Deficiency Records for Albuquerque Heights Healthcare and Rehabilitation
Updated as of March 01, 2024
A list of the most recent deficiencies for Albuquerque Heights Healthcare and Rehabilitation. 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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-02 | 2023-12-08 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-11-02 | 2023-12-08 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-08-04 | 2023-09-08 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-08-04 | 2023-09-08 | 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 | 2023-03-24 | 2023-04-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-24 | 2023-04-28 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-03-24 | 2023-04-28 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-03-24 | 2023-04-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-24 | 2023-04-28 | 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 | 2023-03-24 | 2023-04-28 | 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 | 2023-03-24 | 2023-04-28 | Y |
| Post nurse staffing information every day. | Health | 2023-03-24 | 2023-04-28 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-01-23 | 2023-03-01 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-01-23 | 2023-03-01 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-01-23 | 2023-03-01 | 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 | 2023-01-23 | 2023-03-01 | 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 | 2023-01-23 | 2023-03-01 | 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 | 2023-01-23 | 2023-03-01 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-01-23 | 2023-03-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-23 | 2023-03-01 | 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 | 2023-01-23 | 2023-03-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-01-23 | 2023-03-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-23 | 2023-03-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-23 | 2023-03-01 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-01-23 | 2023-03-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-01-23 | 2023-03-01 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-01-23 | 2023-03-01 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-01-23 | 2023-03-01 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-01-23 | 2023-03-01 | 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 | 2023-01-23 | 2023-03-01 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-01-23 | 2023-03-01 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-01-23 | 2023-03-01 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2023-01-23 | 2023-03-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-23 | 2023-03-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-23 | 2023-03-01 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-01-10 | 2023-02-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-30 | 2022-12-23 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-01-19 | 2022-02-14 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-01-19 | 2022-02-14 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2022-01-19 | 2022-02-14 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-01-19 | 2022-02-14 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-01-19 | 2022-02-14 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-01-19 | 2022-02-14 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-01-19 | 2022-02-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-01-19 | 2022-02-14 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-01-19 | 2022-02-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-19 | 2022-02-14 | 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 | 2022-01-19 | 2022-02-14 | 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 | 2022-01-19 | 2022-02-14 | N |
| Post nurse staffing information every day. | Health | 2022-01-19 | 2022-02-14 | 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 | 2022-01-19 | 2022-02-14 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2022-01-19 | 2022-02-14 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-01-19 | 2022-02-14 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2022-01-19 | 2022-02-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-19 | 2022-02-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-19 | 2022-02-14 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-01-19 | 2022-02-14 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-01-19 | 2022-02-14 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-01-19 | 2022-02-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-15 | 2022-02-14 | Y |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2022-01-13 | 2022-02-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-01-13 | 2022-02-14 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2022-01-13 | 2022-02-14 | 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 | 2021-08-05 | 2021-09-03 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-08-05 | 2021-09-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-08-05 | 2021-09-03 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-08-05 | 2021-09-03 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-08-05 | 2021-09-03 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2021-08-05 | 2021-09-03 | Y |
| 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 | 2021-08-05 | 2021-09-03 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2020-10-30 | 2021-01-09 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2020-10-30 | 2021-01-09 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-10-30 | 2021-01-09 | 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 | 2020-10-30 | 2021-01-09 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-10-30 | 2021-01-09 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2020-10-30 | 2021-01-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-10-30 | 2021-01-09 | N |
| Provide activities to meet all resident's needs. | Health | 2020-10-30 | 2021-01-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-10-30 | 2021-01-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-10-30 | 2021-01-09 | N |
| Have exits that are accessible at all times. | Fire Safety | 2020-10-29 | 2020-11-30 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-10-29 | 2020-11-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-10-29 | 2020-11-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-10-29 | 2020-11-30 | N |
