Montebello On Academy (the) - Albuquerque Nursing Home

General Information

UPDATE
Federal Provider Number
325048
Provider Name
MONTEBELLO ON ACADEMY (THE)
Provider Address
10500 ACADEMY ROAD NE
ALBUQUERQUE, NM 87111
Provider Phone Number
5052949944
Provider SSA County
0
Provider County Name
Bernalillo
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
53
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
FIVE STAR MONTEBELLO LLC
Date First Approved to Provide Medicare and Medicaid services
1989-04-01
Continuing Care Retirement Community
Y
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.83585
Reported LPN Staffing Hours per Resident per Day
0.60660
Reported RN Staffing Hours per Resident per Day
0.67075
Reported Licensed Staffing Hours per Resident per Day
1.27736
Reported Total Nurse Staffing Hours per Resident per Day
3.11320
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16132
Expected CNA Staffing Hours per Resident per Day
2.31049
Expected LPN Staffing Hours per Resident per Day
0.71702
Expected RN Staffing Hours per Resident per Day
1.45519
Expected Total Nurse Staffing Hours per Resident per Day
4.48271
Adjusted CNA Staffing Hours per Resident per Day
1.94964
Adjusted LPN Staffing Hours per Resident per Day
0.70218
Adjusted RN Staffing Hours per Resident per Day
0.34441
Adjusted Total Nurse Staffing Hours per Resident per Day
2.79942
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
140
Cycle 1 Standard Survey Health Date
2014-12-12
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
70
Cycle 1 Total Health Score
210
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2014-02-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2013-04-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
115.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01

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