New Mexico Nursing Homes >> Los Alamos Nursing Homes >> Sombrillo Nursing Facility

Sombrillo Nursing Facility - Los Alamos Nursing Home

General Information

UPDATE
Federal Provider Number
325056
Provider Name
SOMBRILLO NURSING FACILITY
Provider Address
1011 SOMBRILLO COURT
LOS ALAMOS, NM 87544
Provider Phone Number
5056624300
Provider SSA County
131
Provider County Name
Los Alamos
Ownership Type
Non profit - Corporation
Number of Certified Beds
66
Number of Residents in Certified Beds
54
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LOS ALAMOS RETIREMENT CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1991-10-07
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
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.48704
Reported LPN Staffing Hours per Resident per Day
0.48704
Reported RN Staffing Hours per Resident per Day
0.64907
Reported Licensed Staffing Hours per Resident per Day
1.13611
Reported Total Nurse Staffing Hours per Resident per Day
3.62315
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09352
Expected CNA Staffing Hours per Resident per Day
2.24092
Expected LPN Staffing Hours per Resident per Day
0.58992
Expected RN Staffing Hours per Resident per Day
0.95033
Expected Total Nurse Staffing Hours per Resident per Day
3.78117
Adjusted CNA Staffing Hours per Resident per Day
2.72319
Adjusted LPN Staffing Hours per Resident per Day
0.68526
Adjusted RN Staffing Hours per Resident per Day
0.51033
Adjusted Total Nurse Staffing Hours per Resident per Day
3.86245
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-06-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
8
Cycle 2 Health Deficiency Score
167
Cycle 2 Standard Health Survey Date
2013-08-16
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
15
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
9
Cycle 3 Health Deficiency Score
148
Cycle 3 Standard Health Survey Date
2012-08-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
148
Total Weighted Health Survey Score
102.33300
Number of Facility Reported Incidents
5
Number of Substantiated Complaints
3
Number of Fines
1
Total Amount of Fines in Dollars
1500
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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