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Deficiency Records for New Mexico State Veterans Home
A list of the most recent deficiencies for New Mexico State Veterans Home. 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 New Mexico State Veterans Home. 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? |
|---|---|---|---|---|
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-05-08 | 2024-07-23 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-05-08 | 2024-07-23 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-05-08 | 2024-07-23 | Y |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-08-22 | 2023-10-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-22 | 2023-10-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-22 | 2023-10-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-25 | 2023-10-06 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-08-25 | 2023-10-06 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-08-25 | 2023-10-06 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-08-25 | 2023-10-06 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-08-25 | 2023-10-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-25 | 2023-10-06 | 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 | 2023-08-25 | 2023-10-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-08-25 | 2023-10-06 | 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 | 2023-08-25 | 2023-10-06 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-08-25 | 2023-10-06 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-08-25 | 2023-10-06 | 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 | 2023-08-25 | 2023-10-06 | 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 | 2023-08-25 | 2023-10-06 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-08-25 | 2023-10-06 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-08-25 | 2023-10-06 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-25 | 2023-10-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-25 | 2023-10-06 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-06-15 | 2022-10-31 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-06-15 | 2022-10-31 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-06-15 | 2022-10-31 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2022-06-15 | 2022-10-31 | 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 | 2022-06-15 | 2022-10-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-15 | 2022-10-31 | 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 | 2022-06-15 | 2022-10-31 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-06-15 | 2022-10-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-15 | 2022-10-31 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2022-06-15 | 2022-10-31 | N |
| Provide activities to meet all resident's needs. | Health | 2022-06-15 | 2022-10-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-15 | 2022-10-31 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-06-15 | 2022-10-31 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-06-15 | 2022-10-31 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-06-15 | 2022-10-31 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-06-15 | 2022-10-31 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-06-15 | 2022-10-31 | 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 | 2022-06-15 | 2022-10-31 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-06-15 | 2022-10-31 | 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 | 2022-06-15 | 2022-10-31 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2022-06-15 | 2022-10-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-15 | 2022-10-31 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-06-15 | 2022-10-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-15 | 2022-10-31 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-06-15 | 2022-10-31 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-06-15 | 2022-10-31 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2022-06-15 | 2022-10-31 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-06-15 | 2022-10-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-15 | 2022-10-31 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-15 | 2022-10-31 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-15 | 2022-10-31 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-06-07 | 2022-08-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-08-04 | 2021-10-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-08-04 | 2021-10-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-08-04 | 2021-10-29 | 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 | 2021-08-04 | 2021-10-29 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-08-04 | 2021-10-29 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-08-04 | 2021-10-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-04 | 2021-10-29 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-08-04 | 2021-10-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-04 | 2021-10-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-07-20 | 2021-09-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-07-20 | 2021-09-03 | N |
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