Deficiency Records for Sandia Ridge Center

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Updated as of March 01, 2024

A list of the most recent deficiencies for Sandia Ridge Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-11-29 2023-12-22 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-11-29 2023-11-29 Y
Plan the resident's discharge to meet the resident's goals and needs. Health 2023-05-23 2023-06-16 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-04-12 2023-05-22 Y
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2023-04-12 2023-05-22 Y
Develop, implement, and/or maintain an effective training program for all new and existing staff members. Health 2023-04-12 2023-05-22 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-01-13 2023-02-13 Y
Respond appropriately to all alleged violations. Health 2023-01-13 2023-02-13 Y
Provide activities to meet all resident's needs. Health 2023-01-13 2023-02-13 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-01-13 2023-02-13 Y
Provide enough food/fluids to maintain a resident's health. Health 2023-01-13 2023-02-13 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2023-01-13 2023-02-13 Y
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 2023-01-13 2023-02-13 Y
Ensure that residents are free from significant medication errors. Health 2023-01-13 2023-02-13 Y
Provide properly protected cooking facilities. Fire Safety 2023-01-19 2023-02-13 N
Have properly installed hallway dispensers for alcohol-based hand rub. Fire Safety 2023-01-19 2023-02-13 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2023-01-19 2023-02-13 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-01-19 2023-02-13 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2023-01-19 2023-02-13 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-08-12 2022-09-27 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-08-12 2022-09-27 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2022-08-12 2022-09-27 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 2022-08-12 2022-09-27 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-08-12 2022-09-27 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2022-08-12 2022-09-27 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-05-17 2022-05-27 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-05-17 2022-05-27 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 2021-11-23 2022-04-19 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 2022-02-21 2022-04-19 Y
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 2021-11-23 2022-03-30 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 2021-11-23 2022-03-30 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2021-11-23 2022-03-30 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2021-11-23 2022-03-30 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-11-23 2022-03-30 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 2021-11-23 2022-03-30 N
Provide activities to meet all resident's needs. Health 2021-11-23 2022-03-30 N
Provide enough food/fluids to maintain a resident's health. Health 2021-11-23 2022-03-30 N
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2021-11-23 2022-03-30 N
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 2021-11-23 2022-03-30 N
Provide medically-related social services to help each resident achieve the highest possible quality of life. Health 2021-11-23 2022-03-30 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 2021-11-23 2022-03-30 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2021-11-23 2022-03-30 Y
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2021-11-23 2022-03-30 Y
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2022-02-21 2022-03-30 Y
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 2022-02-21 2022-03-30 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-02-21 2022-03-30 Y
Provide properly protected cooking facilities. Fire Safety 2021-10-21 2021-12-13 N
Have properly installed hallway dispensers for alcohol-based hand rub. Fire Safety 2021-10-21 2021-12-13 N
Install an approved automatic sprinkler system. Fire Safety 2021-10-21 2021-12-13 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2021-10-21 2021-12-13 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2020-10-28 2020-11-23 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 2020-10-28 2020-11-23 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2020-10-28 2020-11-23 N
Provide activities to meet all resident's needs. Health 2020-10-28 2020-11-23 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2020-10-28 2020-11-23 N
Ensure that residents are free from significant medication errors. Health 2020-10-28 2020-11-23 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 2020-10-28 2020-11-23 N
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2020-10-28 2020-11-23 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2020-10-28 2020-11-23 N
Provide and implement an infection prevention and control program. Health 2020-10-28 2020-11-23 N
Address patient/client population and determine types of services needed. Fire Safety 2020-10-27 2020-11-23 N
Establish emergency prep training and testing. Fire Safety 2020-10-27 2020-11-23 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2020-10-27 2020-11-23 N