stay residents who have pressure sores | Not Available |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination | Not Available |
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: 06/07/2011
| Automatic Sprinkler Systems in all required areas | fully sprinklered |
| Date of last standard fire safety inspection: | 06/07/2011 |
| Dates of Complaint Investigations: | 12/01/2010 - 11/30/2011 |
| Total number of Fire Safety Deficiencies for this nursing home: | 2 |
| 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. | 06/07/2011 | 07/29/2011 | 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. | 06/07/2011 | 07/29/2011 | Minimal harm or potential for actual harm | Isolated |
Inspection, 06/02/2010
Electrical Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| weekly inspections and monthly testing of generators. | 06/02/2010 | 06/30/2010 | 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. | 06/02/2010 | 06/22/2010 | 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. | 06/02/2010 | 06/04/2010 | Minimal harm or potential for actual harm | Isolated |
Inspection, 05/27/2009
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. | 05/27/2009 | 08/25/2009 | Minimal harm or potential for actual harm | Widespread |
Building Service Equipment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| an externally vented heating system. | 05/27/2009 | 06/15/2009 | Minimal harm or potential for actual harm | Isolated |
| properly protected cooking facilities. | 05/27/2009 | 07/01/2009 | Minimal harm or potential for actual harm | Isolated |
Corridor Walls and Doors Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| corridor and hallway doors that block smoke. | 05/27/2009 | 05/28/2009 | 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 |
| an approved installation, maintenance and testing program for fire alarm systems. | 05/27/2009 | 05/27/2009 | Minimal harm or potential for actual harm | Pattern |
| properly maintained smoke detectors. | 05/27/2009 | 06/29/2009 | 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 |
| properly located and lighted "Exit" signs. | 05/27/2009 | 08/20/2009 | 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. | 05/27/2009 | 07/31/2009 | Minimal harm or potential for actual harm | Pattern |
