Inspection Reports for Blue Horizon Boutique Assisted Living & Memory Care
NM, 88005
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Inspection Report
Annual Inspection
Census: 13
Deficiencies: 9
Aug 23, 2023
Visit Reason
The inspection was a Full-Onsite annual survey conducted for compliance with state regulations for Assisted Livings for Adults.
Findings
Multiple deficiencies were cited related to individual service plans, nutrition, kitchen sanitation, maintenance of building and grounds, lighting, fire safety, hospice care, memory care, and staff training. Plans of correction were provided for each deficiency.
Deficiencies (9)
| Description |
|---|
| Individual Service Plans (ISP) did not include goals and outcomes for residents. |
| Nutrition services failed to meet requirements including meal service policies, kitchen sanitation, and food storage. |
| Maintenance of building and grounds was deficient with trash and debris present in outdoor areas. |
| Kitchen utensils were not stored in a clean, dry place protected from contamination. |
| Lighting and lighting fixtures were not maintained; emergency lights failed to operate properly. |
| Windows had damaged or missing screens, exposing residents to insects and debris. |
| Fire extinguishers were not inspected monthly and lacked proper tags for recent months. |
| Hospice care training and documentation were deficient; staff had not completed required training hours. |
| Memory care unit residents lacked appropriate secured environment and documentation. |
Report Facts
Resident Census: 13
Training hours: 4.5
Training hours: 5.25
Training hours: 10.25
Training hours: 9.25
Inspection Report
Routine
Deficiencies: 0
Aug 7, 2020
Visit Reason
An Offsite Surveillance survey was conducted related to Covid 19 infection prevention and control.
Findings
No deficiencies were cited during the offsite surveillance survey.
Inspection Report
Routine
Deficiencies: 0
Apr 15, 2020
Visit Reason
An offsite surveillance survey was conducted related to Covid-19 infection, prevention and control.
Findings
No deficiencies were cited during the offsite surveillance survey.
Inspection Report
Routine
Deficiencies: 0
Apr 2, 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
Mar 19, 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
Oct 16, 2019
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 follow-up survey completed on 10/16/2019.
Inspection Report
Original Licensing
Census: 6
Deficiencies: 2
Jun 28, 2019
Visit Reason
The inspection was conducted as an initial survey to assess compliance with state requirements for assisted living facilities under 7 NMAC 8.2.
Findings
The facility was found deficient in infection control practices during medication administration and in maintaining hot water temperatures within the required range, posing potential risks to residents.
Deficiencies (2)
| Description |
|---|
| Direct Care Staff failed to use proper infection control practices when assisting with medication administration, risking residents ingesting bacteria or viruses. |
| The facility failed to maintain hot water temperature at a maximum of 110 degrees Fahrenheit, with observed temperatures of 118 and 120 degrees in resident rooms. |
Report Facts
Residents at risk: 6
Hot water temperature: 118
Hot water temperature: 120
Inspection Report
Life Safety
Deficiencies: 0
Aug 14, 2018
Visit Reason
An initial life safety code survey was conducted at the facility as 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 and the Life Safety Code 101, 2012 Edition. Temporary licensure is recommended.
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