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Deficiency Records for Sandia Ridge Center
A list of the most recent deficiencies for Sandia Ridge Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Sandia Ridge 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-07-23 | 2024-08-27 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-23 | 2024-08-27 | 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 | 2024-05-07 | 2024-05-21 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-04-12 | 2024-05-09 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-04-12 | 2024-05-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-12 | 2024-05-09 | 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 | 2024-04-12 | 2024-05-09 | N |
| 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 | 2024-04-12 | 2024-05-09 | 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 | 2024-04-12 | 2024-05-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-29 | 2023-12-22 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-29 | 2023-11-29 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-05-23 | 2023-06-16 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-04-12 | 2023-05-22 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-04-12 | 2023-05-22 | Y |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2023-04-12 | 2023-05-22 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-01-13 | 2023-02-13 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-01-13 | 2023-02-13 | Y |
| Provide activities to meet all resident's needs. | Health | 2023-01-13 | 2023-02-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-13 | 2023-02-13 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-01-13 | 2023-02-13 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-01-13 | 2023-02-13 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-01-13 | 2023-02-13 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-01-13 | 2023-02-13 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2023-01-19 | 2023-02-13 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-01-19 | 2023-02-13 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-01-19 | 2023-02-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-01-19 | 2023-02-13 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-01-19 | 2023-02-13 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-08-12 | 2022-09-27 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-12 | 2022-09-27 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-08-12 | 2022-09-27 | 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 | 2022-08-12 | 2022-09-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-12 | 2022-09-27 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-08-12 | 2022-09-27 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-05-17 | 2022-05-27 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-05-17 | 2022-05-27 | 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 | 2022-02-21 | 2022-04-19 | 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 | 2021-11-23 | 2022-04-19 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-02-21 | 2022-03-30 | 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 | 2022-02-21 | 2022-03-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-21 | 2022-03-30 | 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 | 2021-11-23 | 2022-03-30 | N |
| 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 | 2021-11-23 | 2022-03-30 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-11-23 | 2022-03-30 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-11-23 | 2022-03-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-23 | 2022-03-30 | 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 | 2021-11-23 | 2022-03-30 | N |
| Provide activities to meet all resident's needs. | Health | 2021-11-23 | 2022-03-30 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-11-23 | 2022-03-30 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2021-11-23 | 2022-03-30 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2021-11-23 | 2022-03-30 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2021-11-23 | 2022-03-30 | N |
| 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 | 2021-11-23 | 2022-03-30 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-11-23 | 2022-03-30 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-11-23 | 2022-03-30 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2021-10-21 | 2021-12-13 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-10-21 | 2021-12-13 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-10-21 | 2021-12-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-10-21 | 2021-12-13 | N |
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