Inspection Reports for Sundance Care Home
209 W Adams Ave., Gallup, NM 87301, NM, 87301
Back to Facility ProfileDeficiencies (last 7 years)
Deficiencies (over 7 years)
0.9 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
87% better than New Mexico average
New Mexico average: 7.1 deficiencies/yearDeficiencies per year
4
3
2
1
0
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 COVID-19 infection prevention and control survey.
Inspection Report
Routine
Deficiencies: 0
Date: Apr 16, 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 1, 2020
Visit Reason
An offsite surveillance survey was conducted related to COVID-19 infection prevention and control.
Findings
The survey focused on COVID-19 infection prevention and control measures; no specific deficiencies or findings were detailed in the report.
Inspection Report
Routine
Deficiencies: 0
Date: Mar 19, 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
Deficiencies: 0
Date: Sep 25, 2019
Visit Reason
The inspection was conducted as a complaint survey to investigate allegations related to the facility.
Complaint Details
Complaint intake was unsubstantiated with no deficiencies cited.
Findings
No deficiencies were cited during the complaint survey, and the complaint intake was found to be unsubstantiated with no deficiencies noted.
Inspection Report
Follow-Up
Deficiencies: 0
Date: Feb 5, 2018
Visit Reason
The visit was a Revisit/Follow-up survey to assess compliance with state requirements of 7 NMAC 8.2, Regulations for Assisted Living.
Findings
No deficiencies were cited during the Revisit/Follow-up survey. The facility was found to be in substantial compliance.
Inspection Report
Complaint Investigation
Census: 12
Deficiencies: 3
Date: Nov 7, 2017
Visit Reason
The inspection was a Full-Onsite/Complaint survey conducted to assess compliance with state requirements for Assisted Living Facilities, including investigation of Complaint Intake NM#30208 which was found unsubstantiated.
Complaint Details
Complaint Intake NM#30208 was unsubstantiated with no deficiencies cited.
Findings
The facility was found deficient in ensuring admission/discharge agreements contained complete and accurate termination information for 3 residents, failed to maintain dishwasher cleanliness and temperature logs risking foodborne illness for all 12 residents, and had a non-functioning emergency light posing safety risks. The complaint was unsubstantiated with no deficiencies cited related to it.
Deficiencies (3)
Admission/discharge agreements for 3 residents did not state that the agreement may be terminated if an appropriate placement is found for the resident.
Dishwasher was old, dirty, rusty, and lacked documented temperature logs to ensure proper sanitizing temperatures.
One of six emergency lights did not work/turn on when manually tested.
Report Facts
Resident census: 12
Residents with deficient admission agreements: 3
Emergency lights in facility: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing (DON) | Confirmed that admission/discharge agreements did not state termination conditions. | |
| Administrator | Confirmed dishwasher was old, rusty, lacked temperature logs, and emergency light was non-functional. |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Oct 28, 2010
Visit Reason
A complaint investigation was completed for intake #NM0007559 regarding NMAC 7.8.2 regulations governing Assisted Living facilities.
Complaint Details
Complaint investigation for intake #NM0007559 was unsubstantiated for allegation of neglect.
Findings
The complaint was found to be unsubstantiated for the allegation of neglect.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Apr 8, 2010
Visit Reason
A complaint survey was conducted related to Complaint Intake # NM00027495.
Complaint Details
Complaint Intake # NM00027495 was investigated and found to have no deficiencies.
Findings
The facility was found to be in compliance with all New Mexico Regulations Governing Adult Residential Care Facilities 7 NMAC 8.2, with no deficiencies cited.
Inspection Report
Routine
Deficiencies: 3
Date: Nov 6, 2008
Visit Reason
The inspection was conducted to assess compliance with adult residential care facility personnel policies and training requirements, as well as related regulations and codes.
Findings
The facility failed to have required staff training for all sampled staff and lacked documentation of confidentiality of records and resident rights training. Additionally, the facility did not ensure training on the 2009 Incident Management System for all staff.
Deficiencies (3)
Failure to have required staff training for 4 of 4 sampled staff.
No documentation of confidentiality of records and resident rights training for staff members for the current calendar year.
Failure to ensure training on the 2009 Incident Management System for 100% staff with required curriculum.
Report Facts
Sampled staff: 4
Training completion date: Nov 21, 2008
Inspection Report
Original Licensing
Deficiencies: 0
Date: Aug 27, 2007
Visit Reason
Initial survey conducted for licensing and compliance with New Mexico Regulations Governing Adult Residential Care Facilities 7 NMAC 8.2.
Findings
No deficiencies were found during the initial survey, and the facility was found to be in compliance with all applicable regulations.
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