Inspection Reports for BeeHive Homes of White Rock

110 Longview Dr, White Rock, NM 87547, NM, 87547

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Inspection Report Summary

The most recent inspection on July 31, 2023, identified deficiencies related to medication availability and administration, including missed doses and incomplete medication records. Earlier inspections were mostly free of deficiencies, with no issues noted during several routine surveys from 2020 and a follow-up survey in 2018. Prior reports, including the initial licensing survey in 2018, cited multiple deficiencies involving facility management, medication records, safety, and documentation. Complaint investigations included a substantiated case regarding medication unavailability that affected a resident’s health, but no fines or enforcement actions were listed in the available reports. The inspection history shows a long period of compliance interrupted by recent medication management issues.

Deficiencies (last 3 years)

Deficiencies (over 3 years) 6 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

15% better than New Mexico average
New Mexico average: 7.1 deficiencies/year

Deficiencies per year

16 12 8 4 0
2018
2020
2023

Census

Latest occupancy rate 12 residents

Based on a July 2023 inspection.

This facility has shown a decline in demand based on occupancy rates.

Occupancy over time

6 9 12 15 18 Aug 2018 Jul 2023

Inspection Report

Complaint Investigation
Census: 12 Deficiencies: 3 Date: Jul 31, 2023

Visit Reason
The inspection was conducted as a complaint survey for Beehive Homes of White Rock related to state requirements for Assisted Living Facilities for Adults, investigating allegations of medication availability and administration issues.

Complaint Details
The complaint alleged that Resident #2 was not given medications and almost died due to medication unavailability. The facility staff admitted to being out of medications for several days without informing the family. The complaint was investigated with deficiencies cited.
Findings
The facility was found deficient in ensuring prescribed medications were available and administered as ordered, with multiple medications missed for extended periods, incomplete and inaccurate Medication Administration Records (MAR), and unclear dosing directives that could lead to medication errors.

Deficiencies (3)
Failed to ensure residents' prescribed medications were available at the facility, resulting in missed doses for extended periods.
Medication Administration Records (MAR) were inaccurate and incomplete, lacking physician orders, diagnosis or reason for medications, and missing brand and generic names.
Exception coding footnotes for missed medication doses on MAR were inconsistent and contradictory, potentially causing medication errors.
Report Facts
Census: 12 Days medication missed: 11 Days medication missed: 18 Days medication missed: 10 Days medication missed: 2 Days medication missed: 3 Days medication missed: 11 Days medication missed: 3

Employees mentioned
NameTitleContext
Bernadette MataOperations DirectorNamed in relation to medication availability and corrective actions

Inspection Report

Routine
Deficiencies: 0 Date: Jul 8, 2020

Visit Reason
An Offsite Surveillance survey was conducted related to Covid 19 infection prevention and control.

Findings
No deficiencies were cited during the survey.

Inspection Report

Routine
Deficiencies: 0 Date: May 26, 2020

Visit Reason
An Offsite Surveillance survey was conducted related to Covid 19 infection prevention and control.

Findings
No deficiencies were cited during the survey.

Inspection Report

Routine
Deficiencies: 0 Date: Apr 15, 2020

Visit Reason
An offsite surveillance survey was conducted related to COVID-19 infection prevention and control.

Findings
No deficiencies were found during the COVID-19 infection prevention and control survey.

Inspection Report

Routine
Deficiencies: 0 Date: Apr 2, 2020

Visit Reason
An offsite surveillance survey was conducted related to COVID-19 infection prevention and control.

Findings
No deficiencies were found during the COVID-19 infection prevention and control survey.

Inspection Report

Routine
Deficiencies: 0 Date: Mar 17, 2020

Visit Reason
An Onsite Surveillance survey was conducted related to Covid 19 infection prevention and control.

Findings
No deficiencies were cited during the Covid 19 infection prevention and control survey.

Inspection Report

Follow-Up
Deficiencies: 0 Date: Dec 10, 2018

Visit Reason
The visit was a Revisit/Follow-up survey to verify compliance with state requirements of 7 NMAC 8.2, Regulations for Assisted Living.

Findings
No deficiencies were cited during the Revisit/Follow-up survey completed on 12/10/18.

Inspection Report

Original Licensing
Census: 13 Deficiencies: 15 Date: Aug 17, 2018

Visit Reason
Initial survey conducted for state requirements of 7 NMAC 8.2, Regulations for Assisted Living Facilities.

Findings
The facility was found deficient in multiple areas including failure to display the Assisted Living License conspicuously, lack of a full-time administrator within 40 miles, failure to convene a team meeting for a resident with physical restraints, incomplete facility reports and records, lack of current vaccination records for pets, unsecured storage of cleaning supplies, improper storage of oxygen tanks, missing physician orders for bedrails, incomplete resident evaluations, and unsafe electrical and storage conditions.

Deficiencies (15)
Assisted Living License was not displayed in a conspicuous public place.
No full-time Administrator within 40 miles to supervise the facility.
Failed to convene a team meeting for a resident with full bedrails in use.
Failed to maintain a written emergency evacuation plan for community wide disasters.
Pets (2 dogs) did not have current vaccination records on file.
Oxygen cylinder tanks were not secured and stored correctly; stored with combustibles and accessible to residents.
Medication Administration Records (MARs) for 4 residents missing brand/generic names of medications.
Resident evaluations missing required diagnosis information and not reviewed by licensed nurse.
No physician orders for use of bedrails for 2 residents; no documentation of admission/retention exception team meeting or preventive measures.
Posted weekly menu was not current.
Cleaning supplies were stored in the same area as food and were accessible to residents.
Cleaning supplies were stored in unsecured cabinets and accessible to residents in laundry and broom closets.
Exterior electrical room door was unlocked, working clearance blocked by building supplies, and hazardous combustible materials stored inside.
Exposed electrical wires and plugs in backyard electrical box were uncovered and accessible.
Combustible materials (paint, primer) stored in hazardous area next to fuel fired furnace.
Report Facts
Residents present: 13 Temporary license residents admitted: 3 Civil monetary penalty maximum: 5000

Employees mentioned
NameTitleContext
Operations ManagerProvided census and confirmed observations and interviews regarding license display, cleaning supplies, and hazardous storage
Regional AdministratorConfirmed observations and interviews regarding license display, resident evaluations, pet vaccinations, cleaning supplies, and hazardous storage
OwnerConfirmed lack of full-time administrator within 40 miles
Direct Care Staff #2Confirmed cleaning supplies stored unsecured and accessible to residents
Direct Care Staff #5Confirmed posted menu was not current

Inspection Report

Original Licensing
Deficiencies: 0 Date: Apr 10, 2018

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 NMAC 8.2, and temporary licensure was recommended.

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