Casa Maria Healthcare Center and Pecos Valley Rehabilitation

Health Inspections

Health Inspections 1
Health Deficiencies
This Nursing Home: 3
NM State Average: 5
U.S. Average: 6
NM Deficiencies Range: 1–15
Complaints & Incidents: 2
Updated April 18, 2013.

Our health inspections rating describes how well this home met health and safety standards for food preparation and other nursing-home activities in the latest three state inspections. Such inspections are conducted about every 15 months.

December 10, 2012 Health Inspection

Nursing Home Failed To:	Possible or Actual Harm	Residents Affected	Date Fixed
Keep accurate, complete and organized clinical records on each resident that meet professional standards.	Low	Some	12/11/2012
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	Low	Few	12/11/2012
Listen to the resident groups and act on their complaints and suggestions that affect resident care and life.	Very Low	Some	12/11/2012

February 14, 2012 Health Inspection

Nursing Home Failed To:	Possible or Actual Harm	Residents Affected	Date Fixed
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.	Low	Some	5/10/2012
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.	Low	Some	5/10/2012
Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.	Low	Some	5/10/2012
Have a program that investigates, controls and keeps infection from spreading.	Low	Some	5/10/2012
Keep accurate, complete and organized clinical records on each resident that meet professional standards.	Low	Some	5/10/2012
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.	Low	Some	5/10/2012
Provide care by qualified persons according to each resident's written plan of care.	Low	Some	5/10/2012
Provide necessary care and services to maintain or improve the highest well being of each resident.	Low	Some	5/10/2012
Allow residents the right to participate in the planning or revision of care and treatment.	Low	Some	5/10/2012
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.	Low	Some	5/10/2012
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.	Low	Some	5/10/2012
Conduct initial and periodic assessments of each resident's functional capacity.	Low	Some	5/10/2012
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	Low	Some	5/10/2012
Keep each resident free from physical restraints, unless needed for medical treatment.	Low	Few	5/10/2012

February 11, 2011 Health Inspection

Nursing Home Failed To:	Possible or Actual Harm	Residents Affected	Date Fixed
Try to resolve each resident's complaints quickly.	Low	Some	3/18/2011
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.	Low	Some	3/18/2011
Provide necessary care and services to maintain or improve the highest well being of each resident.	Low	Some	3/18/2011
Provide care by qualified persons according to each resident's written plan of care.	Low	Some	3/18/2011
Give or get x-rays and other tests in a timely manner to meet the needs of residents.	Low	Some	3/18/2011
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.	Low	Few	3/18/2011

November 08, 2012 Complaints & Incidents

Nursing Home Failed To:	Possible or Actual Harm	Residents Affected	Date Fixed
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	Some	Few	12/5/2012
Conduct initial and periodic assessments of each resident's functional capacity.	Some	Few	12/5/2012

July 12, 2012 Complaints & Incidents

Nursing Home Failed To:	Possible or Actual Harm	Residents Affected	Date Fixed
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	Low	Some	9/20/2012

February 14, 2012 Complaints & Incidents

Nursing Home Failed To:	Possible or Actual Harm	Residents Affected	Date Fixed
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	Low	Some	5/10/2012
Have a program that investigates, controls and keeps infection from spreading.	Low	Some	5/10/2012
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.	Low	Some	5/10/2012

October 17, 2011 Complaints & Incidents

Nursing Home Failed To:	Possible or Actual Harm	Residents Affected	Date Fixed
Provide necessary care and services to maintain or improve the highest well being of each resident.	High	Some	12/14/2011
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.	High	Some	12/14/2011
Make sure that all required doctor visits are made personally.	Low	Some	12/14/2011
Make sure that doctors visit residents regularly, as required.	Low	Some	12/14/2011
Provide care by qualified persons according to each resident's written plan of care.	High	Some	12/14/2011

February 11, 2011 Complaints & Incidents

Nursing Home Failed To:	Possible or Actual Harm	Residents Affected	Date Fixed
Provide necessary care and services to maintain or improve the highest well being of each resident.	Low	Some	3/18/2011
Try to resolve each resident's complaints quickly.	Low	Some	3/18/2011
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.	Low	Few	3/18/2011
Give or get x-rays and other tests in a timely manner to meet the needs of residents.	Low	Some	3/18/2011

March 17, 2010 Complaints & Incidents

Nursing Home Failed To:	Possible or Actual Harm	Residents Affected	Date Fixed
Permit residents to remain in the facility and not be transferred or discharged without adequate reason.	Low	Few	4/28/2010
Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs.	Low	Some	4/26/2010
Ensure that all nurse aids who have worked less than 4 months are enrolled in appropriate training or have been deemed competent to provide nursing and nursing related services.	Low	Few	4/26/2010
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.	High	Some	4/26/2010
Provide necessary care and services to maintain or improve the highest well being of each resident.	Low	Few	4/26/2010
Allow residents the right to participate in the planning or revision of care and treatment.	Some	Few	4/26/2010
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	Some	Few	4/26/2010
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.	High	Few	4/26/2010
Protect each resident from mistreatment, neglect and misappropriation of personal property.	High	Few	4/26/2010
Tell the resident or the residentâs representative in writing how long the nursing home will hold the residentâs bed in cases of transfer to a hospital or therapeutic leave.	Low	Few	4/26/2010
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	Some	Few	4/28/2010

January 12, 2010 Complaints & Incidents

Nursing Home Failed To:	Possible or Actual Harm	Residents Affected	Date Fixed
Allow residents the right to participate in the planning or revision of care and treatment.	Low	Few	4/26/2010

Note: Because of differences in calculation, all data may not match those shown on Nursing Home Compare, a website run by the federal Centers for Medicare & Medicaid Services. CMS has approved the U.S. News methodology.

Last updated April 18, 2013.