MISSION ARCH CARE AND REHABILITATION CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Mission Arch Care 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

MISSION ARCH CARE AND REHABILITATION CENTER
3200 MISSION ARCH DRIVE
ROSWELL, NM 88201
(575) 624-2583

Nursing Home Ratings

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

Percent of Beds Occupied

90%

Number of Residents and Certified Beds

  • Residents: 108
  • Certified Beds: 120

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Both Resident and Family Counseling Services
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Artesia | Carlsbad | Lovington

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 Mission Arch Care 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: 11-1628.7%
ADL Index Range: 6-1020.6%
ADL Index Range: 0-513.9%
Total Percent:63.2%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-164.8%
ADL Index Range: 6-106.1%
ADL Index Range: 0-57.1%
Total Percent:18.1%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-162.3%
Total Percent:2.3%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-163.5%
ADL Index Range: 6-101.0%
Total Percent:4.5%
 

Extensive Services

  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-16
- Tracheostomy care or ventilator/respirator
4.0%
Total Percent:4.0%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16
- No Signs of depression
4.8%
ADL Index Range: 11-14
- No Signs of depression
0.8%
Total Percent:5.6%
 

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: 11-14
- No Signs of depression
1.6%
Total Percent:1.6%
 

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: 2-5
- Less restorative nursing
0.3%
ADL Index Range: 0-1
- Less restorative nursing
0.3%
Total Percent:0.6%
 

Rating Details For Mission Arch Care 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) Hours49 Minutes1 Hour
Licensed Practical/Vocational Nurse (LPN/LVN) Hours46 Minutes39 Minutes
Certified Nursing Assistant (CNA) Hours4 Hours and 4 Minutes2 Hours and 26 Minutes
Total Licensed Nurse Hours1 Hour and 35 Minutes1 Hour and 40 Minutes
Total Nurse Hours5 Hours and 39 Minutes4 Hours and 6 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 Who Were Assessed and Given Pneumococcal Vaccination70%73%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season85%82%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Were Physically Restrained7%4%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores4%9%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores1%3%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse18%12%
Percent of Long-Stay Residents Who Are More Depressed or Anxious11%12%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder47%52%
Percent of Long-Stay Residents Who Lose Too Much Weight9%8%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain5%4%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection13%9%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased18%14%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair3%3%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder8%5%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination67%65%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season59%70%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain28%21%
Percent of Short-Stay Residents Who Have Pressure Sores7%11%
Percent of Short-Stay Residents Who Have Delirium-2%

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 06/29/2010.

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

Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 06/20/2008
  • Correction Date: 07/18/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 06/20/2008
  • Correction Date: 07/18/2008
Keep All Essential Equipment Working Safely.
  • Inspection Date: 06/20/2008
  • Correction Date: 07/18/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 06/05/2009
  • Correction Date: 07/04/2009
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 06/29/2010
  • Correction Date: 07/30/2010
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests.
  • Inspection Date: 06/29/2010
  • Correction Date: 07/30/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 06/20/2008
  • Correction Date: 07/18/2008

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: 06/20/2008
  • Correction Date: 07/18/2008
Make Sure That Residents Are Safe from Serious Medication Errors.
  • Inspection Date: 06/20/2008
  • Correction Date: 07/18/2008
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 06/20/2008
  • Correction Date: 07/18/2008

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 06/20/2008
  • Correction Date: 07/18/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 06/20/2008
  • Correction Date: 07/18/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 06/05/2009
  • Correction Date: 07/04/2009
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Inspection Date: 06/29/2010
  • Correction Date: 07/30/2010
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 06/29/2010
  • Correction Date: 07/30/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 06/29/2010
  • Correction Date: 07/30/2010
Give or Get Dental Care for Each Resident.
  • Inspection Date: 06/29/2010
  • Correction Date: 07/30/2010

Resident Assessment

Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
  • Inspection Date: 06/05/2009
  • Correction Date: 07/04/2009
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
  • Inspection Date: 06/05/2009
  • Correction Date: 07/04/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 06/29/2010
  • Correction Date: 07/30/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 06/29/2010
  • Correction Date: 07/30/2010

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: 06/29/2010
  • Correction Date: 07/30/2010
Give Enough Notice to the Resident Before Changing the Resident's Room or Roommate.
  • Inspection Date: 06/29/2010
  • Correction Date: 07/30/2010

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)06/05/2009$975
Civil Money Penalty (CMP)06/29/2010$975
Denial of Payment for New Admission (DPNA)06/29/2010-

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Mission Arch Care 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: 06/05/2009
  • Correction Date: 07/04/2009

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan.
  • Complaint Filed: 06/05/2009
  • Correction Date: 07/04/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Complaint Filed: 06/05/2009
  • Correction Date: 07/04/2009
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration.
  • Complaint Filed: 06/05/2009
  • Correction Date: 07/04/2009
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Complaint Filed: 06/05/2009
  • Correction Date: 07/04/2009
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Complaint Filed: 11/19/2009
  • Correction Date: 12/17/2009

Resident Rights

Try to Resolve Each Resident's Complaints Quickly.
  • Complaint Filed: 06/05/2009
  • Correction Date: 07/04/2009

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 Mission Arch Care 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 06/22/2010.

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

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 06/19/2008
  • Correction Date: 07/18/2008
Properly Protected Cooking Facilities.
  • Inspection Date: 06/03/2009
  • Correction Date: 07/02/2009
Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 06/22/2010
  • Correction Date: 08/04/2010
An Externally Vented Heating System.
  • Inspection Date: 06/22/2010
  • Correction Date: 08/04/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 06/22/2010
  • Correction Date: 08/04/2010

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 06/22/2010
  • Correction Date: 08/04/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 06/03/2009
  • Correction Date: 07/02/2009
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 06/22/2010
  • Correction Date: 08/04/2010

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 06/03/2009
  • Correction Date: 07/02/2009

Illumination and Emergency Power

Proper Backup Exit Lighting.
  • Inspection Date: 06/19/2008
  • Correction Date: 07/08/2008
Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 06/03/2009
  • Correction Date: 07/02/2009

Medical Gases and Anesthetizing Areas

Proper Fire Barriers, Ventilation and Signs for the Transport of Oxygen.
  • Inspection Date: 06/19/2008
  • Correction Date: 09/16/2008
Source: Medicare Nursing Home Compare; Department of Health of New Mexico - Bureau of Health Facility Licensing and Certification - Retrieved 2011