Deficiency Records for Sandia Ridge Center
Updated as of August 01, 2022
This is not the most recent data for Sandia Ridge Center. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 | 2022-02-21 | 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 | 2021-11-23 | 2022-04-19 | 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 |
| 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 |
| 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 a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-12-16 | 2020-12-30 | N |
| Perform COVID19 testing on residents and staff. | Health | 2020-12-16 | 2020-12-30 | N |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2020-12-16 | 2020-12-30 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2020-12-16 | 2020-12-30 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-10-28 | 2020-11-23 | Y |
| Respond appropriately to all alleged violations. | Health | 2020-10-28 | 2020-11-23 | Y |
| 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 |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2020-08-13 | 2020-10-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-06-22 | 2020-08-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-07-29 | 2020-08-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-22 | 2019-04-21 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-03-22 | 2019-04-21 | 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 | 2019-03-22 | 2019-04-21 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-03-22 | 2019-04-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-22 | 2019-04-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-22 | 2019-04-21 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-03-20 | 2019-04-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-03-20 | 2019-04-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-20 | 2019-04-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-03-20 | 2019-04-21 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-03-20 | 2019-04-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-03-20 | 2019-04-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-03-20 | 2019-04-21 | N |
