Inspection Reports for
Haven Care Cottonwood House
5305 Queens Ct NE, Albuquerque, NM 87109, Albuquerque, NM, 87109
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
2.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
65% better than New Mexico average
New Mexico average: 7.1 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Complaint Investigation
Deficiencies: 3
Date: Jan 8, 2025
Visit Reason
The inspection was conducted as a complaint investigation related to deficiencies cited during a complaint intake. The survey was completed to assess compliance with state regulations for Assisted Living for Adults.
Complaint Details
Complaint intake was investigated with deficiencies cited related to staff qualifications, abuse registry clearance, incident reporting, and medication administration.
Findings
Deficiencies were found related to staff qualifications, failure to ensure direct care staff were cleared by the Employee Abuse Registry prior to hire, failure to report incidents of abuse or neglect to the licensing authority within required timeframes, and medication administration errors including lack of physician orders and documentation errors.
Deficiencies (3)
Failure to ensure Direct Care Staff were cleared by the Employee Abuse Registry prior to hire and that applications and fingerprints were submitted to the Caregivers Criminal History Screening Program within 20 days of hire.
Failure to report incidents of abuse, neglect, or exploitation to the Licensing Authority within 24 hours and submit follow-up reports within 5 business days.
Failure to ensure medications were administered only with physician orders and proper documentation, including medication assistance records and reporting medication errors.
Report Facts
Date of survey completion: Jan 8, 2025
Fine amount: 5000
Timeframe for fingerprint submission: 20
Incident reporting timeframe: 24
Follow-up report timeframe: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dulcinea Guevara | Administrator | Named in findings related to ensuring compliance with pre-employment requirements, incident reporting, and medication administration |
Inspection Report
Follow-Up
Deficiencies: 2
Date: Aug 10, 2023
Visit Reason
The visit was a Follow-Up/Revisit survey completed to assess compliance with state requirements of 7 NMAC 8.2, Regulations for Assisted Living for Adults.
Findings
The facility failed to ensure resident evaluations and individual service plans (ISPs) were reviewed and updated at a minimum of every six months or when there was a significant change in the resident's health status. Specific residents' records showed no evidence of timely updates to evaluations and ISPs.
Deficiencies (2)
Resident evaluations were not reviewed and updated at a minimum of every six months or when there was a significant change in health status.
Individual Service Plans (ISPs) were not reviewed and/or revised at a minimum of every six months or when there was a significant change in the resident's health status.
Report Facts
Days for resident evaluation completion: 15
Months for evaluation review: 6
Days for ISP development: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Care Director | Interviewed and confirmed resident evaluations and ISPs were not updated. |
Inspection Report
Routine
Deficiencies: 0
Date: 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 survey.
Inspection Report
Routine
Deficiencies: 0
Date: Jul 22, 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
Date: Jul 17, 2020
Visit Reason
The visit was a revisit/follow-up survey to verify compliance with state requirements for Assisted Living Facilities as per 7 NMAC 8.2.
Findings
No deficiencies were cited during the follow-up survey completed on 07/17/2020.
Inspection Report
Routine
Deficiencies: 0
Date: Jul 1, 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: Jun 9, 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 12, 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 21, 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: Mar 30, 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: Mar 18, 2020
Visit Reason
An Onsite Surveillance survey was conducted related to Covid 19 infection prevention and control.
Findings
No deficiencies were cited during the survey.
Inspection Report
Original Licensing
Census: 5
Deficiencies: 4
Date: Dec 17, 2019
Visit Reason
Initial survey completed on 12/17/19 for the state requirements of 7 NMAC 8.2, Regulations for Assisted Living.
Findings
The facility was found deficient in staff qualifications related to Employee Abuse Registry and Caregivers Criminal History Screening compliance, admission agreements lacking required refund policy upon resident death, medication administration records missing brand and generic medication names, and failure to conduct fire drills on all shifts quarterly.
Deficiencies (4)
Failed to ensure Employee Abuse Registry inquiries and Caregivers Criminal History Screening applications were submitted and cleared prior to hire since change of ownership.
Admission/Discharge Agreements for 4 residents lacked required refund provision in case of death per Senate Bill 0335-2013 and NMAC 7.8.2.20.
Medication Administration Records for 2 residents did not include both brand and generic names for all medications.
Failed to conduct and document monthly fire drills on each 8-hour shift (morning, afternoon, graveyard) per quarter.
Report Facts
Residents reviewed for admission agreement compliance: 4
Residents reviewed for medication administration record compliance: 2
Residents on census: 5
Inspection Report
Life Safety
Deficiencies: 1
Date: Aug 12, 2019
Visit Reason
An initial Life Safety Code survey was conducted at the facility per the provider's request.
Findings
Deficiencies were identified during the survey which initially prevented temporary licensure. A temporary waiver was later approved for installation of resident room doors, an alarm annunciator panel, and a dedicated circuit for the alarm panel. Temporary licensure of the facility was subsequently recommended.
Deficiencies (1)
Deficiencies identified related to Life Safety Code compliance including installation of resident room doors, alarm annunciator panel, and dedicated circuit.
Report Facts
Temporary waiver expiration days: 30
Temporary waiver expiration months: 6
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