CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Santa Fe Lodge
View the most recent health deficiencies and inspection results for Santa Fe Lodge. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Santa Fe Lodge. Stay informed about quality of care issues.
| 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 | 2026-02-05 | 2026-02-23 | Y |
| Assess the resident when there is a significant change in condition | Health | 2025-03-20 | 2025-04-10 | 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 | 2025-03-20 | 2025-04-10 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2025-03-20 | 2025-04-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-03-20 | 2025-04-10 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2025-03-20 | 2025-04-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-03-20 | 2025-04-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-03-20 | 2025-04-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-03-20 | 2025-04-10 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-03-20 | 2025-04-10 | 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 | 2025-03-20 | 2025-04-10 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-03-20 | 2025-04-10 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2025-03-20 | 2025-04-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-03-20 | 2025-04-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-03-20 | 2025-04-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-03-20 | 2025-04-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-03-20 | 2025-04-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-22 | 2024-11-12 | Y |
| 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 | 2024-09-11 | 2024-09-27 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-03-07 | 2024-04-11 | N |
| Provide a neutral and fair arbitration process and agree to arbitrator and venue. | Health | 2024-03-07 | 2024-04-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-07 | 2024-04-11 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2024-03-07 | 2024-04-11 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-03-07 | 2024-04-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-03-07 | 2024-04-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-07 | 2024-04-11 | 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 | 2024-03-07 | 2024-04-11 | 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 | 2024-03-07 | 2024-04-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-07 | 2024-04-11 | 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 | 2024-03-07 | 2024-04-11 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-03-07 | 2024-04-11 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2024-03-07 | 2024-04-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-07 | 2024-04-11 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-03-07 | 2024-04-11 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-03-07 | 2024-04-11 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-03-07 | 2024-04-11 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2024-03-07 | 2024-04-11 | 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 | 2024-03-07 | 2024-04-11 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-03-07 | 2024-03-29 | 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 | 2024-03-07 | 2024-03-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-07 | 2024-03-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-03-07 | 2024-03-29 | N |
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2024-01-19 | 2024-02-12 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-19 | 2024-02-12 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-03-10 | 2023-04-11 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2023-03-10 | 2023-04-11 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-03-10 | 2023-04-11 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-03-10 | 2023-04-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-10 | 2023-04-11 | 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 | 2023-03-10 | 2023-04-11 | N |
| Post nurse staffing information every day. | Health | 2023-03-10 | 2023-04-11 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2023-03-10 | 2023-04-11 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-03-10 | 2023-04-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-10 | 2023-04-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-10 | 2023-04-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-10 | 2023-04-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-03-10 | 2023-04-11 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-03-10 | 2023-04-11 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-03-10 | 2023-04-11 | 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 | 2023-03-10 | 2023-04-11 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-10 | 2023-04-11 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-03-10 | 2023-03-30 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-03-10 | 2023-03-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-10 | 2023-03-30 | N |