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Deficiency Records for Santa Fe Health and Rehabilitation Center
View the most recent health deficiencies and inspection results for Santa Fe Health and Rehabilitation Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Santa Fe Health and Rehabilitation Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2025-12-08 | 2025-12-09 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-08-08 | 2025-08-11 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-08-08 | 2025-08-11 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-02-21 | 2025-03-28 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-02-21 | 2025-03-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-02-21 | 2025-03-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-02-21 | 2025-03-28 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-02-21 | 2025-03-28 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-02-21 | 2025-03-24 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-02-21 | 2025-03-21 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2025-02-21 | 2025-03-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-02-21 | 2025-03-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-02-21 | 2025-03-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-15 | 2024-04-01 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-01-25 | 2024-03-15 | 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 | 2024-01-25 | 2024-03-15 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-01-25 | 2024-03-15 | 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 | 2024-01-25 | 2024-03-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-01-25 | 2024-03-15 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-01-25 | 2024-03-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-01-25 | 2024-03-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-25 | 2024-03-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-01-25 | 2024-03-15 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-11-04 | 2022-12-04 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-11-04 | 2022-12-04 | 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 | 2022-11-04 | 2022-12-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-04 | 2022-12-04 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-11-04 | 2022-11-11 | N |