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Deficiency Records for Las Cruces Village Nursing and Rehabilitation LLC
View the most recent health deficiencies and inspection results for Las Cruces Village Nursing and Rehabilitation LLC. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Las Cruces Village Nursing and Rehabilitation LLC. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-09-16 | 2025-10-31 | Y |
| 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 | 2025-09-16 | 2025-10-31 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-09-16 | 2025-10-31 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-09-16 | 2025-10-31 | 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 | 2025-09-16 | 2025-10-31 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-09-16 | 2025-10-31 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-09-16 | 2025-10-31 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-06-27 | 2025-08-11 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2025-06-27 | 2025-08-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-06-27 | 2025-08-11 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2025-06-27 | 2025-08-11 | N |
| Provide activities to meet all resident's needs. | Health | 2025-06-27 | 2025-08-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-06-27 | 2025-08-11 | 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 | 2025-06-27 | 2025-08-11 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-06-27 | 2025-08-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-06-27 | 2025-08-11 | N |
| Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | Health | 2025-06-27 | 2025-08-11 | 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 | 2025-06-27 | 2025-08-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-06-27 | 2025-08-11 | Y |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-06-27 | 2025-08-11 | Y |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2025-06-27 | 2025-08-11 | N |
| Ensure that paid feeding assistants have the training they need. | Health | 2025-06-27 | 2025-08-11 | N |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2025-06-27 | 2025-08-11 | N |
| Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | Health | 2025-06-27 | 2025-08-11 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2025-06-27 | 2025-08-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-06-27 | 2025-08-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-06-27 | 2025-08-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-06-27 | 2025-08-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-06-27 | 2025-08-11 | N |
| Provide or obtain dental services for each resident. | Health | 2025-06-27 | 2025-08-11 | 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 | 2025-06-27 | 2025-08-11 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2025-06-27 | 2025-08-11 | 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 | 2025-06-27 | 2025-08-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-06-27 | 2025-08-11 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-06-27 | 2025-08-11 | 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 | 2025-06-27 | 2025-08-11 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2025-06-27 | 2025-08-11 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-06-27 | 2025-08-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-06-27 | 2025-08-11 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2025-06-27 | 2025-08-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-06-16 | 2025-07-29 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-06-16 | 2025-07-29 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-02-13 | 2025-03-21 | 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 | 2025-02-13 | 2025-03-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-02-13 | 2025-03-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-12-16 | 2025-01-31 | Y |
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2024-12-16 | 2025-01-31 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-10-09 | 2024-10-30 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2024-03-12 | 2024-05-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-12 | 2024-05-17 | N |
| Provide activities to meet all resident's needs. | Health | 2024-03-12 | 2024-05-17 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2024-03-12 | 2024-05-17 | 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 | 2024-03-12 | 2024-05-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-03-12 | 2024-05-17 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-03-12 | 2024-05-17 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-03-12 | 2024-05-17 | 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 | 2024-03-12 | 2024-05-17 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-03-12 | 2024-05-17 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-03-12 | 2024-05-17 | 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 | 2024-03-12 | 2024-05-17 | 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 | 2024-03-12 | 2024-05-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-12 | 2024-05-17 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2024-03-12 | 2024-05-17 | N |
| Meet other general requirements. | Fire Safety | 2024-03-12 | 2024-05-10 | 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 | 2024-03-12 | 2024-05-10 | 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 | 2024-03-12 | 2024-05-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-03-12 | 2024-05-10 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-03-12 | 2024-05-10 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-03-12 | 2024-05-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-03-12 | 2024-05-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-03-12 | 2024-05-10 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-03-12 | 2024-05-10 | 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 | 2023-02-01 | 2023-03-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-01 | 2023-03-27 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-02-01 | 2023-03-27 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-02-01 | 2023-03-27 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-02-01 | 2023-03-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-01 | 2023-03-27 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-02-01 | 2023-03-27 | 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 | 2023-02-01 | 2023-03-27 | 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 | 2023-02-01 | 2023-03-27 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-02-01 | 2023-03-27 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-02-01 | 2023-03-27 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2023-02-01 | 2023-03-27 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-02-01 | 2023-03-27 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-02-01 | 2023-03-27 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-02-01 | 2023-03-27 | 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 | 2023-02-01 | 2023-03-27 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-02-01 | 2023-03-27 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-02-01 | 2023-03-27 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-02-01 | 2023-03-27 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2026-04-30 | Not Fixed | Y |
| 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 | 2026-04-30 | Not Fixed | Y |
| Post nurse staffing information every day. | Health | 2026-04-30 | Not Fixed | 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 | 2026-04-30 | Not Fixed | Y |
| Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2026-04-30 | Not Fixed | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2026-04-30 | Not Fixed | Y |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2026-04-30 | Not Fixed | Y |