Deficiency Records for Santa Fe Health and Rehabilitation Center
Updated as of July 01, 2021
This is not the most recent data for Santa Fe Health and Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for Santa Fe Health and Rehabilitation Center. 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 emergency officials' contact information. | Fire Safety | 2020-01-23 | 2020-03-01 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2020-01-23 | 2020-03-01 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-01-23 | 2020-03-01 | N |
| Install proper backup exit lighting. | Fire Safety | 2020-01-23 | 2020-03-01 | 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 | 2020-01-23 | 2020-03-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-01-23 | 2020-03-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-01-15 | 2020-03-01 | N |
| Post nurse staffing information every day. | Health | 2020-01-15 | 2020-03-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-15 | 2020-03-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-15 | 2020-03-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-02-26 | 2019-04-10 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2019-02-26 | 2019-04-10 | 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 | 2019-02-28 | 2019-04-10 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-02-28 | 2019-04-10 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-02-28 | 2019-04-10 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-02-28 | 2019-04-10 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2019-02-28 | 2019-04-10 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-07-26 | 2018-09-01 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-07-26 | 2018-09-01 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-02-15 | 2018-04-01 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2018-02-15 | 2018-04-01 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-02-15 | 2018-04-01 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2018-02-15 | 2018-04-01 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-02-15 | 2018-04-01 | N |
| Develop a communication plan. | Fire Safety | 2018-02-15 | 2018-04-01 | N |
| Establish methods for sharing information. | Fire Safety | 2018-02-15 | 2018-04-01 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-02-15 | 2018-04-01 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-02-15 | 2018-04-01 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-02-15 | 2018-04-01 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-02-15 | 2018-04-01 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2018-02-15 | 2018-04-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-02-15 | 2018-04-01 | 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 | 2018-02-15 | 2018-04-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-02-15 | 2018-04-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-01-23 | Not Fixed | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-02-15 | Not Fixed | N |
