Laguna Rainbow Nursing Center - Casa Blanca Nursing Home
General Information
UPDATEFederal Provider Number
325214
Provider Name
LAGUNA RAINBOW NURSING CENTER
Provider Address
I-40 EXIT 108 1/2 MILE SOUTH STATE ROAD 23
CASA BLANCA, NM 87007
CASA BLANCA, NM 87007
Provider Phone Number
5055526034
Provider SSA County
25
Provider County Name
Cibola
Ownership Type
Non profit - Corporation
Number of Certified Beds
58
Number of Residents in Certified Beds
57
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LAGUNA RAINBOW CORPORATION
Date First Approved to Provide Medicare and Medicaid services
2012-11-12
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.06053
Reported LPN Staffing Hours per Resident per Day
0.39123
Reported RN Staffing Hours per Resident per Day
0.58684
Reported Licensed Staffing Hours per Resident per Day
0.97807
Reported Total Nurse Staffing Hours per Resident per Day
3.03860
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.14415
Expected LPN Staffing Hours per Resident per Day
0.50779
Expected RN Staffing Hours per Resident per Day
0.70900
Expected Total Nurse Staffing Hours per Resident per Day
3.36094
Adjusted CNA Staffing Hours per Resident per Day
2.35801
Adjusted LPN Staffing Hours per Resident per Day
0.63948
Adjusted RN Staffing Hours per Resident per Day
0.61846
Adjusted Total Nurse Staffing Hours per Resident per Day
3.64431
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
16
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
84
Cycle 1 Standard Survey Health Date
2014-06-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
84
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-07-24
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-08-15
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
22
Cycle 3 Total Health Score
66
Total Weighted Health Survey Score
53.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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