CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Santa Fe Care Center
View the most recent health deficiencies and inspection results for Santa Fe Care Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Santa Fe Care Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2025-11-25 | 2026-01-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-11-25 | 2026-01-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-04-08 | 2025-04-28 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-10-25 | 2024-11-27 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-10-25 | 2024-11-27 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-10-25 | 2024-11-27 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-10-25 | 2024-11-27 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-10-25 | 2024-11-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-10-25 | 2024-11-27 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-11 | 2024-08-02 | N |
| Assess the resident when there is a significant change in condition | Health | 2024-07-11 | 2024-08-02 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2024-07-11 | 2024-08-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-07-11 | 2024-08-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-11 | 2024-08-02 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-07-11 | 2024-08-02 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-07-11 | 2024-08-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-07-11 | 2024-08-02 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-07-11 | 2024-08-02 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-07-11 | 2024-08-02 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2024-07-11 | 2024-08-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-11 | 2024-08-02 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-07-11 | 2024-08-02 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-07-11 | 2024-08-02 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-07-11 | 2024-08-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-07-11 | 2024-08-02 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-07-02 | 2024-07-19 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-11-21 | 2024-01-15 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-11-21 | 2024-01-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-21 | 2024-01-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-21 | 2024-01-15 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-11-21 | 2024-01-15 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-11-21 | 2024-01-15 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-11-21 | 2024-01-15 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-05-26 | 2023-07-10 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-05-26 | 2023-07-10 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-05-26 | 2023-07-10 | N |
| 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 | 2023-05-26 | 2023-07-10 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-05-26 | 2023-07-10 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-05-26 | 2023-07-10 | N |
| 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 | 2023-05-26 | 2023-07-10 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2023-05-26 | 2023-07-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-26 | 2023-07-10 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-26 | 2023-07-10 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-05-26 | 2023-07-10 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-05-26 | 2023-07-10 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-05-26 | 2023-07-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-05-26 | 2023-07-10 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-26 | 2023-07-10 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-05-26 | 2023-07-10 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-05-26 | 2023-07-10 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-05-26 | 2023-07-10 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-05-26 | 2023-07-10 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-05-26 | 2023-07-06 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-05-26 | 2023-07-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-26 | 2023-07-06 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-05-26 | 2023-07-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-05-26 | 2023-07-06 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-05-26 | 2023-07-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-05-26 | 2023-07-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-26 | 2023-07-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-05-26 | 2023-07-06 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-05-26 | 2023-07-06 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-05-26 | 2023-07-06 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-05-26 | 2023-07-06 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-03-24 | 2022-04-30 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-03-24 | 2022-04-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-03-24 | 2022-04-30 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-03-24 | 2022-04-30 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-03-24 | 2022-04-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-24 | 2022-04-30 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-03-24 | 2022-04-30 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-03-24 | 2022-04-30 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-03-24 | 2022-04-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-03-24 | 2022-04-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-03-24 | 2022-04-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-24 | 2022-04-30 | N |