Inspection Reports for Lakeview Christian Home of the Southwest, Inc.
1905 W Pierce St, Carlsbad, NM, 88220
Back to Facility ProfileInspection Report Summary
The most recent inspection on June 8, 2020, was a COVID offsite surveillance and did not cite any deficiencies. Earlier inspections showed a mix of results, with some deficiencies related mainly to staff training and emergency preparedness, such as failure to ensure all staff received first aid training and issues with fire protection systems and emergency number postings. Complaint investigations in 2015 and 2009 found substantiated issues, including staff training gaps and failure to hold required team meetings for residents needing nursing services, but no enforcement actions or fines were listed in the available reports. Most complaints were unsubstantiated or resulted in minor citations without further enforcement. The inspection history suggests that while some compliance issues appeared in the past, recent reviews have not identified deficiencies, indicating improvement over time.
Deficiencies (last 5 years)
Deficiencies (over 5 years)
0.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
89% better than New Mexico average
New Mexico average: 7.1 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
14 residents
Based on a March 2015 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report
Deficiencies: 0
Date: Jun 8, 2020
Visit Reason
The visit was conducted as a COVID Offsite Surveillance.
Findings
No specific deficiencies or findings are detailed in the report beyond the initial comment indicating COVID Offsite Surveillance.
Inspection Report
Routine
Deficiencies: 0
Date: Apr 15, 2020
Visit Reason
Offsite Surveillance Review 2 was conducted related to COVID 19 infection prevention and control.
Findings
No deficiencies were cited during the COVID 19 infection prevention and control review.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tammy Fleming | Surveyor | Conducted the Offsite Surveillance Review related to COVID 19 infection prevention and control. |
Inspection Report
Routine
Deficiencies: 0
Date: Apr 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: 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 Covid 19 infection prevention and control survey.
Inspection Report
Complaint Investigation
Census: 14
Deficiencies: 1
Date: Mar 5, 2015
Visit Reason
A complaint investigation for intake NM00029603 and an On-site/Monitoring survey were completed on 03/05/15 for the state requirements of 7 NMAC 8.2, Regulations for Assisted Living.
Complaint Details
The complaint was substantiated with no deficiencies cited as a result of the investigation.
Findings
The complaint was substantiated with no deficiencies cited as a result of the investigation. A deficiency was cited as a result of the On-site/Monitoring survey related to failure to ensure all staff received first aid training.
Deficiencies (1)
Facility failed to ensure that all staff were provided first aid training, which could result in residents not receiving immediate first aid when needed.
Report Facts
Residents present: 14
Staff without first aid training: 3
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Aug 13, 2009
Visit Reason
The inspection was conducted due to a complaint investigation regarding the facility's failure to convene team meetings to determine admission/retention appropriateness for residents requiring nursing services.
Complaint Details
The complaint investigation found that the facility did not convene required team meetings for residents R#1, R#2, R#3, and R#4 who require nursing services. The administrator acknowledged this during an interview on 08/11/09 at 12:30 PM.
Findings
The facility failed to convene team meetings for 4 residents requiring nursing services to determine if admission or retention was appropriate, as required by regulation. The administrator acknowledged no team meetings were held for these residents.
Deficiencies (1)
Failure to convene team meetings to determine admission/retention appropriateness for 4 residents requiring nursing services.
Report Facts
Residents affected: 4
Days to submit documentation: 5
Date of interview: Aug 11, 2009
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Jul 2, 2008
Visit Reason
The inspection was conducted to assess compliance with New Mexico Regulations Governing Adult Residential Care Facilities.
Findings
No deficiencies were cited; the facility was found to be in compliance with all applicable New Mexico regulations.
Inspection Report
Annual Inspection
Census: 19
Capacity: 35
Deficiencies: 1
Date: May 17, 2007
Visit Reason
The inspection was conducted as an annual Life Safety Code survey for New Mexico Regulations Governing Requirements for Adult Residential Care Facilities.
Findings
The facility failed to ensure all fire protection systems, including smoke barriers and doors in smoke barriers, were maintained in safe and functioning condition. Specifically, self-closing devices on several doors were disabled or removed, preventing doors from closing and latching as required.
Deficiencies (1)
Door openings in smoke barriers did not have the required 20-minute fire protection rating or proper self-closing devices were disabled or removed, preventing doors from closing and latching as required.
Report Facts
Licensed capacity: 35
Census: 19
Inspection date: May 17, 2007
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Maintenance | Stated unawareness of disabled self-closing devices but explained intent to allow resident access |
Inspection Report
Routine
Deficiencies: 1
Date: Apr 16, 2007
Visit Reason
The inspection was conducted to assess compliance with emergency handling requirements, specifically to verify that emergency numbers were posted near telephones in the assisted living facility.
Findings
The facility failed to post a list of emergency numbers by business telephones in the Assisted Living facility. No residents were adversely affected, but the deficiency was noted during the inspection.
Deficiencies (1)
Failure to post a list of emergency numbers, including Fire Department, Police Department, Ambulance Services, Poison Control, Licensing and Certification Bureau, Adult Protective Services, and Ombudsman near each public telephone in the facility.
Report Facts
Date of initial tour: Apr 16, 2007
Date of interview with Hostess: Apr 16, 2007
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Barbara Stafford | Administrator | Signed the statement of deficiencies and plan of correction |
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