Inspection Reports for The Montebello Academy
10500 Academy Rd NE, Albuquerque, NM 87111, United States, NM, 87111
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
72% better than New Mexico average
New Mexico average: 7.1 deficiencies/year
Deficiencies per year
4
3
2
1
0
Inspection Report
Complaint Investigation
Deficiencies: 2
Apr 22, 2024
Visit Reason
The inspection was a Full Onsite/Complaint survey conducted for state requirements of NMAC 7.8.2, Regulations for Assisted Living Facilities for Adults, including investigation of a complaint intake.
Findings
The facility failed to ensure that Direct Care Staff completed required orientation and annual training, and residents who self-administer medications did not have their medications secured in locked compartments, posing risks of harm or medication misuse.
Complaint Details
Complaint intake was investigated and no deficiency was cited related to the complaint itself, but deficiencies were found related to staff training and medication security.
Deficiencies (2)
| Description |
|---|
| Failed to ensure Direct Care Staff completed all required 12 hours of orientation or annual training including smoking policy, medication assistance, and resident rights. |
| Residents that self-administer medications did not have medications secured in locked compartments as required. |
Report Facts
Required training hours: 12
Training hours required for new employees: 16
Timeframe for resolving irregularities: 72
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Resident Care | Director of Resident Care | Confirmed that Direct Care Staff #1-2 had not completed required training and DCS #3 had not completed annual training |
| Direct Care Staff #4 | Med Tech | Confirmed self-administration of medication without secured locked storage |
Inspection Report
Routine
Deficiencies: 0
Aug 6, 2020
Visit Reason
An Offsite Surveillance survey was conducted related to Covid 19 infection prevention and control.
Findings
No deficiencies were cited during the Offsite Surveillance survey.
Inspection Report
Routine
Deficiencies: 0
May 22, 2020
Visit Reason
An offsite surveillance survey was conducted related to COVID-19 infection prevention and control.
Findings
No deficiencies were found during the COVID-19 infection prevention and control survey.
Inspection Report
Routine
Deficiencies: 0
Apr 23, 2020
Visit Reason
An offsite surveillance survey was conducted related to COVID-19 infection prevention and control.
Findings
No deficiencies were cited during the offsite surveillance survey.
Inspection Report
Routine
Deficiencies: 0
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
Follow-Up
Deficiencies: 0
Mar 27, 2020
Visit Reason
Revisit/Follow-up survey completed to assess compliance with state requirements of 7 NMAC 8.2, Regulations for Assisted Living Facilities.
Findings
No deficiencies were cited during the Revisit/Follow-up survey.
Inspection Report
Routine
Deficiencies: 0
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
Original Licensing
Census: 34
Deficiencies: 4
Jan 30, 2020
Visit Reason
Initial survey completed on 01/30/20 for the state requirements of 7 NMAC 8.2, Regulations for Assisted Living Facilities.
Findings
The facility was found deficient in staff training, admission and discharge agreements, custodial drug permits, medication storage and administration, and medication record keeping. Deficiencies included lack of required annual staff training, missing refund policy in admission agreements, improper medication storage, missing medications, unsecured resident medications, and incomplete medication administration records.
Deficiencies (4)
| Description |
|---|
| Direct Care Staff failed to receive all required annual trainings including First Aid, Residents Rights, Smoking Policy, Quality Care, Emergency Procedures, and Individual Service Plan Implementation. |
| Admission/Discharge Agreements for residents did not include the required refund provision in case of death as per NMAC 7.8.2.20 and Senate Bill 0335-2013. |
| Medications for residents were not stored in separate compartments; some prescribed medications were missing from the medication cart; resident medications were stored unsecured in unlocked drawers. |
| Medication Administration Records (MARs) for residents did not include both brand and generic names for all medications. |
Report Facts
Residents affected: 34
Residents affected: 4
Residents affected: 34
Residents affected: 4
Inspection Report
Original Licensing
Deficiencies: 0
Dec 17, 2019
Visit Reason
An initial life safety code survey was conducted at the facility at the provider's request.
Findings
The facility was found in substantial compliance with New Mexico State Regulations for Assisted Living Facilities for Adults NMAC 7.8.2. Temporary licensure is recommended.
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