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Deficiency Records for Santa Fe Health and Rehabilitation Center
A list of the most recent deficiencies for Santa Fe Health and Rehabilitation 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 Santa Fe Health and Rehabilitation 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2024-03-15 | 2024-04-01 | 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 | 2024-01-25 | 2024-03-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-01-25 | 2024-03-15 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-01-25 | 2024-03-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-01-25 | 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 | 2024-01-25 | 2024-03-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-01-25 | 2024-03-15 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-01-24 | 2024-03-15 | 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 | 2024-01-24 | 2024-03-15 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-01-24 | 2024-03-15 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-11-04 | 2022-12-04 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-11-04 | 2022-12-04 | 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 | 2022-11-04 | 2022-12-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-04 | 2022-12-04 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-11-10 | 2022-11-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-28 | 2022-10-12 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-09-28 | 2022-10-12 | Y |
| 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 | 2022-09-28 | 2022-10-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-06-07 | 2022-06-24 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-10-23 | 2021-11-12 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-09-13 | 2021-10-21 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-09-03 | 2021-10-15 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-09-03 | 2021-10-15 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2021-09-03 | 2021-10-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-03 | 2021-10-15 | N |
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