Inspection Reports for
Haven Care Dogwood

4014 St Andrews Dr SE, Rio Rancho, NM 87124, Rio Rancho, NM, 87124

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Deficiencies (last 2 years)

Deficiencies (over 2 years) 4.5 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

37% better than New Mexico average
New Mexico average: 7.1 deficiencies/year

Deficiencies per year

12 9 6 3 0
2019
2020

Inspection Report

Follow-Up
Deficiencies: 0 Date: Aug 10, 2020

Visit Reason
The visit was an offsite revisit/follow-up survey to assess compliance with the state requirements of 7 NMAC 8.2, Regulations for Assisted Living Facilities.

Findings
No deficiencies were cited during the offsite revisit/follow-up survey. The facility was found to be in compliance with the applicable regulations.

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

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 17, 2020

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

Findings
No deficiencies were cited. Staff would not let Surveyor in the facility.

Inspection Report

Original Licensing
Census: 4 Deficiencies: 8 Date: Dec 20, 2019

Visit Reason
Initial survey completed on 12/20/19 for the state requirements of 7 NMAC 8.2, Regulations for Assisted Living.

Findings
The facility was found deficient in multiple areas including staff qualifications, staffing ratios, admission and discharge agreements, medication administration, fire extinguisher inspections, fire safety equivalency system rating, fire drills, and memory care unit compliance.

Deficiencies (8)
Failed to ensure that the Administrator and all Direct Care Staff were in compliance with Employee Abuse Registry inquiries and Caregivers Criminal History Screening applications prior to hire by the new facility owner.
Failed to ensure night shift Direct Care Staff were awake and available to provide care and supervision at all times.
Admission/Discharge Agreements did not include required refund policy upon resident death as per NMAC and Senate Bill 0335-2013.
Medication Administration Records for 3 residents did not include both brand and generic names for all medications.
Fire extinguishers were not inspected monthly as recommended by the manufacturer.
Failed to maintain a Fire Safety Equivalency System Rating score of 'prompt' as required for facilities without a sprinkler system.
Failed to conduct and document monthly fire drills on each 8-hour shift per quarter, specifically no drills during overnight shifts in 2019.
Failed to ensure memory care unit residents had an Individual Service Plan created in coordination with their primary care practitioner, assessments completed by a registered nurse or physician extender within 15 days prior to admission, and physician orders for placement in memory care unit.
Report Facts
Residents on census: 4 Fee for criminal history screening: 74 Fire Safety Equivalency System Rating: 1.6

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Aug 28, 2019

Visit Reason
The inspection was conducted as a complaint survey in response to Complaint Intake NM#32182 to assess compliance with state regulations for Assisted Living Facilities.

Complaint Details
Complaint Intake NM#32182 was unsubstantiated with no deficiencies cited.
Findings
No deficiencies were cited as a result of the complaint survey, and the complaint was found to be unsubstantiated.

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 an alarm annunciator panel and a dedicated circuit for the alarm panel, allowing temporary licensure.

Deficiencies (1)
Deficiencies identified during the initial Life Safety Code survey that prevented temporary licensure.
Report Facts
Temporary waiver expiration: 6

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