SOMBRILLO NURSING FACILITY

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 "Very 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 Sombrillo Nursing Facility. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

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.

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.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

Short-Term Stay Preventive Actions

Short-Term Stay Deficiencies

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 08/03/2010.

Administration

Follow Rules About Ownership or Tell the State Agency About Changes in Administrative Personnel. Inspection Date: 08/03/2010 Correction Date: 09/15/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 05/15/2009 Correction Date: 07/10/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 05/15/2009 Correction Date: 07/10/2009
Put Firmly Secured Handrails on Each Side of Hallways. Inspection Date: 05/15/2009 Correction Date: 07/10/2009
Keep Safe, Clean and Homelike Surroundings. Inspection Date: 08/03/2010 Correction Date: 09/15/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 08/03/2010 Correction Date: 09/15/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 08/03/2010 Correction Date: 09/15/2010
Keep All Essential Equipment Working Safely. Inspection Date: 08/03/2010 Correction Date: 09/15/2010
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area. Inspection Date: 08/03/2010 Correction Date: 08/31/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 05/23/2008 Correction Date: 06/23/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 05/15/2009 Correction Date: 07/10/2009

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: 05/23/2008 Correction Date: 06/23/2008
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 05/15/2009 Correction Date: 07/10/2009
Make Sure That Residents Are Safe from Serious Medication Errors. Inspection Date: 05/15/2009 Correction Date: 07/10/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 05/15/2009 Correction Date: 07/10/2009
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 08/03/2010 Correction Date: 09/15/2010
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 08/03/2010 Correction Date: 09/15/2010

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 08/03/2010 Correction Date: 09/15/2010

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 05/23/2008 Correction Date: 06/23/2008
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 05/15/2009 Correction Date: 07/10/2009
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: 08/03/2010 Correction Date: 08/10/2010
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. Inspection Date: 08/03/2010 Correction Date: 09/15/2010
Listen to the Resident or Family Groups or Act on Their Complaints or Suggestions. Inspection Date: 08/03/2010 Correction Date: 09/15/2010

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.

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 Sombrillo Nursing Facility 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 07/27/2010.

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 05/12/2009 Correction Date: 07/09/2009
An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 07/27/2010 Correction Date: 08/20/2010
Back-Up Procedures in Place for a Faulty Automatic Sprinkler System. Inspection Date: 07/27/2010 Correction Date: 09/10/2010

Building Service Equipment

Restrictions on the Use of Portable Space Heaters. Inspection Date: 05/21/2008 Correction Date: 05/21/2008

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 05/12/2009 Correction Date: 07/10/2009
Corridor and Hallway Doors That Block Smoke. Inspection Date: 07/27/2010 Correction Date: 08/06/2010

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 05/12/2009 Correction Date: 07/10/2009

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 05/12/2009 Correction Date: 07/10/2009
Did Not Have a Written Emergency Evacuation Plan. Inspection Date: 07/27/2010 Correction Date: 09/15/2010

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 07/27/2010 Correction Date: 09/02/2010

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 05/21/2008 Correction Date: 08/01/2008

Medical Gases and Anesthetizing Areas

Proper Fire Barriers, Ventilation and Signs for the Transport of Oxygen. Inspection Date: 05/21/2008 Correction Date: 05/21/2008
Proper Medical Gas Storage and Administration Areas. Inspection Date: 07/27/2010 Correction Date: 08/20/2010

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 05/21/2008 Correction Date: 05/21/2008
Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 07/27/2010 Correction Date: 09/03/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 07/27/2010 Correction Date: 08/06/2010

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 05/12/2009 Correction Date: 07/10/2009
Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 07/27/2010 Correction Date: 08/20/2010