Cycle 1
Health 2025-03-27 · Fire 2025-03-27
4 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
24 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Albuquerque, NM
Advanced Health Care of Albuquerque
5-star overall rating with 4-star inspections with $39,880 in total fines with 4 recent health deficiencies with 24 fire-safety deficiencies in the latest cycle
2701 Richmond Drive NE, Albuquerque, NM
(505) 967-4200
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
47
Certified beds
Average residents
45
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Advanced Health Care
Operator or chain grouping
Approved since
2009-03-10
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
26 facilities
Chain averages 5 overall / 4 health / 4 staffing / 5 quality stars
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
1.13
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
0.94
Licensed practical nurse staffing · state 0.71 · national 0.87
Aide hours / resident day
2.76
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
4.83
All reported nurse hours · state 3.56 · national 3.89
Licensed hours
2.07
RN + LPN hours · state 1.33 · national 1.54
Weekend hours
4.12
Weekend nurse staffing · state 3.12 · national 3.43
Weekend RN hours
1.06
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.43
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.87
CMS adjusted RN staffing hours
Adjusted total hours
3.70
CMS adjusted total nurse staffing hours
Case-mix index
1.78
Higher values indicate more complex resident acuity
RN turnover
42%
Annual RN turnover · state 54% · national 45%
Total nurse turnover
40%
Annual nurse turnover · state 53% · national 46%
SNF VBP
Value-based purchasing
Program rank
3,392
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
44.57
Composite VBP score used to determine payment impact.
Payment multiplier
0.9977
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.19
Baseline 23.54% · Performance 19.83% · Measure score 5.19 · Achievement 3.45 · Improvement 5.19
Healthcare-associated infections
6.82
Baseline 6.52% · Performance 5.80% · Measure score 6.82 · Achievement 6.82 · Improvement 4.24
Total nurse turnover
3.56
Baseline 54.69% · Performance 49.12% · Measure score 3.56 · Achievement 3.56 · Improvement 1.36
Adjusted total nurse staffing
2.26
Baseline 4.49 hours · Performance 3.72 hours · Measure score 2.26 · Achievement 2.26 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.64% |
10.72%
0.9 pts worse
|
No Different than the National Rate · Eligible stays 1085 · Observed rate 11.24% · Lower 95% interval 10.39% |
| Discharge to community | 77.77% |
50.57%
27.2 pts better
|
Better than the National Rate · Eligible stays 1107 · Observed rate 73.62% · Lower 95% interval 75.69% |
| Medicare spending per beneficiary | 0.85 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 98.1% |
95.27%
2.8 pts better
|
Numerator 673 · Denominator 686 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 686 |
| Discharge self-care score | 61.95% |
53.69%
8.3 pts better
|
Numerator 337 · Denominator 544 |
| Discharge mobility score | 64.15% |
50.94%
13.2 pts better
|
Numerator 349 · Denominator 544 |
| Pressure ulcers or injuries, new or worsened | 0.58% |
2.29%
1.7 pts better
|
Numerator 4 · Denominator 686 · Adjusted rate 0.76% |
| Healthcare-associated infections requiring hospitalization | 5.8% |
7.12%
1.3 pts better
|
No Different than the National Rate · Eligible stays 646 · Observed rate 4.95% · Lower 95% interval 4.26% |
| Staff COVID-19 vaccination coverage | 71.17% |
8.2%
63 pts better
|
Numerator 79 · Denominator 111 |
| Staff flu vaccination coverage | 40% |
42%
2 pts worse
|
Numerator 48 · Denominator 120 |
| Discharge function score | 68.2% |
56.45%
11.8 pts better
|
Numerator 371 · Denominator 544 |
| Transfer of health information to provider | 96.42% |
95.95%
0.5 pts better
|
Numerator 565 · Denominator 586 |
| Transfer of health information to patient | 95% |
96.28%
1.3 pts worse
|
Numerator 95 · Denominator 100 |
| Resident COVID-19 vaccinations up to date | 47.11% |
25.2%
21.9 pts better
|
Numerator 163 · Denominator 346 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 93.0% |
86.6%
6.4 pts better
|
81.7%
11.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 86.6% · Q2 87.0% · Q3 99.7% · Q4 100.0% · 4Q avg 93.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.2% |
15.9%
5.7 pts better
|
12.0%
1.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.2% · Observed 9.5% · Expected 10.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.2% |
1.3%
1.1 pts better
|
1.6%
1.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.3% · Q2 0.3% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 76.5% |
86.4%
9.9 pts worse
|
79.7%
3.2 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 76.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.0% |
21.3%
0.3 pts better
|
23.9%
2.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.0% · Observed 19.1% · Expected 21.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-12-14 · Fire 2023-12-14
8 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Cycle 3
Health 2022-10-07 · Fire 2022-10-07
6 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-03-27
E30 · Emergency Preparedness Deficiencies
Fire Safety
List the names and contact information of those in the facility.
Corrected 2025-05-11
F · Potential for more than minimal harm
2025-03-27
E31 · Emergency Preparedness Deficiencies
Fire Safety
Provide emergency officials' contact information.
Corrected 2025-05-11
F · Potential for more than minimal harm
2025-03-27
E37 · Emergency Preparedness Deficiencies
Fire Safety
Establish staff and initial training requirements.
Corrected 2025-05-11
F · Potential for more than minimal harm
2025-03-27
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2025-05-11
F · Potential for more than minimal harm
2025-03-27
E4 · Emergency Preparedness Deficiencies
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-05-11
F · Potential for more than minimal harm
2025-03-27
E9 · Emergency Preparedness Deficiencies
Fire Safety
Include a process for Emergency Preparedness collaboration.
Corrected 2025-05-11
F · Potential for more than minimal harm
2025-03-27
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-05-11
F · Potential for more than minimal harm
2025-03-27
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-06-26
F · Potential for more than minimal harm
2025-03-27
K346 · Smoke Deficiencies
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2025-05-11
F · Potential for more than minimal harm
2025-03-27
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-06-26
F · Potential for more than minimal harm
2025-03-27
K354 · Smoke Deficiencies
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2025-05-11
F · Potential for more than minimal harm
2025-03-27
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-05-11
F · Potential for more than minimal harm
2025-03-27
K741 · Miscellaneous Deficiencies
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2025-06-26
F · Potential for more than minimal harm
2025-03-27
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2025-05-11
F · Potential for more than minimal harm
2025-03-27
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-05-11
F · Potential for more than minimal harm
2025-03-27
K926 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2025-05-11
E · Potential for more than minimal harm
2025-03-27
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-06-26
E · Potential for more than minimal harm
2025-03-27
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-06-26
E · Potential for more than minimal harm
2025-03-27
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-05-11
D · Potential for more than minimal harm
2025-03-27
K100 · Construction Deficiencies
Fire Safety
Meet other general requirements.
Corrected 2025-05-11
D · Potential for more than minimal harm
2025-03-27
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-05-11
D · Potential for more than minimal harm
2025-03-27
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-05-11
D · Potential for more than minimal harm
2025-03-27
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-05-11
D · Potential for more than minimal harm
2025-03-27
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-05-11
F · Potential for more than minimal harm
2023-12-14
K354 · Smoke Deficiencies
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2024-01-22
F · Potential for more than minimal harm
2023-12-14
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-01-22
F · Potential for more than minimal harm
2022-10-07
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-11-11
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-03-27
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-05-11
E · Potential for more than minimal harm
2025-03-27
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-05-11
D · Potential for more than minimal harm
2025-03-27
F640 · Resident Assessment and Care Planning Deficiencies
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2025-05-11
D · Potential for more than minimal harm
2025-03-27
F809 · Nutrition and Dietary Deficiencies
Health
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected 2025-05-11
J · Immediate jeopardy
2024-10-21
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-11-25
J · Immediate jeopardy
2024-10-21
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-11-25
G · Actual harm
2024-10-21
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-11-25
G · Actual harm
2023-12-14
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-01-22
F · Potential for more than minimal harm
2023-12-14
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-01-22
E · Potential for more than minimal harm
2023-12-14
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-01-22
E · Potential for more than minimal harm
2023-12-14
F761 · Pharmacy Service Deficiencies
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2024-01-22
E · Potential for more than minimal harm
2023-12-14
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-01-22
D · Potential for more than minimal harm
2023-07-27
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-08-25
D · Potential for more than minimal harm
2023-07-27
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-08-25
D · Potential for more than minimal harm
2023-06-28
F761 · Pharmacy Service Deficiencies
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2023-08-01
E · Potential for more than minimal harm
2022-10-07
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-11-18
E · Potential for more than minimal harm
2022-10-07
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-11-18
D · Potential for more than minimal harm
2022-10-07
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2022-11-18
Penalties and ownership
What sits behind the stars
$17,135
2024-10-21
Fine
Fine · fine $17,135
Fine
$6,774
2024-01-30
Fine
Fine · fine $6,774
Fine
$15,971
2023-12-14
Fine
Fine · fine $15,971
Fine
Ownership
The Gail Miller Gst Trust
5% Or Greater Indirect Ownership Interest · Organization
Karen Gail Miller Irrev Tr Fbo Zane Miller
5% Or Greater Indirect Ownership Interest · Organization
The Karen Gail Miller Irrevocable Trust For The Benefit Of Karen R. Wi
5% Or Greater Indirect Ownership Interest · Organization
The Karen Gail Miller Irrevocable Trust For The Benefit Of Roger L. Mi
5% Or Greater Indirect Ownership Interest · Organization
The Karen Gail Miller Irrevocable Trust For The Benefit Of Stephen F.
5% Or Greater Indirect Ownership Interest · Organization
Advanced Health Care - Larry H Miller Corporation
5% Or Greater Direct Ownership Interest · Organization
New Ahc Holdings, LLC
5% Or Greater Direct Ownership Interest · Organization
Oxnam, Nathan
Corporate Officer · Individual
Rivera, Edwardo
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Odelia Healthcare
Albuquerque, NM
4-star overall rating with 4-star inspections with $4,088 in total fines with 13 recent health deficiencies with 31 fire-safety deficiencies in the latest cycle
#2
Spanish Trails Rehabilitation Suites
Albuquerque, NM
4-star overall rating with 3-star inspections with $111,222 in total fines with 18 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
Albuquerque Heights Healthcare and Rehabilitation
Albuquerque, NM
3-star overall rating with 2-star inspections with $8,170 in total fines with 18 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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