13 health deficiencies
Top issue: Nutrition and Dietary (3 deficiencies)
31 fire-safety deficiencies
Top issue: Smoke (9 deficiencies)
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
1509 University Boulevard Ne, Albuquerque, NM
(505) 243-2257
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
119
Certified beds
Average residents
117
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Opco Skilled Management
Operator or chain grouping
Approved since
1991-12-16
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
52 facilities
Chain averages 2 overall / 2 health / 2 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.75
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
0.71
Licensed practical nurse staffing · state 0.71 · national 0.87
Aide hours / resident day
1.96
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
3.42
All reported nurse hours · state 3.56 · national 3.89
Licensed hours
1.46
RN + LPN hours · state 1.33 · national 1.54
Weekend hours
3.09
Weekend nurse staffing · state 3.12 · national 3.43
Weekend RN hours
0.71
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.79
CMS adjusted RN staffing hours
Adjusted total hours
3.59
CMS adjusted total nurse staffing hours
Case-mix index
1.30
Higher values indicate more complex resident acuity
RN turnover
54%
Annual RN turnover · state 54% · national 45%
Total nurse turnover
50%
Annual nurse turnover · state 53% · national 46%
SNF VBP
Program rank
12,355
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
12.67
Composite VBP score used to determine payment impact.
Payment multiplier
0.9811
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0.75
Baseline 22.35% · Performance 21.69% · Measure score 0.75 · Achievement 0 · Improvement 0.75
Healthcare-associated infections
0
Baseline 8.90% · Performance 9.39% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
2.60
Baseline 53.45% · Performance 53.04% · Measure score 2.60 · Achievement 2.60 · Improvement 0
Adjusted total nurse staffing
1.72
Baseline 3.55 hours · Performance 3.57 hours · Measure score 1.72 · Achievement 1.72 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.8% |
10.72%
2.1 pts worse
|
No Different than the National Rate · Eligible stays 222 · Observed rate 14.86% · Lower 95% interval 10.09% |
| Discharge to community | 51.83% |
50.57%
1.3 pts better
|
No Different than the National Rate · Eligible stays 211 · Observed rate 44.08% · Lower 95% interval 43.46% |
| Medicare spending per beneficiary | 1 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 99.28% |
95.27%
4 pts better
|
Numerator 138 · Denominator 139 |
| Falls with major injury | 0.72% |
0.77%
0.1 pts better
|
Numerator 1 · Denominator 139 |
| Discharge self-care score | 52.87% |
53.69%
0.8 pts worse
|
Numerator 46 · Denominator 87 |
| Discharge mobility score | 58.62% |
50.94%
7.7 pts better
|
Numerator 51 · Denominator 87 |
| Pressure ulcers or injuries, new or worsened | 2.16% |
2.29%
0.1 pts better
|
Numerator 3 · Denominator 139 · Adjusted rate 2.34% |
| Healthcare-associated infections requiring hospitalization | 9.39% |
7.12%
2.3 pts worse
|
No Different than the National Rate · Eligible stays 117 · Observed rate 12.82% · Lower 95% interval 6.23% |
| Staff COVID-19 vaccination coverage | 3.47% |
8.2%
4.7 pts worse
|
Numerator 5 · Denominator 144 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 58.62% |
56.45%
2.2 pts better
|
Numerator 51 · Denominator 87 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 43 · Denominator 43 |
| Transfer of health information to patient | 98.61% |
96.28%
2.3 pts better
|
Numerator 71 · Denominator 72 |
| Resident COVID-19 vaccinations up to date | 18.31% |
25.2%
6.9 pts worse
|
Numerator 13 · Denominator 71 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.3 |
1.6
0.3 pts better
|
1.9
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 2.0 · Expected 2.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.9 |
2.6
1.7 pts better
|
1.8
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 1.0 · Expected 2.0 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
97.4%
2.6 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.8% |
98.7%
0.1 pts better
|
95.5%
3.3 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.1% |
3.5%
0.4 pts better
|
3.3%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 4.1% · Q3 2.7% · Q4 2.7% · 4Q avg 3.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
1.8%
1.8 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 3.6% |
5.4%
1.8 pts better
|
5.4%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 3.0% · Q3 2.8% · Q4 0.0% · 4Q avg 3.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 2.9% |
14.1%
11.2 pts better
|
19.6%
16.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 4.4% · Q3 1.4% · Q4 0.0% · 4Q avg 2.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 7.2% |
14.7%
7.5 pts better
|
16.7%
9.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 8.2% · Q3 7.8% · Q4 5.4% · 4Q avg 7.2% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 9.0% |
15.8%
6.8 pts better
|
16.3%
7.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.0% · Q2 13.5% · Q3 9.6% · Q4 3.7% · 4Q avg 9.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.9% |
14.6%
1.7 pts better
|
14.9%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.4% · Q2 21.2% · Q3 8.6% · Q4 10.6% · 4Q avg 12.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
1.3%
1.3 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.7% |
0.9%
0.2 pts better
|
1.7%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.3% · Q4 1.4% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 21.4% |
20.6%
0.8 pts worse
|
19.8%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.6% · Q2 22.1% · Q3 21.9% · Q4 22.0% · 4Q avg 21.4% |
| Percentage of long-stay residents with pressure ulcers | 4.6% |
5.7%
1.1 pts better
|
5.1%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 9.3% · Q3 2.9% · Q4 1.3% · 4Q avg 4.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.7% |
86.6%
9.1 pts better
|
81.7%
14 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 91.5% · Q2 97.5% · Q3 96.9% · Q4 96.9% · 4Q avg 95.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 18.2% |
15.9%
2.3 pts worse
|
12.0%
6.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 18.2% · Observed 17.4% · Expected 10.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.1% |
1.3%
1.2 pts better
|
1.6%
1.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.4% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.1% |
86.4%
8.7 pts better
|
79.7%
15.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 28.5% |
21.3%
7.2 pts worse
|
23.9%
4.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 28.5% · Observed 28.9% · Expected 24.2% · Used in QM five-star |
Survey summary
Top issue: Nutrition and Dietary (3 deficiencies)
31 fire-safety deficiencies
Top issue: Smoke (9 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Top issue: Quality of Life and Care (2 deficiencies)
4 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Fire safety
Fire Safety
Establish procedures for tracking staff and patients during an emergency.
Corrected 2025-07-17
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2025-07-17
Fire Safety
Develop a communication plan.
Corrected 2025-07-17
Fire Safety
Provide emergency officials' contact information.
Corrected 2025-07-17
Fire Safety
Conduct testing and exercise requirements.
Corrected 2025-07-17
Fire Safety
Implement emergency and standby power systems.
Corrected 2025-07-17
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-07-17
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-07-17
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-07-17
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2025-07-17
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-07-17
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2025-07-17
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-07-17
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-07-17
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-07-17
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2025-07-17
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-07-17
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-07-17
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-07-17
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2025-07-17
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-07-17
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2025-07-17
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2025-07-17
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 2025-07-17
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-07-17
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-07-17
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-07-17
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2025-07-17
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-07-17
Fire Safety
Meet other general requirements.
Corrected 2025-07-17
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2025-07-17
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2024-01-09
Fire Safety
Establish emergency prep training and testing.
Corrected 2022-10-19
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2022-10-19
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2022-10-19
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-10-19
Inspection history
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2025-11-25
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-11-25
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-11-25
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-07-18
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2025-07-18
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-07-18
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 2025-07-18
Health
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2025-07-18
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-07-18
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2025-07-18
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-07-18
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-07-18
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-07-18
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2024-09-18
Health
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected 2024-05-22
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-05-22
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 2024-02-10
Health
Provide and implement an infection prevention and control program.
Corrected 2024-02-10
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-02-10
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-02-10
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-02-10
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-02-10
Health
Keep residents' personal and medical records private and confidential.
Corrected 2024-02-10
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-02-10
Health
Provide appropriate foot care.
Corrected 2024-02-10
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2022-10-19
Health
Provide and implement an infection prevention and control program.
Corrected 2022-10-19
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2022-10-19
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-10-19
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2022-10-19
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-10-19
Penalties and ownership
Fine · fine $4,088
Fine
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Nearby options
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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
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2-star overall rating with 1-star inspections with $31,962 in total fines with 16 recent health deficiencies with 32 fire-safety deficiencies in the latest cycle
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
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