Inspection Reports for BeeHive Homes of Four Hills
13450 Wenonah Ave SE, Albuquerque, NM 87123, NM, 87123
Back to Facility ProfileDeficiencies per Year
12
9
6
3
0
Unclassified
Inspection Report
Complaint Investigation
Deficiencies: 3
Nov 24, 2020
Visit Reason
The inspection was conducted as a complaint survey related to state requirements for Assisted Living Facilities, specifically regarding complaint intake #45579 which was substantiated with deficiencies cited.
Findings
The facility was found deficient in developing and implementing Individual Service Plans (ISPs) within required timelines and ensuring all residents' conditions and needs were addressed. Documentation and care related to hospice services, wound care, and resident rights were also found lacking.
Complaint Details
Complaint Intake #45579 was substantiated with deficiencies cited related to inadequate Individual Service Plans and failure to meet residents' needs and rights.
Deficiencies (3)
| Description |
|---|
| Failure to develop and implement Individual Service Plans (ISPs) within ten calendar days of admission and to review and revise ISPs as required. |
| Lack of documentation of wounds and appropriate care in residents' ISPs and medical records. |
| Failure to protect resident rights including privacy, communication, and participation in care planning. |
Report Facts
Complaint Intake Number: 45579
Date of Survey Completion: Nov 24, 2020
Number of Deficiencies Cited: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Morgan Leach | Administrator | Named in relation to the plan of correction and interview confirming deficiencies. |
Inspection Report
Routine
Deficiencies: 0
Apr 6, 2020
Visit Reason
An offsite surveillance survey was conducted related to Covid-19 infection prevention and control.
Findings
The survey focused on Covid-19 infection prevention and control measures; no specific deficiencies or findings are detailed in the report.
Inspection Report
Follow-Up
Deficiencies: 0
Oct 18, 2017
Visit Reason
The visit was a Revisit/Follow-up survey to assess compliance with state requirements of 7 NMAC 8.2, Regulations for Assisted Living.
Findings
No deficiencies were cited during the Revisit/Follow-up survey. The facility was found to be in substantial compliance.
Inspection Report
Complaint Investigation
Census: 14
Deficiencies: 6
Apr 10, 2017
Visit Reason
The inspection was conducted as a complaint survey based on complaint# NM00030186, which was substantiated with deficiencies cited related to state requirements for Assisted Living Facilities.
Findings
The facility was found deficient in multiple areas including staff training, resident evaluation updates, individual service plan accuracy and timeliness, emergency handling and reporting, and resident rights protections. Specific failures included incomplete staff orientation training, outdated resident evaluations and ISPs, delayed emergency notifications, lack of incident investigation documentation, and failure to contact designated persons in emergencies.
Complaint Details
Complaint# NM00030186 was substantiated with deficiencies cited related to staff training, resident evaluation, emergency handling, incident reporting, and resident rights.
Deficiencies (6)
| Description |
|---|
| Failed to ensure that Direct Care Staff completed the required 12 hours of orientation training including emergency procedures. |
| Failed to ensure that a resident had an updated evaluation reflecting changes in condition and signed/reviewed by a nurse. |
| Failed to revise the Individual Service Plan timely and accurately to reflect changes in resident condition and was 79 days late between ISPs. |
| Failed to ensure a primary care practitioner or designated person was contacted promptly in case of emergency. |
| Failed to conduct and document an investigation of a reportable incident involving a resident's injury. |
| Failed to protect resident rights by ensuring timely emergency contact and incident investigation documentation. |
Report Facts
Residents on census list: 14
Direct Care Staff reviewed: 1
Residents reviewed for evaluation and ISP: 1
Days late for ISP review: 79
Length of laceration: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| DCS #1 | Direct Care Staff | Named in findings related to incomplete training, failure to notify emergency contacts promptly, and delayed reporting of resident injury. |
| Operations Manager | Interviewed and confirmed deficiencies related to staff training and emergency notification failures. | |
| House Manager | Provided resident census list and confirmed lack of incident investigation and delayed ISP updates. | |
| DCS #2 | Direct Care Staff | Interviewed and confirmed ISP inaccuracies and delays. |
Inspection Report
Follow-Up
Deficiencies: 0
Feb 1, 2017
Visit Reason
A revisit/follow up survey was completed on 02/01/17 for the survey dated 08/19/16 for the requirements of 7 NMAC 8.2, Regulations for Assisted Living.
Findings
No deficiencies were cited during this follow-up survey.
Inspection Report
Original Licensing
Deficiencies: 11
Aug 19, 2016
Visit Reason
An initial survey was completed on 08/19/16 for the state requirements of 7 NMAC 8.2, Regulations for Assisted Living.
Findings
Deficiencies were cited related to licensing requirements, staff qualifications, facility reports and records, resident evaluations, medication management, nutrition, hazardous areas, fire protection system, and hospice care coordination.
Deficiencies (11)
| Description |
|---|
| Facility failed to reapply for a temporary license prior to expiration, resulting in operating without a current license. |
| Facility failed to ensure 4 of 10 Direct Care Staff had Employee Abuse Registry inquiries completed prior to hire. |
| Facility failed to have a record of a Custodial Drug Permit to legally store medications for residents. |
| Resident evaluations for 2 of 3 residents were not signed, dated, or complete as required. |
| Oxygen tanks were improperly stored unsecured in resident rooms and exposed to fuel fired hot water heaters. |
| Medication cart was unlocked and unattended, with non-oral and oral medications stored together. |
| Medication Administration Records for 3 residents lacked diagnosis/reason for medications, documentation of time given, reasons for PRN medications, outcomes, and missed/refused doses. |
| Direct Care Staff failed to wear hair nets or caps when preparing and serving food, risking bacterial contamination. |
| Combustible materials were stored in a hazardous area next to the fuel fired hot water heater. |
| Sprinkler heads throughout the facility were dropped down away from the ceiling leaving openings unsealed by escutcheon plates. |
| Hospice provider failed to leave documentation of care and services (visit notes) for a resident receiving hospice services. |
Report Facts
Direct Care Staff with late EAR inquiry: 4
Oxygen bottles unsecured: 5
Residents: 10
Inspection Report
Life Safety
Deficiencies: 0
Mar 9, 2016
Visit Reason
An initial life safety code survey was conducted at the facility per the provider's request.
Findings
The facility was found to be in substantial compliance with the Life Safety Code portion of the New Mexico State Regulations for Assisted Living Facilities for Adults 7.8.2 NMAC. Temporary licensure was recommended.
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