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Deficiency Records for Santa Fe Heights Healthcare Center, LLC
View the most recent health deficiencies and inspection results for Santa Fe Heights Healthcare Center, LLC. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Santa Fe Heights Healthcare Center, LLC. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-04-15 | 2026-04-20 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-04-15 | 2026-04-20 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2026-02-09 | 2026-03-01 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2026-02-09 | 2026-03-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2026-02-09 | 2026-03-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2026-02-09 | 2026-03-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2026-02-09 | 2026-03-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2026-02-09 | 2026-03-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2026-02-09 | 2026-03-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-02-09 | 2026-03-01 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2026-02-09 | 2026-03-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2026-02-09 | 2026-03-01 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2026-02-09 | 2026-03-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2026-02-09 | 2026-03-01 | 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 | 2026-02-09 | 2026-03-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-02-09 | 2026-02-28 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2026-02-09 | 2026-02-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-02-09 | 2026-02-28 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2026-02-09 | 2026-02-28 | 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 | 2026-02-09 | 2026-02-28 | 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 | 2026-02-09 | 2026-02-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2026-02-09 | 2026-02-28 | 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 | 2026-02-09 | 2026-02-28 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-02-09 | 2026-02-28 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2026-02-09 | 2026-02-28 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2026-02-09 | 2026-02-28 | 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 | 2026-02-09 | 2026-02-28 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2026-02-09 | 2026-02-28 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2026-02-09 | 2026-02-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-02-09 | 2026-02-28 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2026-02-09 | 2026-02-28 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2026-02-09 | 2026-02-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-02-09 | 2026-02-28 | Y |
| 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 | 2026-02-09 | 2026-02-28 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2026-02-09 | 2026-02-28 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2026-02-09 | 2026-02-28 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2026-02-09 | 2026-02-28 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2026-02-09 | 2026-02-28 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2026-02-03 | 2026-02-27 | Y |
| Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | Health | 2026-02-03 | 2026-02-27 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2026-02-03 | 2026-02-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-02-03 | 2026-02-27 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-11-13 | 2025-11-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-11-13 | 2025-11-29 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-11-18 | 2025-11-28 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2025-11-18 | 2025-11-28 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-07-21 | 2025-08-11 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2025-07-21 | 2025-08-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-07-21 | 2025-08-11 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-05-29 | 2025-06-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-05-17 | 2025-05-30 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-04-07 | 2025-04-25 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-02-13 | 2025-03-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-02-13 | 2025-03-12 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2025-02-13 | 2025-03-10 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2025-02-13 | 2025-03-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-02-13 | 2025-03-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-02-13 | 2025-03-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-02-13 | 2025-03-10 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2025-02-13 | 2025-03-10 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-02-13 | 2025-03-10 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-02-13 | 2025-03-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-02-13 | 2025-03-10 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-02-13 | 2025-03-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-02-13 | 2025-03-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-02-13 | 2025-03-10 | 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 | 2025-02-13 | 2025-03-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-02-13 | 2025-03-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-02-13 | 2025-03-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-02-13 | 2025-03-10 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-02-13 | 2025-03-10 | 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 | 2025-02-13 | 2025-03-10 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2025-02-13 | 2025-03-10 | 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 | 2025-02-13 | 2025-03-10 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-02-13 | 2025-03-10 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-02-13 | 2025-03-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-02-13 | 2025-03-10 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-02-13 | 2025-03-10 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-01-23 | 2025-03-10 | Y |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2025-02-13 | 2025-03-10 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-02-06 | 2025-02-25 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-02-06 | 2025-02-25 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-02-06 | 2025-02-25 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-01-23 | 2025-02-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-23 | 2025-02-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-02 | 2025-01-21 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-01-02 | 2025-01-21 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-01-02 | 2025-01-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-01-02 | 2025-01-21 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-12-04 | 2024-12-17 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-11-20 | 2024-12-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-11-20 | 2024-12-15 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-11-20 | 2024-12-15 | Y |
| 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 | 2024-11-20 | 2024-12-15 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-10-29 | 2024-11-18 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-10-02 | 2024-10-20 | 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 | 2024-10-02 | 2024-10-20 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-10-02 | 2024-10-20 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-10-02 | 2024-10-20 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-08-23 | 2024-09-16 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-08-23 | 2024-09-16 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-08-23 | 2024-09-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-10 | 2024-08-02 | 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 | 2024-05-23 | 2024-06-06 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-05-19 | 2024-06-05 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-03-27 | 2024-04-20 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-27 | 2024-04-20 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-04-02 | 2024-04-11 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-04-02 | 2024-04-11 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-02-23 | 2024-03-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-02-23 | 2024-03-15 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-02-23 | 2024-03-15 | 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 | 2024-02-23 | 2024-03-15 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-02-23 | 2024-03-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-23 | 2024-03-15 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-02-23 | 2024-03-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-23 | 2024-03-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-02-23 | 2024-03-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-02-23 | 2024-03-15 | 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 | 2024-02-23 | 2024-03-15 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2024-02-23 | 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 | 2024-02-23 | 2024-03-15 | N |
| Dispose of garbage and refuse properly. | Health | 2024-02-23 | 2024-03-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-23 | 2024-03-15 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2024-02-23 | 2024-03-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-22 | 2023-12-16 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-10-30 | 2023-11-26 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-28 | 2023-11-17 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-10-12 | 2023-10-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-25 | 2023-10-14 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-09-06 | 2023-09-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-06 | 2023-09-24 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-06 | 2023-09-24 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-09-06 | 2023-09-24 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-07-17 | 2023-08-31 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-07-17 | 2023-08-31 | 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 | 2023-07-17 | 2023-08-31 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-07-17 | 2023-08-31 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-08-15 | 2023-08-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-15 | 2023-08-30 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-07-27 | 2023-08-26 | 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 | 2023-06-28 | 2023-07-23 | Y |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2023-06-28 | 2023-07-23 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-28 | 2023-07-23 | Y |