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Sunshine Haven At Lordsburg

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 67
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: 12/03/2010

Date of last standard health inspection: 12/03/2010
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 0
Average number of Health Deficiencies in NM: 4
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in NM: 0 - 9

Inspection, 01/02/2012

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 01/02/2012 01/01/2001 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates, controls and keeps infection from spreading. 01/02/2012 01/08/2002 2 Some
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. 01/02/2012 01/02/2002 1 Many
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. 01/02/2012 00/08/2003 2 Some
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 01/02/2012 01/01/2001 2 Some
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. 01/02/2012 01/01/2001 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide medically-related social services to help each resident achieve the highest possible quality of life. 01/02/2012 01/01/2001 2 Some
Provide care by qualified persons according to each resident's written plan of care. 01/02/2012 02/05/2002 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/02/2012 01/08/2002 2 Some
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/02/2012 00/09/2002 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. 01/02/2012 00/08/2003 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Try to resolve each resident's complaints quickly. 01/02/2012 00/08/2003 2 Some

Inspection, 00/03/2012

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that a working call system is available in each resident's room or bathroom and bathing area. 00/03/2012 01/04/2002 2 Some
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep each resident free from physical restraints, unless needed for medical treatment. 00/03/2012 01/04/2002 1 Some
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 00/03/2012 01/04/2002 2 Some

Inspection, 02/04/2002

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 02/04/2002 02/02/2005 2 Some
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. 02/04/2002 02/02/2005 2 Some
Keep accurate 02/04/2002 02/02/2005 Some complete and organized clinical records on each re
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly 02/04/2002 02/02/2005 Some and develop corrective plans of action.
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep each resident free from physical restraints, unless needed for medical treatment. 02/04/2002 02/02/2005 2 Few
Keep each resident free from physical restraints 02/04/2002 02/02/2005 Few unless needed for medical treatment.
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 02/04/2002 02/02/2005 2 Some
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 02/04/2002 02/02/2005 1 Some
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 02/04/2002 02/02/2005 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/04/2002 02/02/2005 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/04/2002 02/02/2005 2 Some
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 02/04/2002 02/02/2005 2 Some
Assure that each resident 02/04/2002 02/02/2005 2 Some
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 02/04/2002 02/02/2005 2 Some
Allow residents the right to participate in the planning or revision of care and treatment. 02/04/2002 02/02/2005 2 Some
Allow residents the right to participate in the planning or revision of care and treatment. 02/04/2002 02/02/2005 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Upon the death of a resident, convey the resident 02/04/2002 02/02/2005 1 Some
Upon the death of a resident 02/04/2002 02/02/2005 Some convey the resident

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 4 out of 5 stars
Total Number of Residents 86 78 51
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 2 hours 13 minutes 1 hour 25 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 1 hour 42 minutes 50 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 1 hour 32 minutes 34 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 3 hours 20 minutes 1 hour 57 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

Short-Term Residents

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: 11/30/2010

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 11/30/2010
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Fire Safety Deficiencies for this nursing home: 0
Average number of Fire Safety Deficiencies in NM: 1
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in NM: 0 - 1

Inspection, 03/00/2011

Building Service Equipment Deficiencies
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. 03/00/2011 02/03/2002 2 Some
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper power supply for life support equipment. 03/00/2011 02/03/2002 2 Few
Illumination and Emergency Power Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly located and lighted Exit" signs." 03/00/2011 02/03/2002 2 Few

Inspection, 02/08/2011

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. 02/08/2011 01/01/2001 2 Many
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly protected cooking facilities. 02/08/2011 01/01/2001 2 Many
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. 02/08/2011 01/01/2001 2 Many
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved installation, maintenance and testing program for fire alarm systems. 02/08/2011 01/01/2001 2 Many
Miscellaneous Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Other fire safety features required by fire safety codes. 02/08/2011 01/00/2003 2 Many

Inspection, 02/02/2002

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. 02/02/2002 01/08/2005 2 Many
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly protected cooking facilities. 02/02/2002 01/08/2005 1 Many
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 02/02/2002 01/08/2005 2 Many
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved installation, maintenance and testing program for fire alarm systems. 02/02/2002 01/08/2005 2 Many
Miscellaneous Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Other fire safety features required by fire safety codes. 02/02/2002 01/08/2005 2 Many
 

603 Hadeco
Lordsburg, NM 88045

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