ST. CATHERINE HEALTHCARE AND REHABILITATION CENTER

The information listed below provides an in-depth look into the type and quality of care offered at St. Catherine Healthcare and Rehabilitation Center. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

ST. CATHERINE HEALTHCARE AND REHABILITATION CENTER
5123 JUAN TABO BOULEVARD NE
ALBUQUERQUE, NM 87111
(505) 292-3333

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

70%

Number of Residents and Certified Beds

  • Residents: 125
  • Certified Beds: 178

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Individual
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Rio Rancho | Belen | Santa Fe

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by St. Catherine Healthcare and Rehabilitation Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-1615.1%
ADL Index Range: 6-1010.9%
ADL Index Range: 0-517.6%
Total Percent:43.6%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-165.5%
ADL Index Range: 6-106.4%
ADL Index Range: 0-56.7%
Total Percent:18.7%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-164.6%
ADL Index Range: 0-512.2%
Total Percent:16.8%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 6-105.4%
ADL Index Range: 0-55.0%
Total Percent:10.4%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-5
- Signs of depression
3.7%
ADL Index Range: 2-5
- No Signs of depression
1.1%
Total Percent:4.7%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 0-1
- No Signs of depression
4.1%
Total Percent:4.1%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 6-10
- Less restorative nursing
1.7%
Total Percent:1.7%
 

Rating Details For St. Catherine Healthcare and Rehabilitation Center

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours33 Minutes1 Hour and 6 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours33 Minutes40 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 23 Minutes2 Hours and 13 Minutes
Total Licensed Nurse Hours1 Hour and 6 Minutes1 Hour and 46 Minutes
Total Nurse Hours3 Hours and 29 Minutes3 Hours and 59 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for New Mexico are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityNew Mexico Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season20%82%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination15%73%

Long-Term Stay Deficiencies

Percent of High-Risk Long-Stay Residents Who Have Pressure Sores8%9%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder5%5%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain1%4%
Percent of Long-Stay Residents Who Lose Too Much Weight9%8%
Percent of Long-Stay Residents Who Were Physically Restrained4%4%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder60%52%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse5%12%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection6%9%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair2%3%
Percent of Long-Stay Residents Who Are More Depressed or Anxious8%12%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased9%14%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores1%3%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination11%65%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season12%70%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain17%21%
Percent of Short-Stay Residents Who Have Delirium-2%
Percent of Short-Stay Residents Who Have Pressure Sores11%11%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 11/22/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Environmental

Keep Temperature Levels Comfortable and Safe.
  • Inspection Date: 02/02/2010
  • Correction Date: 03/03/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 02/02/2010
  • Correction Date: 03/03/2010

Mistreatment

Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others.
  • Inspection Date: 01/12/2009
  • Correction Date: 02/11/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 01/12/2009
  • Correction Date: 02/11/2009
Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others.
  • Inspection Date: 02/02/2010
  • Correction Date: 03/03/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 01/12/2009
  • Correction Date: 02/11/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 11/22/2010
  • Correction Date: 01/17/2011

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 01/12/2009
  • Correction Date: 02/11/2009
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 11/22/2010
  • Correction Date: 01/21/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 02/02/2010
  • Correction Date: 03/03/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 01/12/2009
  • Correction Date: 02/11/2009

Resident Rights

Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help.
  • Inspection Date: 01/12/2009
  • Correction Date: 02/11/2009
Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help.
  • Inspection Date: 11/22/2010
  • Correction Date: 12/20/2010

Enforcement

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

Action TakenDateAmount
Civil Money Penalty (CMP)06/18/2009$975
Civil Money Penalty (CMP)02/02/2010$2,925
Civil Money Penalty (CMP)02/02/2010$3,575

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for St. Catherine Healthcare and Rehabilitation Center, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Administration

Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 11/20/2009
  • Correction Date: 12/18/2009

Mistreatment

Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others.
  • Complaint Filed: 06/18/2009
  • Correction Date: 07/17/2009
1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
  • Complaint Filed: 02/09/2010
  • Correction Date: 03/10/2010

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Complaint Filed: 06/18/2009
  • Correction Date: 07/17/2009

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan.
  • Complaint Filed: 03/12/2009
  • Correction Date: 04/10/2009

Resident Rights

Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Complaint Filed: 03/12/2009
  • Correction Date: 04/10/2009

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that St. Catherine Healthcare and Rehabilitation Center had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 11/17/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 01/08/2009
  • Correction Date: 02/13/2009
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 01/20/2010
  • Correction Date: 03/12/2010

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 01/08/2009
  • Correction Date: 02/13/2009
An Externally Vented Heating System.
  • Inspection Date: 01/08/2009
  • Correction Date: 02/13/2009

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 01/08/2009
  • Correction Date: 02/13/2009
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 11/17/2010
  • Correction Date: 01/21/2011

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 01/08/2009
  • Correction Date: 02/13/2009
Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 01/20/2010
  • Correction Date: 02/01/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 11/17/2010
  • Correction Date: 01/21/2011

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 01/08/2009
  • Correction Date: 02/13/2009

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 11/17/2010
  • Correction Date: 01/21/2011

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 01/20/2010
  • Correction Date: 03/03/2010

Hazardous Area

Properly Installed Hallway Dispensers for Alcohol-Based Hand Rub.
  • Inspection Date: 11/17/2010
  • Correction Date: 01/21/2011

Medical Gases and Anesthetizing Areas

Proper Fire Barriers, Ventilation and Signs for the Transport of Oxygen.
  • Inspection Date: 11/17/2010
  • Correction Date: 01/17/2011

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 01/08/2009
  • Correction Date: 02/13/2009
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 01/08/2009
  • Correction Date: 02/13/2009
Proper Construction of Ducts Through Walls Designed to Prevent Smoke Passage.
  • Inspection Date: 01/08/2009
  • Correction Date: 02/13/2009

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 01/20/2010
  • Correction Date: 03/03/2010
Source: Medicare Nursing Home Compare; Department of Health of New Mexico - Bureau of Health Facility Licensing and Certification - Retrieved 2011