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
Staffing
RN hours / resident day
0.75
Registered nurse staffing
LPN hours / resident day
0.71
Licensed practical nurse staffing
Aide hours / resident day
1.96
Nurse aide staffing
Weekend hours
3.09
Weekend nurse staffing
RN turnover
54%
Annual RN turnover
Total nurse turnover
50%
Annual nurse turnover
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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
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
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