Inspection Reports for BeeHive Homes of Farmington
400 N Locke Ave, Farmington, NM 87401, NM, 87401
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Inspection Report
Complaint Investigation
Census: 12
Deficiencies: 19
Sep 14, 2017
Visit Reason
The inspection was a Full-Onsite/Complaint survey conducted to assess compliance with state requirements for Assisted Living Facilities, triggered by complaints and routine oversight.
Findings
The facility was found deficient in multiple areas including staff training, staffing ratios, admissions and discharge procedures, facility reports and records, individual service plans, incident reporting, resident rights, medication management, nutrition, housekeeping, hazardous areas, heating and ventilation, electrical system, fire safety, hospice care, and memory care unit requirements.
Complaint Details
The visit was complaint-related with substantiated findings of multiple deficiencies including failure to report incidents, inadequate staff training, and unsafe resident care practices.
Deficiencies (19)
| Description |
|---|
| Direct Care Staff failed to receive required 12 hours of orientation training including fire safety, first aid, infection control, and medication assistance. |
| Insufficient number of Direct Care Staff on duty during resident sleeping hours to safely assist residents requiring two-person transfers. |
| Admissions agreements for residents receiving hospice care lacked required termination clauses, notice provisions, and specialty training disclosures. |
| Facility failed to maintain coordination of care documentation with hospice providers in residents' Individual Service Plans (ISPs). |
| Facility failed to maintain required facility reports, records, policies, and procedures including 30-day menus as served, house rules on electric blankets, and fire drill records. |
| Individual Service Plans for residents receiving hospice care were not updated to include hospice coordination and were not signed by licensed nurses. |
| Facility failed to report multiple incidents of resident abuse, neglect, and injury to the Licensing Authority within required timeframes and failed to submit timely follow-up reports. |
| Resident was physically restrained with a full bedrail without physician's order. |
| Medication management deficiencies including missing narcotic proof of use records, unaccounted medication quantities, incorrect medication labeling, improper medication storage, and lack of narcotic reconciliation. |
| Facility failed to maintain daily refrigerator/freezer temperature logs and dishwasher temperature monitoring logs; kitchen staff did not wear hairnets; kitchen floors and cupboards were dirty and had pest evidence; food and pantry items were improperly stored and labeled; menus lacked snacks and were not posted. |
| Cleaning supplies and chemicals were stored with clean linens and accessible to residents; kitchen and fuel-fired heater rooms were dirty and cluttered with combustible materials. |
| Hazardous areas were not properly enclosed or sealed to prevent smoke, vapor, and flame penetration; attic access panel missing; furnace room drywall penetrations unsealed. |
| Fuel-fired heating system and hot water heater lacked documentation of annual inspection; corrosion observed on hot water heater pipes. |
| Hot water temperatures in resident rooms exceeded the maximum safe temperature of 110 degrees Fahrenheit, reaching up to 130 degrees. |
| Electrical outlets within 6 feet of sinks lacked required Ground Fault Circuit Interrupter (GFCI) protection. |
| Exit doors had locks that could not be operated by occupants or did not automatically unlock upon fire alarm activation; resident room and bathroom doors had privacy locks preventing easy egress; exit doors did not open outward as required. |
| Fire extinguishers were not inspected monthly as required; one exit lacked a fire extinguisher. |
| Direct Care Staff lacked required annual hospice training; hospice care coordination and team meetings were not documented in residents' records; Individual Service Plans did not include hospice coordination of care. |
| Direct Care Staff lacked required 12 hours annual dementia training; no physician orders documented for memory care unit placement for residents. |
Report Facts
Residents present: 12
Deficiency counts: 19
Unaccounted narcotic medication: 7.75
Hot water temperature: 130
Fire extinguisher inspection months missed: 3
Days late for 5-day follow-up report: 24
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| DCS #1 | Direct Care Staff | Named in medication administration and hospice training deficiencies |
| House Manager | Interviewed multiple times confirming deficiencies and facility practices | |
| Administrator | Interviewed confirming medication and facility deficiencies | |
| Cook | Interviewed regarding kitchen sanitation and food storage deficiencies | |
| Maintenance Director | Interviewed regarding hazardous areas and electrical deficiencies | |
| Maintenance Assistant | Interviewed regarding hazardous areas and electrical deficiencies |
Inspection Report
Complaint Investigation
Deficiencies: 0
Feb 15, 2013
Visit Reason
The inspection was conducted as a complaint investigation under NMAC 7.8.2 regulations governing Assisted Living facilities for intake 28949.
Findings
The complaint was found to be unsubstantiated and no deficiencies were cited during the inspection.
Complaint Details
The complaint was unsubstantiated with no deficiencies cited.
Inspection Report
Deficiencies: 1
Aug 27, 2009
Visit Reason
The inspection was conducted to assess compliance with medication administration regulations at Beehive Homes of Farmington, specifically focusing on staff assistance with medications and adherence to state and federal laws.
Findings
The facility failed to ensure that rectal suppositories as part of a medication regimen were administered only by licensed personnel in accordance with state and federal laws. Interviews and record reviews revealed that direct care staff, not licensed nurses, were administering suppositories after being 'trained' by the nursing agency, which was not authorized. The agency acknowledged the issue and corrective actions were planned.
Deficiencies (1)
| Description |
|---|
| Failure to ensure rectal suppositories were administered only by licensed personnel as required by state and federal laws. |
Report Facts
Provider/Supplier/CLIA Identification Number: 5870
Inspection Report
Annual Inspection
Deficiencies: 12
Nov 19, 2007
Visit Reason
The inspection was conducted as an annual survey of Beehive Homes of Farmington to assess compliance with state and federal regulations related to medication management, site requirements, maintenance, fire and safety training, employee records, and incident reporting.
Findings
The facility was found deficient in multiple areas including custodial drug permit compliance, medication storage and administration, site maintenance, fire safety training, employee background checks, and incident reporting. Several deficiencies were corrected promptly by maintenance and staff, while others required ongoing corrective actions.
Deficiencies (12)
| Description |
|---|
| Failure to have a current custodial drug permit and ensure all medications were stored under locked conditions. |
| Failure to ensure a consultant pharmacist reviewed the medication regimen at least quarterly. |
| Failure to properly administer and document medications according to physician orders for sampled residents. |
| Failure to maintain the facility site free from environmental and objectionable factors, including broken heating vent cover. |
| Failure to maintain building and grounds, including obstructed sprinkler heads and extension cords used improperly. |
| Failure to conduct monthly fire drills and maintain proper documentation of fire safety training. |
| Failure to submit employee application and fees timely to the Caregivers' Criminal History Screening Program for 33% of staff. |
| Failure to maintain documentation of Employee Abuse Registry checks for 33% of staff. |
| Failure to ensure incidents were reported using the most current Incident Management Form. |
| Failure to ensure required training on abuse, neglect, and exploitation was documented for 100% of staff. |
| Failure to maintain required documentation of incident reporting training for all employees. |
| Failure to prominently post the most current Incident Management Information Poster in the facility. |
Report Facts
Deficiencies cited: 12
Staff files reviewed: 3
Resident sample size: 12
Fire drills required: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Retha Jackson | Administrator | Named in relation to medication storage and pharmacist consultation deficiencies and corrective actions. |
| Noreen Klemm | Registered Nurse | Involved in correcting medication documentation deficiencies. |
| Sandra Hoseas | House Manager | Mentioned regarding fire drill documentation and medication administration issues. |
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