Deficiency Records for White Sands Healthcare

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Updated as of April 01, 2024

A list of the most recent deficiencies for White Sands Healthcare. 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?
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-04-21 2023-05-25 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2023-04-21 2023-05-25 N
Honor the resident's right to manage his or her financial affairs. Health 2023-04-21 2023-05-25 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 2023-04-21 2023-05-25 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-04-21 2023-05-25 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 2023-04-21 2023-05-25 N
Observe each nurse aide's job performance and give regular training. Health 2023-04-21 2023-05-25 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 2023-04-21 2023-05-25 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 2023-04-21 2023-05-25 N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2023-04-21 2023-05-25 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-04-21 2023-05-25 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-04-21 2023-05-25 N
Provide and implement an infection prevention and control program. Health 2023-04-21 2023-05-25 N
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. Health 2023-04-21 2023-05-25 Y
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2023-04-19 2023-05-25 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2023-04-19 2023-05-25 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-04-19 2023-05-25 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2023-04-19 2023-05-25 N
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2022-04-22 2022-05-18 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-04-22 2022-05-18 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 2022-04-22 2022-05-18 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 2022-04-27 2022-05-15 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2022-04-27 2022-05-15 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-04-27 2022-05-15 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-05-12 2021-06-17 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2021-05-12 2021-06-17 N
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Fire Safety 2021-05-12 2021-06-11 N
Assist a resident in gaining access to vision and hearing services. Health 2021-05-07 2021-06-04 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 2021-05-07 2021-06-04 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-05-07 2021-06-04 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2021-05-07 2021-06-04 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2021-05-12 2021-06-04 N