Inspection Reports for Casa Maria Healthcare

The complaint investigation found the facility failed to report a suicide attempt timely and failed to provide scheduled bathing assistance to residents R #1, R #2, and R #3. The report was submitted late, and interviews confirmed the failures in care provision.

The facility failed to report a suicide attempt within 24 hours to the State Agency and failed to provide scheduled bathing or showering assistance to three residents, which likely affected their dignity and health. Documentation showed multiple days without offering or assisting with baths or showers as scheduled.

The facility was found deficient in multiple areas including failure to serve meals simultaneously to residents at the same table, incomplete resident participation in care planning, failure to promote resident choices, unresolved resident grievances, restricted resident access to funds, delayed mail delivery, inaccurate resident assessments, lack of meaningful activities, medication errors including improper insulin administration and hand hygiene, inadequate dental care, food quality and safety issues, unsanitary kitchen conditions, and incomplete staff training.

The complaint investigation focused on falls experienced by resident R #1, including failure to implement fall prevention interventions and incomplete neurological checks. Immediate jeopardy was identified due to these failures, which contributed to the resident's death. Interviews with family and staff confirmed inadequate supervision and documentation during one-to-one staffing.

The facility failed to prevent multiple falls for a high-risk resident, did not complete required neurological checks after falls, and inadequately implemented one-to-one staffing. These deficiencies contributed to the resident sustaining multiple acute subarachnoid hemorrhages and subsequent death. Additionally, the facility failed to ensure treatment carts were locked, posing a risk to all residents.

The complaint investigation revealed that grievances related to cold food, improper utensils, noise, and dietary concerns were not addressed by staff or administration. The Administrator confirmed that grievances were not submitted or followed up after Resident Council meetings.

The facility failed to ensure grievances were addressed for multiple residents, including issues with cold food, improper utensils, and noise during church services. Additionally, the facility did not maintain residents' ability to perform activities of daily living due to lack of a restorative nursing program.

The complaint investigation was triggered by allegations that CNA #1 sexually abused resident R #1 by inappropriately touching her and applying medication internally. Resident R #2 also reported fear of CNA #1 due to attempted inappropriate touching. The facility failed to report these allegations timely and did not conduct a thorough investigation. Immediate jeopardy was identified on 03/15/24.

The facility failed to prevent staff to resident sexual abuse and protect residents from ongoing sexual behaviors. CNA #1 was found to have sexually abused R #1 and attempted to touch R #2 inappropriately. The facility also failed to timely report and properly investigate the abuse allegations, resulting in immediate jeopardy to resident health and safety.

The complaint investigation revealed that a resident (R #1) was hospitalized in a diabetic coma due to failure to routinely check blood sugar levels and inadequate diabetic management. Family members filed complaints with the New Mexico Department of Health. Interviews with staff and medical professionals confirmed deficiencies in diabetic care and monitoring.

The facility failed to update care plans to reflect residents' refusal of diabetic care and did not routinely check blood sugar levels for residents with diabetes, resulting in immediate jeopardy to resident health. One resident was hospitalized in a diabetic coma due to inadequate monitoring. The facility implemented a plan of removal on the day of the survey to address these deficiencies.

The visit was complaint-related, investigating issues including resident falls, nursing staff coverage, medication regimen reviews, food service deficiencies, and sanitation concerns. Substantiation status is not explicitly stated.

The facility was found deficient in multiple areas including failure to prevent accidents due to lack of necessary equipment for a fall-risk resident, failure to provide required RN coverage, inaccurate nurse staffing postings, failure to conduct monthly pharmacist drug regimen reviews, lack of alternate meal menus, improper food labeling and storage, and inadequate garbage disposal practices.

The visit was complaint-related due to concerns about low staffing levels affecting resident care and the absence of alternate meal menus. Residents reported long call light wait times and staff reported difficulty completing assignments due to low staffing.

The facility failed to provide adequate nursing staff and certified nursing assistants to meet resident needs, resulting in potential harm to all 71 residents. Additionally, the facility did not provide alternate meal menus, limiting resident food choices and potentially affecting nutritional health.

The facility was found deficient in multiple areas including failure to provide written notice of room changes to residents, inadequate grievance process and response, failure to address abuse concerns with care planning, lack of baseline and comprehensive care plans for residents, insufficient personal hygiene care due to staffing shortages, inadequate activities programming, failure to assess and treat wounds, insufficient staffing levels, incomplete nurse aide competencies, failure to conduct timely pharmacist medication regimen reviews, inadequate alternate menu options and food quality, and improper food storage and sanitation practices.