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Deficiency Records for Taos Healthcare
A list of the most recent deficiencies for Taos Healthcare. 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 Taos Healthcare. 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? |
|---|---|---|---|---|
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-05-10 | 2024-06-08 | 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 | 2024-05-10 | 2024-06-08 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-08-15 | 2023-10-19 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-15 | 2023-10-19 | 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 | 2023-08-15 | 2023-10-19 | 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 | 2023-08-15 | 2023-10-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-08-15 | 2023-10-19 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-08-15 | 2023-10-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-15 | 2023-10-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-15 | 2023-10-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-15 | 2023-10-19 | 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 | 2023-08-15 | 2023-10-19 | 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 | 2023-08-15 | 2023-10-19 | 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 | 2023-08-15 | 2023-10-19 | 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 | 2023-08-15 | 2023-10-19 | 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 | 2023-08-15 | 2023-10-19 | N |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2023-08-15 | 2023-10-19 | 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 | 2023-08-15 | 2023-10-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-15 | 2023-10-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-15 | 2023-10-19 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-08-15 | 2023-10-19 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-08-15 | 2023-10-19 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-09-21 | 2023-10-19 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-09-21 | 2023-10-19 | 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 | 2023-09-21 | 2023-10-19 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-21 | 2023-10-19 | 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 | 2023-09-21 | 2023-10-19 | Y |
| Provide activities to meet all resident's needs. | Health | 2023-09-21 | 2023-10-19 | 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 | 2023-09-21 | 2023-10-19 | Y |
| Help the resident with transportation to and from laboratory services outside of the facility. | Health | 2023-09-21 | 2023-10-19 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-09-21 | 2023-10-19 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-09-21 | 2023-10-19 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-07-20 | 2023-10-19 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-07-20 | 2023-10-19 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2023-07-20 | 2023-10-19 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-07-20 | 2023-10-19 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-08-08 | 2023-10-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-08-08 | 2023-10-19 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-03-17 | 2023-04-03 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-03-17 | 2023-04-03 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-03-17 | 2023-04-03 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-03-17 | 2023-04-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-17 | 2023-04-03 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-03-17 | 2023-04-03 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-03-17 | 2023-04-03 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2023-03-17 | 2023-04-03 | Y |
| 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 | 2023-03-17 | 2023-04-03 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-05-12 | 2022-06-23 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-05-12 | 2022-06-23 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-05-12 | 2022-06-23 | 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 | 2022-05-12 | 2022-06-23 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-05-12 | 2022-06-23 | N |
| Respond appropriately to all alleged violations. | Health | 2022-05-12 | 2022-06-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-12 | 2022-06-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-05-12 | 2022-06-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-12 | 2022-06-23 | N |
| Provide activities to meet all resident's needs. | Health | 2022-05-12 | 2022-06-23 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-05-12 | 2022-06-23 | 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 | 2022-05-12 | 2022-06-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-05-12 | 2022-06-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-05-12 | 2022-06-23 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-05-12 | 2022-06-23 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-05-12 | 2022-06-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-12 | 2022-06-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-12 | 2022-06-23 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-05-10 | 2022-06-23 | 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 | 2022-05-10 | 2022-06-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-05-10 | 2022-06-23 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-05-10 | 2022-06-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-09 | 2022-03-25 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2022-03-09 | 2022-03-25 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2021-03-11 | 2021-04-13 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-03-11 | 2021-04-13 | 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 | 2021-03-11 | 2021-04-13 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-03-11 | 2021-04-13 | 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 | 2021-03-11 | 2021-04-13 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-03-11 | 2021-04-13 | N |
| Provide activities to meet all resident's needs. | Health | 2021-03-11 | 2021-04-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-03-11 | 2021-04-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-03-11 | 2021-04-13 | 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 | 2021-03-11 | 2021-04-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-03-11 | 2021-04-13 | 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 | 2021-03-11 | 2021-04-13 | 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 | 2021-03-11 | 2021-04-13 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2021-03-11 | 2021-04-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-03-11 | 2021-04-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-03-11 | 2021-04-13 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-03-09 | 2021-03-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-03-09 | 2021-03-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-03-09 | 2021-03-26 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-03-09 | 2021-03-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-03-09 | 2021-03-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-03-09 | 2021-03-12 | N |
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