Paloma Blanca Health and Rehabilitation
1509 University Boulevard Ne, Albuquerque, NM 87102


Paloma Blanca Health and Rehabilitation is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 325060. The address is 1509 University Boulevard Ne, Albuquerque, NM 87102. The zip code is 87102. The phone number is 5052432257.


Paloma Blanca Health and Rehabilitation · 1509 University Boulevard Ne, Albuquerque, NM 87102

Federal Provider Number 325060
Provider Name PALOMA BLANCA HEALTH AND REHABILITATION
Address 1509 UNIVERSITY BOULEVARD NE
ALBUQUERQUE, NM 87102
Phone Number 5052432257
County Name Bernalillo
Ownership Type For profit - Corporation
Certified Beds 119
Certified Beds Residents 100
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name PALOMA BLANCA HEALTH CARE ASSOCIATES LLC
Date First Approved to Provide Medicare Medicaid Services 12/16/1991
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 2
Health Inspection Rating 1
Quality Measure Rating 2
Staffing Rating 4
RN Staffing Rating 4
Reported CNA Staffing Hours per Resident per Day 2.3835
Reported LPN Staffing Hours per Resident per Day 0.9
Reported RN Staffing Hours per Resident per Day 0.6695
Reported Licensed Staffing Hours per Resident per Day 1.5695
Reported Total Nurse Staffing Hours per Resident per Day 3.953
Reported Physical Therapist Staffing Hours per Resident Per Day 0.042
Expected CNA Staffing Hours per Resident per Day 2.24168
Expected LPN Staffing Hours per Resident per Day 0.5849
Expected RN Staffing Hours per Resident per Day 0.90624
Expected Total Nurse Staffing Hours per Resident per Day 3.73282
Adjusted CNA Staffing Hours per Resident per Day 2.60893
Adjusted LPN Staffing Hours per Resident per Day 1.27714
Adjusted RN Staffing Hours per Resident per Day 0.55201
Adjusted Total Nurse Staffing Hours per Resident per Day 4.26866
Cycle 1 Total Number of Health Deficiencies 15
Cycle 1 Number of Standard Health Deficiencies 14
Cycle 1 Number of Complaint Health Deficiencies 15
Cycle 1 Health Deficiency Score 128
Cycle 1 Standard Survey Health Date 11/04/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 128
Cycle 2 Total Number of Health Deficiencies 25
Cycle 2 Number of Standard Health Deficiencies 23
Cycle 2 Number of Complaint Health Deficiencies 2
Cycle 2 Health Deficiency Score 671
Cycle 2 Standard Health Survey Date 10/26/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 671
Cycle 3 Total Number of Health Deficiencies 7
Cycle 3 Number of Standard Health Deficiencies 6
Cycle 3 Number of Complaint Health Deficiencies 1
Cycle 3 Health Deficiency Score 44
Cycle 3 Standard Health Survey Date 10/10/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 44
Total Weighted Health Survey Score 295
Number of Substantiated Complaints 4
Number of Fines 1
Total Amount of Fines in Dollars $62205.00
Number of Payment Denials 1
Total Number of Penalties 2
Processing Date 08/01/2017

Owner or Manager · Paloma Blanca Health and Rehabilitation

Owner Name Role Association Date
ALG LAVIE, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/30/2011
ALPHA HEALTH CARE PROPERTIES LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 01/17/2008
BRYSON, CHRISTOPHER (Individual) OFFICER since 12/14/2015
BRYSON, CHRISTOPHER (Individual) OPERATIONAL/MANAGERIAL CONTROL since 09/01/2015
CMC II INVESTORS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 08/01/2012
CMC II LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 03/01/2012
COLUMBIA PACIFIC OPPORTUNITY FUND (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/30/2011
CONTE, JOSEPH (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 08/01/2012
DIAS, DANIEL (Individual) OFFICER since 12/14/2015
DIAS, DANIEL (Individual) OPERATIONAL/MANAGERIAL CONTROL since 09/01/2015
FC INVESTORS XXI, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/30/2011
FC LV HOLDCO LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 08/01/2012
FLORIDA HEALTH CARE PROPERTIES LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/17/2008
GENOA HEALTHCARE GROUP LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/17/2008
HARTMAN, ROBERT (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/30/2011
LAVIE CARE CENTERS, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/30/2011
LOW, ASHER (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/30/2011
LV INVESTMENT, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/30/2011
LV OPERATIONS I, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/30/2011
LV OPERATIONS II, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/30/2011
MCP LAVIE, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/30/2011
MEHAFFEY, TODD (Individual) OFFICER since 10/24/2016
MEHAFFEY, TODD (Individual) OPERATIONAL/MANAGERIAL CONTROL since 09/14/2016
NEUBERGER, ISAAC (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/30/2011
PANNELL, CATHERINE (Individual) MANAGING EMPLOYEE since 06/06/2016
RAGLAND, RUSSELL (Individual) OFFICER since 12/14/2015
RAGLAND, RUSSELL (Individual) OPERATIONAL/MANAGERIAL CONTROL since 07/01/2014
SAY LA VIE, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/30/2011
SENIOR CARE LAVIE, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/30/2011
THE 1995 DAVID REIS FAMILY TRUST (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/30/2011
USSERY, KENNETH (Individual) OFFICER since 12/14/2015
USSERY, KENNETH (Individual) OPERATIONAL/MANAGERIAL CONTROL since 09/01/2015

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