A list of the most recent deficiencies for Aztec 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? |
|---|---|---|---|---|
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-02-10 | 2023-03-12 | 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 | 2023-02-10 | 2023-03-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-10 | 2023-03-12 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-02-10 | 2023-03-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-10 | 2023-03-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-02-10 | 2023-03-12 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2023-02-06 | 2023-03-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-02-06 | 2023-03-12 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-08-17 | 2022-09-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-08-17 | 2022-09-16 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-01-07 | 2022-02-18 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-01-07 | 2022-02-18 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-01-07 | 2022-02-18 | 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 | 2022-01-07 | 2022-02-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-01-07 | 2022-02-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-07 | 2022-02-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-01-07 | 2022-02-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-01-07 | 2022-02-18 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-01-07 | 2022-02-18 | 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 | 2022-01-07 | 2022-02-18 | 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 | 2022-01-07 | 2022-02-18 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2022-01-07 | 2022-02-18 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-01-07 | 2022-02-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-07 | 2022-02-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-07 | 2022-02-18 | 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 | 2022-01-07 | 2022-02-18 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-01-07 | 2022-02-18 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2022-01-05 | 2022-02-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-05 | 2022-02-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-01-05 | 2022-02-11 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-09-16 | 2021-10-13 | Y |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2021-09-16 | 2021-10-13 | 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 | 2021-09-16 | 2021-10-13 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-09-16 | 2021-10-13 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-09-16 | 2021-10-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-04-01 | 2021-04-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-04-01 | 2021-04-30 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-04-01 | 2021-04-30 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-04-01 | 2021-04-30 | 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 | 2021-04-01 | 2021-04-30 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-04-01 | 2021-04-30 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2021-04-01 | 2021-04-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-01 | 2021-04-30 | Y |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-03-30 | 2021-04-30 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-03-30 | 2021-04-30 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2021-04-01 | 2020-02-26 | Y |
