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 |