Abuse.com - MIMBRES MEMORIAL NURSING HOME

Abuse.com Nursing Home Profile

Detailed information for MIMBRES MEMORIAL NURSING HOME

Nursing Home Results

Contact Information:

	Long Term Care Ombudsman	Not Available
	State Survey Agency	Not Available
	State Quality Improvement Organization	Not Available

MIMBRES MEMORIAL NURSING HOME	As of 02/13/2004
900 WEST ASH STREET DEMING, NM 88031 (505) 546-1320	Located in a Hospital Resident Councils Only 69 Certified Beds
Initial Date of Certification: 04/01/1992 Type of Ownership: For profit - Corporation A Multi-Nursing home (chain) Ownership	Medicare Certified Medicaid Certified

Medicare.gov is pleased to provide information about Quality Measures, Inspection Results and Nursing Home Staffing for the nursing home you have selected.

Quality Measures information comes from resident assessment data that nursing homes routinely collect on all residents at specific intervals during their stay. The information collected pertains to the resident’s physical, clinical conditions and abilities.

Inspection Results information refers to the regulatory requirement that the nursing home failed to meet but does not reflect the entire inspection report.

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

Quality Measures

Quality Measures	Percentage for MIMBRES MEMORIAL NURSING HOME	National Average
Percent of Residents Whose Need for Help With Daily Activities Has Increased	14%	16%
Percent of Residents Who Have Moderate to Severe Pain	0%	6%
Percent of High-Risk Residents Who Have Pressure Sores	NOT AVAILABLE	14%
Percent of Low-Risk Residents Who Have Pressure Sores	NOT AVAILABLE	3%
Percent of Residents Who Were Physically Restrained	0%	8%
Percent of Residents Who are More Depressed or Anxious	8%	15%
Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder	27%	47%
Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder	8%	6%
Percent of Residents Who Spend Most of Their Time in Bed or in a Chair	0%	4%
Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse	3%	13%
Percent of Residents With a Urinary Tract Infection	3%	8%
Percent of Short-Stay Residents With Delirium	0%	3%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain	17%	22%
Percent of Short-Stay Residents With Pressure Sores	26%	21%

Inspection Results

MIMBRES MEMORIAL NURSING HOME 900 WEST ASH STREET DEMING, NM 88031 (505) 546-1320
Date of this inspection: 02/13/2004 Complaint Investigations During: 04/01/2003 - 06/30/2004 Total number of health deficiencies for this nursing home: 14 Average number of Health Deficiencies in : 5 Average number of Health Deficiencies in the United States: 7 Range of Health Deficiencies in : 1 - 12 View Previous Inspection Results
Quality Care Deficiencies
Inspectors determined that the nursing home failed to:	Date of Correction	Level of Harm (Least -> Most)	Residents Affected (Few -> Some -> Many)
1. Give professional services that meet a professional standard of quality. (02/13/2004)	04/08/2004	2 = Minimal harm or potential for actual harm	Few
2. Make sure that residents with loss of bladder control receive treatment or service to prevent infections and help get normal bladder control. (02/13/2004)	04/08/2004	2 = Minimal harm or potential for actual harm	Few
Resident Assessment Deficiencies
Inspectors determined that the nursing home failed to:	Date of Correction	Level of Harm (Least -> Most)	Residents Affected (Few -> Some -> Many)
3. Make a complete assessment that covers all questions for areas that are listed in official regulations. (02/13/2004)	04/08/2004	1 = Potential for minimal harm	Many
4. Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. (02/13/2004)	04/08/2004	2 = Minimal harm or potential for actual harm	Few
Resident Rights Deficiencies
Inspectors determined that the nursing home failed to:	Date of Correction	Level of Harm (Least -> Most)	Residents Affected (Few -> Some -> Many)
5. Keep each resident's personal and medical records private and confidential. (02/13/2004)	04/08/2004	2 = Minimal harm or potential for actual harm	Some
Nutrition and Dietary Deficiencies
Inspectors determined that the nursing home failed to:	Date of Correction	Level of Harm (Least -> Most)	Residents Affected (Few -> Some -> Many)
6. 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. (02/13/2004)	04/08/2004	1 = Potential for minimal harm	Some
Pharmacy Service Deficiencies
Inspectors determined that the nursing home failed to:	Date of Correction	Level of Harm (Least -> Most)	Residents Affected (Few -> Some -> Many)
7. 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. (02/13/2004)	04/08/2004	2 = Minimal harm or potential for actual harm	Few
8. Act when the pharmacist reports something unusual. (02/13/2004)	04/08/2004	2 = Minimal harm or potential for actual harm	Some
Environmental Deficiencies
Inspectors determined that the nursing home failed to:	Date of Correction	Level of Harm (Least -> Most)	Residents Affected (Few -> Some -> Many)
9. Have a program to keep infection from spreading. (02/13/2004)	04/08/2004	2 = Minimal harm or potential for actual harm	Few
10. Make sure that staff members wash their hands when needed. (02/13/2004)	04/08/2004	2 = Minimal harm or potential for actual harm	Some
11. Make sure that the nursing home area is free of dangers that cause accidents. (02/13/2004)	04/08/2004	2 = Minimal harm or potential for actual harm	Few
Administration Deficiencies
Inspectors determined that the nursing home failed to:	Date of Correction	Level of Harm (Least -> Most)	Residents Affected (Few -> Some -> Many)
12. 1) Review the work of each nurse aide every year; or 2) give regular training for the nurse aides. (02/13/2004)	04/08/2004	2 = Minimal harm or potential for actual harm	Few
13. Hold committee meetings every 3 months to review and ensure quality in the nursing home. (02/13/2004)	04/08/2004	1 = Potential for minimal harm	Many
14. Keep accurate and appropriate medical records. (02/13/2004)	04/08/2004	2 = Minimal harm or potential for actual harm	Few

Nursing Home Staffing

Nursing Staff Hours Per Resident Per Day
	MIMBRES MEMORIAL NURSING HOME	State Average in	National Average
Number of Residents	49	42.8	89.2
RN Hours per Resident per Day*	0.78	1.7	0.7
LPN/LVN Hours per Resident per Day*	1.24	0.7	0.8
CNA Hours per Resident per Day*	2.4	4	2.4
Total Number of Nursing Staff Hours per Resident per Day*	4.42	6.4	3.9

*Hours per resident per day is the average daily work (in hours) given by the entire group of nurses or nursing assistants divided by total number of residents. The amount of care given to each resident varies.

Please use our Nursing Home Checklist for help with narrowing your nursing homes choices. The checklist provides questions and observations that are important to keep in mind as you visit nursing homes and will help you make a good choice for you or your relative.

Page Last Updated: January 22, 2004
Data Last Updated: August 2, 2004

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