The Village at Northrise - Desert Willow I: Data Analysis and Ratings
CMS Five Star Rating(2 out of 5):
2884 NORTH ROAD RUNNER PARKWAY LAS CRUCES, NM 88011
575-522-1110
Data date: May 01, 2023
The Most Important Data about The Village at Northrise - Desert Willow I
We've looked at a lot of nursing homes, this is what we think you need to see first and if you don't want to spend a lot of time. (It's the tl;dr section.)
There is no indication of abuse occuring at The Village at Northrise - Desert Willow I. (CMS flags facilities where abuse has either happened or is very likely.)
CMS 5-Star Overall Rating:
(2 out of 5):
(The national average overall star rating is 3 stars.)
Current Trend: Improving
Total Nursing Hours Spent Per Resident Per Day: 4.46
(The national average is 3.74 )
According to our analysis, The Village at Northrise - Desert Willow I is ranked #3 out of 7 skilled nursing homes within a 25 mile radius. See detailed information from recent inspection reports, nursing hours analysis, surverys, and information on owners and operators. Click here to view the ranked list of nursing homes near The Village at Northrise - Desert Willow I.
What is this page all about?
Below is everything shred of information that we can find about The Village at Northrise - Desert Willow I, along with our best effort to make sense of the data. Our purpose here is to help you to make good decisions when picking a nursing home and to keep you informed once you have chosen a home. We know from personal experience that choosing a nursing home is not something you do once and then you forget about it. In fact, it gets worse. Once you select a nursing home and get through the initial steps of figuring out how to pay for it, then the real worries start. Are they taking good care of me or my loved one? This is the question that will keep you up at night: Can I really trust these people? We wish we could answer this question, we can't. What he can do is churn through the tons of data and try and help you to make sense of it. We hope it helps.
General Data Card
These are the basic data points for the facility.
Data date: May 01, 2023
Address: 2884 NORTH ROAD RUNNER PARKWAY
LAS CRUCES, NM 88011
Phone: 575-522-1110
Ranking: The Village at Northrise - Desert Willow I is ranked #3 out of 7 facilities within a 10 mile radius and #3 out of 7 facilities within a 25 mile radius.
Medicare Provider Number: 325111
Participating in Medicare Since: January 08, 2001
No. of Certified Beds: 31
No. of Residents: 26
Occupancy: 83.87 % (as of 05/21/2023 )
Amount fined in recent period: $31,250.00
Complaints filed: 2
Ratings History for The Village at Northrise - Desert Willow I
Review of The Village at Northrise - Desert Willow I Ratings and Inspection Scores
CMS regularly inspects every skilled nursing facility. (The timing is supposed to be annually, but since the beginning of the Covid pandemic, these inspections have not occured as frequently.) The results of the multi-day inspection is reduced to a series of scores which are then translated into the star ratings. The health inspection scores are an absolute value, so you can compare one facility's score directly to another. The Overall Star rating is based on the facility's performance as compared to other facilities in the same state, so you cannot easily compare one facility's Overall star rating to a facility in another state.
Ratings
| Overall Rating | 2: |
| Health Inspection Rating | 2: |
| Quality Rating | 2: |
| Staffing Rating | 3: |
Inspection Scores
| Cycle 1 Score (as of January 12, 2023) | 116 |
| Cycle 2 Score (as of February 21, 2022) | 176 |
| Cycle 3 Score (as of February 12, 2021) | 88 |
| Weighted All Cycles Score | 131 |
It has been 3 months since the most recent inspection.
What Goes Into the Nursing Home's 5-Star Rating
CMS has put a lot of effort into creating its very elaborate 5-Star Quality Rating System specifically to provide a quick way for residents and family members to easily understand how well a nursing home is performing and to make comparing nursing homes easier. The rating system allows people to easily compare facilities across numerous dimensions with the express purpose of identifying the best and best performing nursing homes. The rating system was initially developed in 2008 and the methodologies are regularly reviewed and updated.
The rating system has five separate ratings including:
- Overall rating
- Health Inspection rating
- Staff rating
- RN Staffing rating
- Quality Measures rating
Nursing homes are rated from 1-star to 5-stars with 1-star being the best rating and 5-star being the best rating. For the Health Inspection Rating the nursing homes in each state are ranked based on their weighted three year inspection score. The top 10 percent of nursing homes (those with the lowest scores) are awarded a 5-star rating; the bottom 20 percent (those with the highest scores) are awarded a 1-star rating. In between 1-star and 5-star, the remaining homes are divided equally into three tranches which correspond with the stars 2 to 4. The staff ratings and quality measure ratings follow a similar process but the divisions are based on a national ranking. The division between star ratings is called the “cut-rate”. Cut-rates are redefined periodically and are published by CMS. See the latest cut rates on this table.
Calculating the Overall Star Rating is done differently. According to CMS, the reason for adopting a different system is to give the Health Inspection Rating higher weight in the Overall Rating. So, since there are FIVE ratings and FIVE stars for each rating, there must also be a FIVE step process to calculate the Overall Rating (so symetrical!) :
- Begin with the Health Inspection Rating
- Add one star to the Health Inspection Rating if the Staffing Rating is at least four-stars and is higher than the Health Inspection Rating. (We will call this the "Adjusted Rating".)
- Subtract one star from the Health Inspection Rating if the Staffing Rating is one-star.
- Add a star to the Adjusted Rating if the Quality Measure Rating is 5-stars.
- Subtract one star from the Adjusted Rating if the Quality Measure Rating is 1-star.
Throughout the calculation of the Overall Rating, the rating cannot exceed 5-stars. The Overall Rating is capped at 2-stars if the Health Inspection rating is 1-star. No Overall Rating is awarded if the nursing home does not have a Health Inspection Rating (This effectively means that a nursing home is not rated until the home has been operating for more than two years.)
Changes in a nursing homes star rating can be due to the results of a new health inspection report, the processing of new complaints, the aging of older complaints, a new inspection control survey, a revisit, or the resolution of disputes that change the scope and or severity of deficiencies.
Most Recent Nursing Home Inspections
CMS is required to inspect each senior nursing facility at least annually. These inspections take several days. Additional follow-up inspections as conducted as needed or for certain purposes. Inspections stopped for more than seven months in 2020 due to the Covid pandemic. That stoppage has caused all inspections to be delayed as the inspectors continue to deal with a backlog. The table below shows the latest inspections for The Village at Northrise - Desert Willow I including health, fire, and inspection control inspections:
| Inspection Type | Inspection Date |
|---|---|
| Fire Safety Standard | January 03, 2023 |
| Fire Safety Standard | February 08, 2022 |
| Fire Safety Standard | February 23, 2021 |
| Health Complaint | February 21, 2022 |
| Health Standard | January 12, 2023 |
| Health Standard | February 21, 2022 |
| Health Standard | February 12, 2021 |
| Infection Control | October 22, 2021 |
| Infection Control | February 12, 2021 |
| Infection Control | July 13, 2020 |
| Infection Control | May 18, 2020 |
Owner and Operator Information for The Village at Northrise - Desert Willow I
Our database of owners and operators shows all direct owners of the nursing nurse, any managers and directors, and the most adjacent indirect owners of the facility (that is, if the direct owner is company, then the owners of that company.) Lists of nursing home owners are available and you can search for nursing home owners and operators on our site.
Business Entity Name:
PEAK MEDICAL ASSISTED LIVING LLC
Owners:
- FC-GEN OPERATIONS INVESTMENT LLC (INDIRECT)
- STEVEN FISHMAN (INDIRECT)
- GEN OPERATIONS I LLC (INDIRECT)
- GEN OPERATIONS II LLC (INDIRECT)
- GENESIS HEALTHCARE INC (INDIRECT)
- GENESIS HEALTHCARE LLC (INDIRECT)
- GENESIS HOLDINGS LLC (INDIRECT)
- HCCF MANAGEMENT GROUP XI LLC (INDIRECT)
- PEAK MEDICAL LLC (DIRECT- 100%)
- SUN HEALTHCARE GROUP INC. (INDIRECT)
- SUNBRIDGE HEALTHCARE LLC (INDIRECT)
- SUNDANCE REHABILITATION HOLDCO INC (INDIRECT)
- WELLTOWER INC. (INDIRECT)
- ARNOLD WHITMAN (INDIRECT)
- ZAC PROPERTIES XI LLC (INDIRECT)
Managers and Directors:
- MICHAEL BERG (OPERATIONAL/MANAGERIAL CONTROL)
- MICHAEL BERG (OFFICER)
- GENESIS HEALTHCARE LLC (OPERATIONAL/MANAGERIAL CONTROL)
- WENDY LABATE (OFFICER)
- DIANE MORRIS (OPERATIONAL/MANAGERIAL CONTROL)
- GREG SANCHEZ (OFFICER)
- MICHAEL SHERMAN (OFFICER)
- DONALD WILSON (MANAGING EMPLOYEE)
- STEPHEN YOUNG (OFFICER)
- JAMIE ZURN (MANAGING EMPLOYEE)
Analysis of Nursing Hours Spent Per Patient
CMS provides detailed information about how long nursing staff spends with residents. This data includes nursing subcategories of Registered Nurse, Licensed Practical Nurse, and non-nursing Certified Nursing Assistants. More hours spend per patient should can indicate a better facility or it could indicate more complicated situations.
The nursing staff of The Village at Northrise - Desert Willow I spends MORE time on average with its residents than the state average for total nursing homes spent per resident and MORE time than the national average for total nursing homes spent per resident.
| Type | Facility | State / National Avg |
|---|---|---|
| Registered Nurse (RN) | ||
| Hours | 0.64 | 0.64 / 0.65 |
| Case Mix | 0.33 | 0.33 / 0.39 |
| Adjusted | 0.74 | NA / NA |
| Licensed Practical Nurse (LPN) | ||
| Hours | 1.47 | 0.66 / 0.88 |
| Case Mix | 0.75 | NA / NA |
| Adjusted | 1.43 | NA / NA |
| Certified Nursing Assistants (CNA) | ||
| Hours | 2.35 | 2.18 / 2.21 |
| Case Mix | 2.19 | NA / NA |
| Adjusted | 2.19 | NA / NA |
| Total Licensed Staff | ||
| Hours | 2.10 | 1.29 / 1.53 |
| Physical Therapist (PT) | ||
| Hours | 0.19 | 0.08 / 0.07 |
| Total Nursing Homes Spent per Resident on Average | ||
| Hours | 4.46 | 3.47 / 3.74 |
| Case Mix | 3.27 | 2.92 / 3.16 |
| Adjusted | 4.30 | NA / NA |
Quality Measures
Quality measures are based both on patient survey information and on the results of actual claims that are filed with CMS. It is not clear what period is covered in the measures.
| Desc. | Perc. | State Avg. / Comparison | |
|---|---|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursing home admission (qm521) | 22.9% |
19.2% Worse |
|
| Percentage of short-stay residents who had an outpatient emergency department visit (qm522) | 13.2% |
15.9% Better |
|
| Number of hospitalizations per 1000 long-stay resident days (qm551) | Not Available | ||
| Number of outpatient emergency department visits per 1000 long-stay resident days (qm552) | Not Available | ||
| Percentage of long-stay residents whose need for help with daily activities has increased (qm401) | Not Available | ||
| Percentage of long-stay residents who lose too much weight (qm404) | Not Available | ||
| Percentage of low risk long-stay residents who lose control of their bowels or bladder (qm405) | Not Available | ||
| Percentage of long-stay residents with a catheter inserted and left in their bladder (qm406) | Not Available | ||
| Percentage of long-stay residents with a urinary tract infection (qm407) | Not Available | ||
| Percentage of long-stay residents who have depressive symptoms (qm408) | Not Available | ||
| Percentage of long-stay residents who were physically restrained (qm409) | Not Available | ||
| Percentage of long-stay residents experiencing one or more falls with major injury (qm410) | Not Available | ||
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine (qm415) | Not Available | ||
| Percentage of long-stay residents who received an antipsychotic medication (qm419) | Not Available | ||
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (qm430) | 86.3% |
79.6% Better |
|
| Percentage of short-stay residents who newly received an antipsychotic medication (qm434) | 1.1% |
1.6% Better |
|
| Percentage of long-stay residents whose ability to move independently worsened (qm451) | Not Available | ||
| Percentage of long-stay residents who received an antianxiety or hypnotic medication (qm452) | Not Available | ||
| Percentage of high risk long-stay residents with pressure ulcers (qm453) | Not Available | ||
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (qm454) | Not Available | ||
| Percentage of short-stay residents who made improvements in function (qm471) | 53.3% |
67.2% Worse |
|
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (qm472) | 95.6% |
74.7% Better |
|
The Village at Northrise - Desert Willow I Violations, Complaints and Fines
These are complaints and fines that are reported by CMS. Some of the data is not very recent, but we have decided to include it here so that you have as much information as possible.
Amount fined in recent period: $31,250.00, Complaints filed: 2
| Deficiency | Deficiency Date / Date Corrected |
|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Health) | 02-12-2021 / 03-09-2021 |
| Reasonably accommodate the needs and preferences of each resident. (Health) | 02-12-2021 / 03-05-2021 |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Health) | 02-12-2021 / 03-05-2021 |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Health) | 02-12-2021 / 03-05-2021 |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. (Health) | 02-12-2021 / 03-05-2021 |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (Health) | 02-12-2021 / 03-05-2021 |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Health) | 02-12-2021 / 02-24-2021 |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. (Health) | 02-12-2021 / 02-24-2021 |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. (Health) | 02-12-2021 / 03-05-2021 |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Health) | 02-12-2021 / 03-09-2021 |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Health) | 02-12-2021 / 03-05-2021 |
| Provide and implement an infection prevention and control program. (Health) | 02-12-2021 / 03-08-2021 |
| Address patient/client population and determine types of services needed. (Fire Safety) | 02-23-2021 / 02-25-2021 |
| Provide and implement an infection prevention and control program. (Health) | 10-22-2021 / 11-17-2021 |
| Inspect, test, and maintain automatic sprinkler systems. (Fire Safety) | 02-08-2022 / 04-05-2022 |
| Properly select, install, inspect, or maintain portable fire extinguishes. (Fire Safety) | 02-08-2022 / 04-05-2022 |
| Have simulated fire drills held at unexpected times. (Fire Safety) | 02-08-2022 / 04-05-2022 |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Health) | 02-21-2022 / 04-05-2022 |
| Keep residents' personal and medical records private and confidential. (Health) | 02-21-2022 / 04-05-2022 |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Health) | 02-21-2022 / 04-05-2022 |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. (Health) | 02-21-2022 / 04-05-2022 |
| Plan the resident's discharge to meet the resident's goals and needs. (Health) | 02-21-2022 / 04-05-2022 |
| Provide care and assistance to perform activities of daily living for any resident who is unable. (Health) | 02-21-2022 / 04-05-2022 |
| Provide activities to meet all resident's needs. (Health) | 02-21-2022 / 04-05-2022 |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (Health) | 02-21-2022 / 04-05-2022 |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. (Health) | 02-21-2022 / 04-05-2022 |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. (Health) | 02-21-2022 / 04-05-2022 |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. (Health) | 02-21-2022 / 04-05-2022 |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (Health) | 02-21-2022 / 04-05-2022 |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Health) | 02-21-2022 / 04-05-2022 |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Health) | 02-21-2022 / 04-05-2022 |
| Provide and implement an infection prevention and control program. (Health) | 02-21-2022 / 04-05-2022 |
| Implement a program that monitors antibiotic use. (Health) | 02-21-2022 / 04-05-2022 |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. (Health) | 02-21-2022 / 04-05-2022 |
| Report COVID19 data to residents and families. (Health) | 02-21-2022 / 04-05-2022 |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Health) | 02-21-2022 / 04-05-2022 |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. (Health) | 02-21-2022 / 04-05-2022 |
| Have generator or other power source capable of supplying service within 10 seconds. (Fire Safety) | 01-03-2023 / 02-13-2023 |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Health) | 01-12-2023 / 03-24-2023 |
| Reasonably accommodate the needs and preferences of each resident. (Health) | 01-12-2023 / 03-24-2023 |
| Honor the resident's right to organize and participate in resident/family groups in the facility. (Health) | 01-12-2023 / 03-24-2023 |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Health) | 01-12-2023 / 03-24-2023 |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. (Health) | 01-12-2023 / 03-24-2023 |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (Health) | 01-12-2023 / 03-24-2023 |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. (Health) | 01-12-2023 / 03-24-2023 |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Health) | 01-12-2023 / 03-24-2023 |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. (Health) | 01-12-2023 / 03-24-2023 |
| Provide activities to meet all resident's needs. (Health) | 01-12-2023 / 03-24-2023 |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Health) | 01-12-2023 / 03-24-2023 |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. (Health) | 01-12-2023 / 03-24-2023 |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Health) | 01-12-2023 / 03-24-2023 |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. (Health) | 01-12-2023 / 03-24-2023 |
Hospitals Near The Village at Northrise - Desert Willow I
Quite often skilled nursing facilities and hospitals work closely together to help patients recover or manage a terminal illness. Hospitals deals with acute care while nursing homes treat patients for a longer period of time. New residents at skilled nursing homes typically come from a hospital and nursing home residents may be readmitted to a hospital if their recovery does not proceed well. (Hospital readmission rates are closely monitored by CMS.) Consequently it is important that you consider which hospitals are near a nursing home which choosing one. Below is a list of hospitals near The Village at Northrise - Desert Willow I.
This information is based on the most recent Hospital data. Historical data is not available.
| Hospital | 5-Star Overall Rating |
|---|---|
|
MOUNTAIN VIEW REGIONAL MEDICAL CENTER 4311 EAST LOHMAN AVENUE LAS CRUCES, NM 88011 |
1 |
|
MEMORIAL MEDICAL CENTER 2450 SOUTH TELSHOR BLVD LAS CRUCES, NM 88011 |
2 |
|
THREE CROSSES REGIONAL HOSPITAL LLC 2560 SAMARITAN DRIVE LAS CRUCES, NM 88001 |
Not Available |
|
BHC MESILLA VALLEY HOSPITAL, LLC 3751 DEL REY BOULEVARD LAS CRUCES, NM 88012 |
Not Available |
Medical Professionals Associated with The Village at Northrise - Desert Willow I
These are the doctors who are affiliated with The Village at Northrise - Desert Willow I. The data is from the most recent period. Historical data is not available.
- KRISTY ONTIVEROS ( GENERAL PRACTICE - ELITE PRIMARY CARE )
- GEETANJALI DODSON ( FAMILY PRACTICE - NEW MEXICO PAC SERVICES PC )
- AMY LOPEZ ( NURSE PRACTITIONER )
Detailed Analysis Pages:
Depending on the nursing home, this page can get really long. So, we have also broken up the data onto separate pages to allow you to find what you want more easily. We will keep adding to these pages as we continue to analyze the nursing home database.
CMS Five Star Ratings and Quality Measures for The Village at Northrise - Desert Willow I
Five different rating results plus detailed inspection numbers and quality measures for The Village at Northrise - Desert Willow I.
Covid Infections at The Village at Northrise - Desert Willow I
This report is updated weekly and shows new and historical infection levels.
Nursing Hours Analysis for The Village at Northrise - Desert Willow I
How long a nurse spends with a resident can be an important factor in their recovery. This page shows the average nursing hours spent per resident for RNs, LPNs, CNAs, PTs and all licensed staff.
Ownership Details for The Village at Northrise - Desert Willow I
A list of all of the registered owners for The Village at Northrise - Desert Willow I. This includes direct and indirect owners and managers.
Noted Deficiencies for The Village at Northrise - Desert Willow I
A list of all of the deficiencies for the facility. This includes a description, type of deficiency, incident date and when the facility reports that the incident was corrected.
Comparison Ranking of Nearby Skilled Nursing Facilities
How does The Village at Northrise - Desert Willow I compare to other skilled nursing facilities? This list shows the competitive set within a 25 mile radius.
Best Nursing Homes in LAS CRUCES, NM
Homes that you should consider. A list ranking the best skilled nursing facilities in LAS CRUCES based on their weighted inspection score as of May 01, 2023.
Worst Nursing Homes in LAS CRUCES, NM
Homes that you avoid if possible. A list ranking the worst skilled nursing facilities in LAS CRUCES based on their weighted inspection score as of May 01, 2023.
Other Data Periods:
Data on The Village at Northrise - Desert Willow I is available for the following periods:
