Deficiencies per Year
12
9
6
3
0
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Census: 95
Deficiencies: 2
Jul 30, 2025
Visit Reason
The inspection was conducted as a complaint survey to investigate allegations related to housekeeping, chemical storage, and maintenance issues at the assisted living facility.
Findings
The facility was found to have hazardous chemicals and combustible items improperly stored near gas-fired boilers accessible to residents, creating potential fire and health hazards. Additionally, the boiler room floor was damaged and posed tripping hazards due to water damage and decaying particle board flooring.
Complaint Details
Complaint intake was investigated with unrelated deficiencies cited. The complaint investigation found hazardous chemical storage and maintenance issues as described.
Deficiencies (2)
| Description |
|---|
| Failure to ensure cleaning supplies, hazardous chemicals, and combustible/flammable items were stored in secured areas inaccessible to residents, with combustible items stored near gas-generated boilers. |
| Failure to maintain the boiler room floor in a safe condition free from trip hazards and decay due to water damage. |
Report Facts
Resident census: 95
Fluid ounce: 32
Quart: 1
Gallon buckets: 6
Carpet squares size: 2.5
Completion date: 2025
Inspection Report
Complaint Investigation
Census: 88
Deficiencies: 4
Sep 5, 2024
Visit Reason
The inspection was a complaint survey completed on 09/05/2024 for the state requirements of NMAC 8.370.14, Regulations for Assisted Living Facilities for Adults. Two complaint intakes were investigated, with deficiencies cited for one complaint intake.
Findings
The facility was found deficient in resident rights and medication administration practices. A medication error was documented where a resident received another resident's medications, causing moderate harm and requiring emergency room treatment. The facility failed to ensure proper medication administration and documentation, potentially affecting resident health and safety.
Complaint Details
Complaint intake NM (redacted) was investigated and deficiencies were cited. Complaint intake NM (redacted) was investigated and deficiencies were not cited.
Deficiencies (4)
| Description |
|---|
| Failure to protect resident rights as required by 8 NMAC 370.14.33. |
| Medication error causing moderate harm to resident #2 due to administration of another resident's medications. |
| Failure to ensure availability of physician-ordered medications for residents #1 and #2. |
| Failure to maintain complete Medication Administration Records (MAR) for resident #2. |
Report Facts
Census: 88
Date of complaint survey: Sep 5, 2024
Number of residents reviewed for medication compliance: 2
Date of medication error incident: Aug 3, 2023
Date of plan of correction completion: Sep 30, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| DCS #1 | Direct Care Staff / Medication Technician | Named in medication error finding as the staff member who made the medication error |
| Executive Director | Executive Director | Interviewed regarding medication error and facility practices |
| Wellness Director | Wellness Director | Provided additional in-service trainings and responsible for Med Pass monitoring |
| DCS #2 | Direct Care Staff | Confirmed medication availability and orders during interview |
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 Covid-19 infection prevention and control survey.
Inspection Report
Routine
Deficiencies: 0
Mar 31, 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
Follow-Up
Deficiencies: 0
Feb 6, 2017
Visit Reason
A follow-up survey was conducted on 02/06/17 to verify correction of deficiencies cited during a complaint investigation and on-site monitoring survey completed on 08/04/16.
Findings
The complaint investigation was substantiated with deficiencies cited on 08/04/16. However, the follow-up survey on 02/06/17 found no deficiencies.
Complaint Details
The complaint investigation for intake NM00030019 was substantiated with deficiencies cited during the on-site/monitoring survey on 08/04/16.
Inspection Report
Life Safety
Deficiencies: 0
Aug 15, 2016
Visit Reason
The inspection was conducted as a Life Safety Code (LSC) Compliant Survey for New Mexico Requirements for Assisted Living Facilities for Adults.
Findings
No deficiencies were cited as a result of the LSC Compliant Survey conducted on 08/15/2016. The complaint # NM00030073 was substantiated with no deficiencies cited.
Inspection Report
Complaint Investigation
Census: 80
Deficiencies: 10
Aug 4, 2016
Visit Reason
A complaint investigation for intake NM00030019 and an On-site/Monitoring survey were completed on 08/04/16 for the state requirements of 7 NMAC 8.2, Regulations for Assisted Living.
Findings
Deficiencies were cited as a result of the On-site/Monitoring survey. The complaint was substantiated with deficiencies cited, including failures in staff training, resident records, resident evaluations, individual service plans, incident reporting, custodial drug permits, nutrition, maintenance of building and grounds, corridors, and automatic fire protection sprinkler system.
Complaint Details
The complaint was substantiated with deficiencies cited related to staff training, resident records, incident reporting, medication storage, fire safety, and maintenance issues.
Deficiencies (10)
| Description |
|---|
| Facility failed to ensure that 3 Direct Care Staff received required training in first aid, confidentiality, incident reporting, and smoking policy. |
| Facility failed to ensure resident records for 3 residents included current names, addresses, relationship and phone numbers of family members or surrogate decision makers, recent photographs, marital status, address prior to admission, social history, and surrogate decision maker or emergency contact person. |
| Facility failed to ensure resident evaluations were completed within 15 days prior to admission for 3 residents. |
| Facility failed to ensure Individual Service Plans were completed within 10 calendar days of admission for 2 residents. |
| Facility failed to ensure accurate and complete reporting of incidents, including submission of investigation reports to Licensing Authority within 5 business days. |
| Facility failed to protect health and safety of 5 residents by improper storage of medications and oxygen cylinders, including storing medications together and oxygen cylinders not stored in safe ventilated areas with proper signage. |
| Facility failed to ensure quarterly cleaning of cooking exhaust system, leading to potential fire hazard. |
| Facility failed to maintain smoke detectors in Assisted Living Resident rooms and common areas, including beauty salon and TV room. |
| Facility failed to maintain clear and unobstructed corridors, impeding evacuation. |
| Facility failed to ensure automatic fire protection sprinkler system was unobstructed and functional. |
Report Facts
Resident census: 80
Residents with missing training documentation: 3
Residents with incomplete records: 3
Residents with incomplete evaluations: 3
Residents with incomplete Individual Service Plans: 2
Residents affected by medication storage deficiency: 5
Residents affected by smoke detector deficiency: 8
Manual wheelchairs obstructing evacuation: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Charles J. Talbot | Executive Director | Named in relation to assuring compliance with regulations and new procedures in multiple findings. |
Inspection Report
Complaint Investigation
Deficiencies: 0
Oct 2, 2013
Visit Reason
A complaint investigation was conducted for intake NM 00028780 on 10/02/13 for the state requirements of 7 NMAC 8.2 Regulations for Assisted Living.
Findings
The complaint was unsubstantiated with no deficiencies cited.
Complaint Details
Complaint intake NM 00028780 was investigated and found unsubstantiated with no deficiencies cited.
Inspection Report
Complaint Investigation
Deficiencies: 0
Aug 16, 2012
Visit Reason
Investigations were completed for intake NM00028540 and intake NM00028334 on 08/14/12 for the state requirements of 7 NMAC 8.2, Regulations for Assisted Living.
Findings
The complaints were unsubstantiated with no deficiencies cited.
Complaint Details
Complaints investigated were unsubstantiated with no deficiencies cited.
Inspection Report
Complaint Investigation
Deficiencies: 0
Dec 7, 2010
Visit Reason
A complaint investigation was completed for intake NM00027787.
Findings
The complaint was unsubstantiated with no deficiencies cited.
Complaint Details
Complaint intake NM00027787 was investigated and found unsubstantiated with no deficiencies cited.
Inspection Report
Complaint Investigation
Deficiencies: 1
Oct 19, 2010
Visit Reason
A complaint investigation was completed for intake #NM00027737 regarding allegations of neglect at Camino Retirement Apartments.
Findings
The complaint was found to be unsubstantiated. However, the facility failed to report significant incidents, including a resident falling 10 feet from a window, to the licensing authority as required by regulations. The Executive Director acknowledged the failure to report incidents from December 2009 and April 2010. A corrective action plan was implemented with a fax transmittal sheet requirement and staff notification.
Complaint Details
The complaint investigation for intake #NM00027737 was unsubstantiated for neglect. The facility failed to report incidents including a resident falling 10 feet from a window on 09/30/10 and other incidents from December 2009 and April 2010. The Executive Director acknowledged these failures during an interview on 10/13/10.
Deficiencies (1)
| Description |
|---|
| Failure to report incidents or unusual occurrences that could threaten the health, safety, or welfare of residents and staff to the licensing authority complaint hotline within 24 hours or by the next business day. |
Report Facts
Incident report date: Sep 30, 2010
Interview date: Oct 13, 2010
Completion date: Nov 5, 2010
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Executive Director | Acknowledged failure to report incidents during interview on 10/13/10 and responsible for assuring compliance with new procedures |
Inspection Report
Annual Inspection
Census: 67
Capacity: 80
Deficiencies: 10
Feb 24, 2010
Visit Reason
The inspection was conducted as an annual survey for the Life Safety Code portion of the New Mexico Regulations Governing Requirements for Adult Residential Care Facilities.
Findings
The facility was found deficient in emergency lighting and lighting fixtures, exit signage and illumination, and fire alarms, smoke detectors, and other equipment. Several emergency lights and exit signs failed to illuminate during testing, and smoke detectors and fire alarm strobes were not properly installed or operational.
Deficiencies (10)
| Description |
|---|
| Emergency light fixture at the first floor care station failed to illuminate when tested. |
| Emergency light fixture at the north stairwell failed to illuminate when tested. |
| Exit sign at the front lobby door did not illuminate in both normal and emergency lighting mode. |
| Exit sign at the first floor care station did not illuminate in both normal and emergency lighting mode. |
| Exit sign at the second floor care station did not illuminate in both normal and emergency lighting mode. |
| Exit sign at the third floor common area did not illuminate in both normal and emergency lighting mode. |
| Small dining room at the first floor was not equipped with smoke detection powered by the house electrical system. |
| Large dining room at the first floor was not equipped with smoke detection powered by the house electrical system. |
| Second floor care station had three fire alarm strobe lights that were non-operational. |
| Third floor elevator common area had one fire alarm strobe light that was non-operational. |
Report Facts
Licensed capacity: 80
Census: 67
Date survey completed: Feb 24, 2010
Inspection Report
Annual Inspection
Deficiencies: 0
Feb 4, 2010
Visit Reason
Annual inspection to assess compliance with New Mexico Regulations Governing Adult Residential Care Facilities 7 NMAC 8.2.
Findings
No deficiencies were cited; the facility is in compliance with all applicable New Mexico regulations.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Executive Director | Signed the statement of deficiencies form |
Inspection Report
Annual Inspection
Deficiencies: 0
Mar 5, 2009
Visit Reason
The inspection was conducted to assess compliance with New Mexico Regulations Governing Adult Residential Care Facilities, NMAC 7.8.2.
Findings
No deficiencies were cited during the inspection, indicating full compliance with the applicable regulations.
Inspection Report
Annual Inspection
Census: 71
Capacity: 80
Deficiencies: 9
Mar 4, 2009
Visit Reason
Annual Life Safety Code survey conducted on March 4, 2009, for New Mexico Regulations Governing Requirements for Adult Residential Care Facilities.
Findings
The facility failed to maintain fire and smoke barrier doors properly, maintain building and grounds in good repair, and ensure all fire safety systems and equipment were functioning and inspected as required. Multiple deficiencies were noted related to self-closing doors, exhaust fans, hazardous areas, emergency lighting, electrical systems, and automatic fire protection sprinkler systems.
Deficiencies (9)
| Description |
|---|
| Facility failed to ensure fire and smoke barrier doors are maintained closed, positively latched, and free of impediments. |
| Self-closing devices missing or not functioning on janitor closets and other areas; exhaust fans missing or not venting properly; foul odors present. |
| Smoke compartment separation doors failed to close and latch when tested. |
| Building and grounds maintenance issues including exposed wood beams, missing tiles, deteriorated sheet rock, and grease/debris accumulation. |
| Hazardous areas not maintained per NFPA 101 requirements; missing self-closing devices on laundry and employee areas; stored oxygen bottles improperly stored. |
| Heating, ventilation, and air-conditioning systems not maintained; exhaust fans not functioning properly. |
| Lighting and emergency lighting systems not tested or documented monthly and annually as required. |
| Electrical system deficiencies including missing GFCI outlets, unsecured wiring, improperly attached conduit, and extension cords used improperly. |
| Automatic fire protection sprinkler system deficiencies including missing sprinkler heads, incorrect sprinkler heads, and lack of maintenance and inspection documentation. |
Report Facts
Licensed capacity: 80
Census: 71
Date of Completion for corrections: Apr 12, 2009
Date of Completion for oxygen storage correction: Mar 6, 2009
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director | Interviewed and acknowledged findings throughout the inspection. | |
| Surveyor 21963 | Life Safety Code Surveyor | Conducted the inspection and cited deficiencies. |
Inspection Report
Annual Inspection
Census: 44
Capacity: 48
Deficiencies: 4
Mar 26, 2008
Visit Reason
The inspection was an annual life safety code survey conducted on March 26, 2008, for New Mexico Regulations Governing Requirements for Adult Residential Care Facilities.
Findings
The facility was found to have multiple deficiencies related to maintenance of building and grounds, fire alarms, smoke detectors, and the automatic fire sprinkler system. Corrective actions were planned and completion dates were set for early April 2008.
Deficiencies (4)
| Description |
|---|
| The facility failed to ensure that the electrical system and its components were maintained in accordance with NFPA 70 (National Electric Code), including unprotected electrical outlets near water supply. |
| The fire alarm system and its components, including smoke alarms, were not tested and maintained in accordance with NFPA 72 (National Fire Alarm Code). |
| Smoke detectors were not hard wired to the alarm system and some smoke detectors were battery operated only; no heat detector was present in the kitchen. |
| The sprinkler system was not inspected and maintained in good operating condition; sprinkler heads were covered with lint and grease build-up. |
Report Facts
Licensed capacity: 48
Census: 44
Electrical outlets not GFIC protected: 10
Sprinkler heads replaced: 35
Sprinkler heads covered with lint and grease: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Executive Director | Interviewed and acknowledged findings; responsible for maintaining compliance and corrective actions |
Inspection Report
Annual Inspection
Deficiencies: 0
Mar 18, 2008
Visit Reason
The inspection was conducted to assess compliance with New Mexico Regulations Governing Adult Residential Care Facilities.
Findings
The facility was found to be in compliance with all applicable New Mexico regulations, with no deficiencies cited during the inspection.
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