Among nursing homes in New Mexico, Gallup Nursing & Rehabilitation Llc stands out with an A grade and a score of 92 out of 100. It ranks in the 97th percentile statewide, reflecting consistently high performance across CMS quality metrics.
Staffing levels are a potential concern at Gallup Nursing & Rehabilitation Llc, with 3.18 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.
Recent CMS inspections identified 41 deficiencies at Gallup Nursing & Rehabilitation Llc, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: provide appropriate treatment and care according to orders, resident’s preferences and goals..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.18 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.82 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 0.20 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 2.16 | 2.4 | Below Average |
| Weekend Total Nursing | 2.78 | 3.8 | Below Average |
| Weekend RN Hours | 0.77 | 0.7 | Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0684 Severity JProvide appropriate treatment and care according to orders, resident’s preferences and goals.Dec 17, 2024 · Quality of Life and Care Deficiencies
- Tag 0609 Severity DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Dec 17, 2024 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0848 Severity EProvide a neutral and fair arbitration process and agree to arbitrator and venue.Oct 9, 2024 · Administration Deficiencies
- Tag 0550 Severity DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Oct 9, 2024 · Resident Rights Deficiencies
- Tag 0655 Severity DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedOct 9, 2024 · Resident Assessment and Care Planning Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 5.9% | 4.5% | Worse |
| Falls with major injury | 4.3% | 3.0% | Worse |
| On antipsychotic medication | 10.7% | 14.5% | Better |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 8.7% | 14.0% | Better |
| Excessive weight loss | 3.9% | 7.5% | Better |
| New/worsened incontinence | 20.7% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of A is based on a score of 92 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 5★ → 40 pts (max 40)
- Health Inspection Rating: 5★ → 25 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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