Inspection Reports for
La Vida Buena Healthcare
2301 COLLINS DRIVE, LAS VEGAS, NM, 87701
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
18.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
161% worse than New Mexico average
New Mexico average: 7.1 deficiencies/yearDeficiencies per year
28
21
14
7
0
Occupancy
Latest occupancy rate
82% occupied
Based on a August 2024 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Dec 12, 2025
Visit Reason
The inspection was conducted due to a complaint investigation regarding the facility's failure to timely report an incident of possible neglect involving a resident.
Complaint Details
The complaint investigation found that the facility did not report an incident of possible neglect involving resident #1, despite awareness of the incident and the nurse hearing a loud pop during care. The incident was not documented or reported to the State Agency as required.
Findings
The facility failed to report an incident where a nurse heard a loud pop while moving a resident during wound care, and the incident was neither reported to administration nor documented in the resident's medical record. The Director of Nursing confirmed the expectation for such incidents to be reported and documented was not met.
Deficiencies (1)
Failure to timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Report Facts
Residents reviewed for abuse and neglect: 3
Residents affected: 1
Date of incident: Sep 25, 2025
Date of interview: Oct 20, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Interviewed regarding the incident and reporting expectations |
Inspection Report
Annual Inspection
Deficiencies: 9
Date: Jul 24, 2025
Visit Reason
The inspection was conducted as part of the annual survey to assess compliance with regulatory requirements and evaluate the quality of care and services provided to residents.
Findings
The facility was found deficient in multiple areas including failure to respect resident rights, inadequate notification of injuries and wound worsening to providers and guardians, failure to promptly and thoroughly investigate and report allegations of abuse and neglect, failure to update care plans, inadequate wound care management, failure to monitor anticoagulant medication effects, insufficient activity programming due to lack of transportation, and improper use of nurse aides in training beyond allowed time frames.
Deficiencies (9)
Failed to ensure a resident was treated with respect and dignity, including restricting resident's ability to leave the facility independently.
Failed to notify providers and guardians timely about falls, injuries, and worsening wounds for multiple residents.
Failed to make prompt and thorough investigations and reports of abuse and neglect allegations within required timeframes.
Failed to revise care plan to reflect resident's inability to leave facility independently.
Failed to remove scalp staples within physician ordered timeframe and failed to provide physician orders for anticoagulant monitoring.
Failed to provide sufficient activities and outings due to lack of transportation and van being out of service.
Failed to provide appropriate pressure ulcer care, including monitoring, documentation, timely provider notification, and referral for worsening wounds.
Nursing staff were unaware of resident anticoagulant medication use, increasing risk of adverse outcomes after a fall.
Utilized Nurse Aides in Training for longer than 120 days, contrary to regulations.
Report Facts
Residents affected: 1
Residents affected: 3
Residents affected: 4
Residents affected: 1
Days staples remained: 16
Scheduled outings: 6
Scheduled outings: 10
Days Nurse Aides in Training worked: 120
Employees mentioned
| Name | Title | Context |
|---|---|---|
| NA #1 | Nurse Aide in Training / Certified Nursing Assistant | Worked longer than 120 days as Nurse Aide in Training |
| NA #2 | Nurse Aide in Training | Worked longer than 120 days as Nurse Aide in Training |
| Director of Nursing | Director of Nursing | Confirmed care plan deficiencies and staffing issues |
| Nurse Practitioner | Nurse Practitioner | Provided wound care orders and confirmed monitoring deficiencies |
| Medical Director | Medical Director | Provided expectations for wound care and anticoagulant monitoring |
| Registered Nurse #3 | Registered Nurse | Unaware of resident anticoagulant use at time of fall |
| Licensed Practical Nurse #1 | Licensed Practical Nurse | Discussed delays in staple removal |
| Licensed Practical Nurse #2 | Licensed Practical Nurse | Discussed wound care and skin checks |
| Activities Assistant | Activities Assistant | Discussed resident activity restrictions and outings |
| Assistant Director of Nursing | Assistant Director of Nursing | Discussed grievance investigations and staff education |
Inspection Report
Complaint Investigation
Deficiencies: 3
Date: Apr 8, 2025
Visit Reason
The inspection was conducted based on complaints regarding the facility's failure to honor resident choices for bathing preferences and failure to notify providers of changes in resident condition.
Complaint Details
The complaint investigation was substantiated with findings that the facility did not honor resident #3's bathing preferences and failed to notify providers or document changes in condition for resident #1 when sent to the emergency room.
Findings
The facility failed to promote resident self-determination by not offering resident #3 showers per her preference, resulting in minimal harm. Additionally, the facility failed to notify providers and document changes in condition for resident #1 when sent to the emergency room, also resulting in minimal harm.
Deficiencies (3)
Failed to promote resident choices for bathing, offering fewer baths/showers than scheduled for resident #3.
Failed to notify facility providers when resident #1 had a change of condition requiring emergency room transfer.
Failed to maintain accurate and updated medical records for resident #1, including documentation of change in condition and provider notification.
Report Facts
Bath/shower opportunities offered to resident #3: 8
Bath/shower opportunities scheduled for resident #3: 3
Residents affected: 1
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #2 | Licensed Practical Nurse | Confirmed knowledge of resident #3's complaints about insufficient baths/showers. |
| Nursing Aide #1 | Nursing Aide | Reported resident #3's complaints to nursing staff. |
| Licensed Practical Nurse #3 | Licensed Practical Nurse | Stated resident #3 should be offered at least three baths/showers per week. |
| Director of Nursing | Director of Nursing | Confirmed resident #3 was not offered enough baths and that providers should have been notified for resident #1's ER transfer. |
| Registered Nurse #1 | Registered Nurse | Stated facility nursing staff should document change in condition and notify providers when residents are sent to ER. |
| Registered Nurse #2 | Registered Nurse | Stated documentation requirements for change in condition and provider notification. |
| Licensed Practical Nurse #1 | Licensed Practical Nurse | Stated providers should be notified prior to or immediately after resident ER transfer. |
| Nurse Practitioner #1 | Nurse Practitioner | Confirmed expectation that providers be notified prior to or immediately after resident ER transfer. |
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Oct 31, 2024
Visit Reason
The inspection was conducted due to an allegation of abuse and an incident involving a resident (R #1) who fell and sustained a head injury. The investigation focused on the facility's response to the incident and the adequacy of the abuse investigation and reporting.
Complaint Details
The complaint involved an allegation of abuse where CNA #1 was accused of intentionally striking resident R #1. The facility's follow-up report did not contain information regarding the abuse investigation or its outcome. Interviews confirmed the investigation was incomplete and the report inaccurate.
Findings
The facility failed to conduct a thorough investigation and timely report to the State Survey Agency regarding the incident and abuse allegation involving R #1. The facility also failed to ensure proper transfer procedures were followed, resulting in injury to the resident. The follow-up report was found to be inaccurate and incomplete.
Deficiencies (2)
Failed to conduct a thorough investigation and timely report to the State Survey Agency for 1 resident reviewed for incidents/accidents.
Failed to ensure residents received treatment and care in accordance with professional standards when staff did not have two staff present while providing care, resulting in injury.
Report Facts
Residents reviewed: 3
Residents affected: 1
Incident report number: 77137
Dates of incident and follow-up report: Incident date 08/24/2024, follow-up report date 09/05/2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA #1 | Certified Nurse Assistant | Accused of striking resident and involved in transfer incident |
| LPN #1 | Licensed Practical Nurse | Assisted resident after fall and documented injury |
| LPN #2 | Licensed Practical Nurse | Witnessed events and advised CNA #1 to fill out incident report |
| Assistant Director of Nursing | ADON | Assigned to complete final investigation report |
| Director of Nursing | DON | Reviewed follow-up report and confirmed deficiencies |
| Administrator | ADM | Reviewed follow-up report and confirmed deficiencies |
Inspection Report
Routine
Census: 84
Deficiencies: 1
Date: Aug 20, 2024
Visit Reason
The inspection was conducted due to concerns and complaints about consistent and timely delivery of meals to residents, including late and cold food service.
Findings
The facility failed to deliver meals consistently and timely to 84 residents, causing frustration and hunger. Multiple complaints and observations confirmed meals were often late and cold, with staff and administration acknowledging the issue and attempting to find solutions.
Deficiencies (1)
Failed to deliver meals consistently and timely to residents, resulting in late and cold food service.
Report Facts
Residents affected: 84
Complaint counts: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kitchen Manager | Interviewed regarding meal delivery issues and efforts to improve timeliness | |
| Facility Administrator | Interviewed regarding awareness of complaints and attempts to resolve meal delivery problems | |
| Social Services Director | Interviewed and acknowledged awareness of meal delivery complaints | |
| Facility Cook | Interviewed and stated meals were often late due to lack of help and nursing staff |
Inspection Report
Routine
Census: 83
Deficiencies: 3
Date: Aug 2, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory standards related to pressure ulcer care, food safety and sanitation, and infection prevention and control during a routine facility survey.
Findings
The facility was found deficient in providing consistent pressure ulcer care and wound assessments, maintaining sanitary food storage and kitchen cleanliness, and implementing proper infection prevention measures during a COVID outbreak, including improper disposal of PPE and inadequate mask exchange.
Deficiencies (3)
Failed to ensure consistent pressure ulcer wound assessments with measurements, leading to potential worsening of wounds.
Failed to properly label and store food items and maintain the kitchen free of dirt and grime.
Failed to properly dispose of used PPE and exchange masks after contact with each contagious resident during a COVID outbreak.
Report Facts
Residents affected: 3
Residents affected: 83
Residents affected: 15
Wound measurement: 6
Wound measurement: 4
Wound measurement: 4.9
Wound measurement: 4.2
Wound measurement: 4.5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nurses Aide #1 | Certified Nurses Aide | Interviewed regarding PPE disposal and mask use during COVID outbreak |
| Certified Nurses Aide #2 | Certified Nurses Aide | Interviewed regarding PPE disposal during COVID outbreak |
| Director of Nursing | Director of Nursing | Interviewed regarding wound care and weekly wound reports |
| Dietary Manager | Dietary Manager | Interviewed regarding food storage and kitchen cleanliness |
| Infection Control Nurse | Infection Control Nurse | Interviewed regarding infection prevention practices and PPE use during COVID outbreak |
Inspection Report
Routine
Deficiencies: 19
Date: Jun 21, 2024
Visit Reason
Routine inspection of LA Vida Buena Healthcare to assess compliance with regulatory requirements including resident care, safety, medication management, and facility operations.
Findings
The facility was found deficient in multiple areas including failure to honor resident preferences, inadequate notification of resident funds, lack of homelike environment during meals, incomplete resident assessments and care plans, insufficient assistance with activities of daily living, delayed and inadequate pressure ulcer care, accident hazards related to improper use of Hoyer lifts and fall prevention, unsafe respiratory care, ineffective pain management, insufficient behavioral health care, missing drug regimen reviews, improper psychotropic medication monitoring, medication storage issues, insufficient dietary staffing, failure to accommodate food preferences, delayed meal service, and poor food storage and kitchen cleanliness.
Deficiencies (19)
Failed to honor resident preferences for wake-up times, resulting in resident being awakened earlier than preferred.
Failed to notify residents when their personal funds approached Medicaid maximum limits.
Failed to provide a homelike dining environment by serving meals on trays in the small dining room.
Failed to complete Minimum Data Set assessment after significant change in condition.
Failed to create accurate baseline care plans within 48 hours of admission for multiple residents.
Failed to develop comprehensive care plans including all resident needs such as oxygen use, nutritional supplements, and wound care.
Failed to provide scheduled showers and document ADL care for residents.
Failed to provide appropriate pressure ulcer care, including delayed treatment, poor documentation, and delayed wound clinic referral, resulting in worsening wound with exposed bone and infection.
Failed to ensure accident hazards were minimized by improper use of Hoyer lifts without adequate staff and failure to implement fall prevention interventions.
Failed to provide safe and appropriate respiratory care by using oxygen without physician orders and inadequate monitoring.
Failed to provide safe and appropriate pain management for hemorrhoid pain.
Failed to provide necessary behavioral health care including lack of effective communication with psychiatric providers and failure to offer talk therapy.
Failed to conduct monthly drug regimen review for a resident, resulting in missing documentation and lack of pharmacist recommendations acknowledgement.
Failed to monitor psychotropic medication use including lack of gradual dose reductions and missing consent forms.
Failed to ensure all medications were stored properly and in original labeled packaging; expired medical supplies found.
Failed to provide sufficient support personnel for food and nutrition services, resulting in delayed meal service and improper food storage.
Failed to accommodate resident food preferences by serving prohibited foods.
Failed to serve meals and snacks at appropriate times, resulting in late meal service for residents.
Failed to store, prepare, distribute, and serve food in accordance with professional standards including unlabeled food, improper refrigeration, and unclean kitchen environment.
Report Facts
Residents affected: 1
Residents affected: 2
Residents affected: 17
Residents affected: 1
Residents affected: 3
Residents affected: 3
Residents affected: 2
Residents affected: 1
Residents affected: 3
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 4
Residents affected: 80
Residents affected: 1
Residents affected: 80
Residents affected: 80
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant #1 | CNA | Mentioned in ADL assistance and pressure ulcer care findings |
| Director of Nursing | DON | Interviewed regarding multiple deficiencies including care plans, pressure ulcer care, accident prevention, respiratory care, pain management, and medication monitoring |
| Certified Nursing Assistant #3 | CNA | Observed transferring residents alone with Hoyer lift |
| Certified Nursing Assistant #4 | CNA | Observed transferring resident alone with Hoyer lift |
| Certified Nurse Aide #6 | CNA | Confirmed staff awareness of resident depression |
| Psych Service Provider | PSP | Interviewed regarding behavioral health care |
| Assistant Director of Nursing | ADON | Interviewed regarding oxygen use and psychotropic medication consent |
| Dietary Manager | DM | Interviewed regarding food service deficiencies and kitchen cleanliness |
| Licensed Practical Nurse #1 | LPN | Interviewed regarding late meal service |
| Certified Medical Assistant #1 | CMA | Interviewed regarding medication cart cleanliness |
| Family Nurse Practitioner | FNP | Interviewed regarding pressure ulcer care |
| Registered Nurse #2 | RN | Interviewed regarding respiratory care and resident depression |
| Certified Nurse Assistant #7 | CNA | Interviewed regarding oxygen use monitoring |
Inspection Report
Complaint Investigation
Census: 78
Deficiencies: 14
Date: Apr 18, 2023
Visit Reason
The inspection was conducted based on complaints and concerns regarding resident rights, care plan deficiencies, medication use, food and hydration management, infection control, and hospice services at the facility.
Complaint Details
The visit was complaint-related, triggered by concerns about resident rights, care plan deficiencies, medication management, nutrition and hydration, infection control, and hospice care coordination. Substantiation status is not explicitly stated.
Findings
The facility was found deficient in multiple areas including failure to inform residents about how to contact the state survey agency, incomplete and outdated care plans for residents, failure to provide assistive devices and proper nutrition, improper medication use, inadequate infection control practices, and lack of coordination with hospice services.
Deficiencies (14)
Failed to ensure residents receive information on how to contact the state survey agency to file a complaint or seek advocacy.
Failed to develop and implement complete care plans that meet all residents' needs with measurable timetables and actions.
Failed to develop the complete care plan within 7 days of the comprehensive assessment and revise it by a team of health professionals.
Failed to assist a resident in gaining access to vision and hearing services.
Failed to ensure safe transfers and fall prevention measures for residents.
Failed to provide enough food/fluids to maintain a resident's health, including failure to provide ordered health shakes.
Failed to implement gradual dose reductions and ensure appropriate diagnosis for psychotropic medication use.
Failed to ensure food was prepared in a form designed to meet individual resident needs.
Failed to provide food that accommodates resident allergies, intolerances, and preferences.
Failed to provide drinks consistent with resident needs and preferences and sufficient to maintain hydration.
Failed to provide special eating equipment and utensils for residents who need them.
Failed to procure food from approved sources and store, prepare, distribute, and serve food in accordance with professional standards, including proper labeling, covering, and storage.
Failed to arrange for provision of hospice services or assist resident in transferring to a facility that will arrange hospice services, including lack of coordinated plan of care.
Failed to provide and implement an infection prevention and control program, including improper catheter bag handling, improper PPE disposal, failure to wear appropriate masks, and failure to maintain isolation precautions.
Report Facts
Residents affected: 78
Residents affected: 2
Residents affected: 3
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 2
Residents affected: 3
Residents affected: 1
Residents affected: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing (DON) | Confirmed multiple deficiencies including care plan issues, medication diagnosis, infection control, and hospice care coordination |
| Activities Director | Activities Director | Confirmed failure to inform residents about how to file complaints |
| Certified Nurse Aide #4 | Certified Nurse Aide | Interviewed regarding motion sensor alarm for resident |
| Med Tech #1 | Medication Technician | Interviewed regarding motion sensor alarm and alert monitor |
| Licensed Practical Nurse #1 | Licensed Practical Nurse | Interviewed regarding resident glasses and catheter bag |
| Facility Administrator | Facility Administrator | Interviewed regarding glasses delay, wing mattress, and infection control |
| Dietary Manager | Dietary Manager | Interviewed regarding nutrition, food preparation, and resident food preferences |
| Certified Medication Aide | Certified Medication Aide | Interviewed regarding hydration and meal tray issues |
| Medication Technician #2 | Medication Technician | Confirmed isolation door should be closed |
Inspection Report
Complaint Investigation
Deficiencies: 5
Date: Apr 18, 2023
Visit Reason
The inspection was conducted due to complaints regarding neglect and inadequate care, including failure to provide wound care, medication administration, safe transfers, discharge documentation, fall prevention, hydration management, and food safety.
Complaint Details
The complaint investigation was triggered by allegations of neglect related to wound care leading to amputation, failure to provide discharge summaries, unsafe transfers causing injury, fall prevention failures, hydration issues, and food safety violations. Immediate jeopardy was identified related to wound care neglect.
Findings
The facility was found to have immediate jeopardy related to neglect in wound care resulting in amputation of a resident's toe. Additional deficiencies included failure to provide discharge summaries, unsafe resident transfers causing injury, failure to implement fall prevention measures, inadequate hydration management, and improper food storage and handling practices.
Deficiencies (5)
Failure to ensure a resident was free from neglect related to wound care, resulting in amputation of the right second toe.
Failure to ensure a discharge summary was completed and provided for a discharged resident.
Failure to ensure safe transfers using a hoyer lift and failure to place ordered wing mattress to prevent falls.
Failure to manage hydration for a resident on thickened liquids, resulting in inadequate hydration.
Failure to store foods under sanitary conditions including unlabeled and uncovered food items, improper storage of raw eggs, and food items stored on bare floors.
Report Facts
Residents affected by wound care neglect: 1
Residents reviewed for wounds: 3
Residents affected by discharge summary deficiency: 1
Residents affected by transfer and fall prevention deficiencies: 2
Residents affected by hydration deficiency: 1
Residents affected by food safety deficiencies: 78
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Primary Care Physician | Interviewed regarding wound infection and treatment for Resident #1. | |
| Director of Nursing | Interviewed regarding wound care, discharge summary, and fall prevention. | |
| Assistant Director of Nursing | Responsible for auditing skin checks and follow-up on wound care. | |
| Wound Care Nurse | Interviewed regarding wound care and shoe removal for Resident #1. | |
| Certified Nurse Aides | Interviewed regarding resident care and shoe preferences for Resident #1. | |
| Social Service Director | Interviewed regarding discharge summary for Resident #76. | |
| Dietary Manager | Interviewed regarding food storage and labeling deficiencies. | |
| Certified Medication Aide | Interviewed regarding hydration assistance for Resident #52. | |
| Facility Administrator | Interviewed regarding immediate jeopardy notification and fall prevention. |
Inspection Report
Routine
Deficiencies: 17
Date: Mar 4, 2022
Visit Reason
The inspection was conducted as a routine survey to assess compliance with regulatory requirements related to resident care, safety, and facility operations.
Findings
The facility was found deficient in multiple areas including resident call light access, maintaining a homelike environment, timely reporting of incidents, comprehensive care planning, pain management, physician documentation, medication management, infection control, hospice collaboration, dialysis communication, food safety, and nurse staffing postings.
Deficiencies (17)
Failed to ensure resident had access to call light for 1 resident.
Failed to maintain a homelike environment by not keeping resident rooms clean and free of clutter.
Failed to timely report suspected abuse, neglect, or theft and report investigation results to proper authorities for 2 residents.
Failed to develop and implement a comprehensive person-centered care plan for 2 residents.
Failed to revise care plan for Foley catheter use for 1 resident.
Failed to provide ADL assistance for showers/baths for 1 resident.
Failed to ensure proper assistive devices for vision for 1 resident.
Failed to provide safe, appropriate pain management for 1 resident resulting in significant periods of pain without sufficient relief.
Failed to ensure resident specific physician orders and ongoing communication with dialysis center for 1 resident.
Failed to ensure residents have written, signed, and dated physician progress notes after each visit for 13 residents.
Failed to post nurse staffing information in a clear and visible place and maintain postings for minimum 18 months.
Failed to limit PRN psychotropic medication orders to 14 days unless physician provided written rationale for extension for 2 residents.
Failed to ensure medications in medication cart were not expired, properly labeled, and stored.
Failed to store and serve food under sanitary conditions including proper labeling, storage, and avoiding food on floors.
Medical director failed to manage and coordinate resident care adequately, resulting in poor documentation and oversight.
Failed to ensure collaboration and documentation between facility and hospice services for 1 resident on hospice.
Failed to maintain proper infection prevention measures; Foley catheters observed resting on bare floor for 2 residents.
Report Facts
Residents reviewed for physician progress notes: 44
Residents with missing physician progress notes: 13
Residents reviewed for PRN psychotropic medications: 5
Residents affected by infection prevention deficiency: 2
Residents affected by pain management deficiency: 1
Residents affected by hospice collaboration deficiency: 1
Residents affected by dialysis communication deficiency: 1
Residents affected by ADL assistance deficiency: 1
Residents affected by care plan deficiency: 2
Residents affected by call light access deficiency: 1
Residents affected by homelike environment deficiency: 2
Residents affected by medication labeling and storage deficiency: 69
Residents affected by food safety deficiency: 69
Residents affected by nurse staffing posting deficiency: 69
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing | Confirmed multiple deficiencies including call light access, medication cart issues, infection control, and hospice communication |
| Facility Medical Director | Medical Director | Responsible for physician visits, documentation, and pain management; admitted to being overwhelmed and late on documentation |
| Administrator | Administrator | Acknowledged issues with medical director documentation and hospice communication |
| Registered Nurse #1 | Registered Nurse | Observed medication cart deficiencies and commented on hospice visits |
| Certified Medication Assistant #1 | Certified Medication Assistant | Confirmed expired medications in medication cart brought by family |
| Dietary Manager | Dietary Manager | Confirmed food storage and labeling deficiencies |
| Registered Nurse #2 | Registered Nurse | Provided information on pain management for resident #33 |
| Registered Nurse #3 | Registered Nurse | Provided information on dialysis communication |
| Registered Nurse #4 | Registered Nurse | Provided information on vision assistive devices for resident #44 |
| Medical Records Director | Medical Records Director | Provided information on missing physician progress notes and hospice documentation |
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