Inspection Reports for The Montecito Santa Fe Memory Care Community

450 Rodeo Rd, Santa Fe, NM, 87505

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Inspection Report Summary

The most recent inspection on June 2, 2025, identified deficiencies related to staff clearance and unsecured hazardous chemicals accessible to residents. Earlier inspections showed a broader range of issues, including staff training, resident evaluations, service plan updates, incident reporting, resident rights, medication management, memory care staffing, and nutrition. Complaint investigations substantiated concerns about verbal and physical abuse, failure to report incidents timely, and medication errors. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility’s deficiencies appear to persist over time, with similar themes recurring in recent inspections.

Deficiencies (last 2 years)

Deficiencies (over 2 years) 5 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

30% better than New Mexico average
New Mexico average: 7.1 deficiencies/year

Deficiencies per year

8 6 4 2 0
2024
2025

Census

Latest occupancy rate 37 residents

Based on a June 2025 inspection.

Census over time

30 33 36 39 42 45 May 2024 Jun 2025

Inspection Report

Complaint Investigation
Census: 37 Deficiencies: 2 Date: Jun 2, 2025

Visit Reason
The inspection was a complaint survey completed on 06/02/2025 for the state requirements of NMAC 8.370.14, Regulations for Assisted Living Facilities for Adults.

Complaint Details
Complaint Intake# was investigated with no deficiencies cited, but the complaint survey identified deficiencies related to staff clearance and chemical storage.
Findings
The facility failed to ensure that three direct care staff were cleared by the Employee Abuse Registry prior to hire and providing care. Additionally, cleaning supplies and hazardous chemicals were found unsecured and accessible to residents in multiple areas of the facility.

Deficiencies (2)
Failed to ensure three direct care staff were cleared by the Employee Abuse Registry prior to hire and providing care.
Failed to ensure cleaning supplies and hazardous chemicals were stored in secured areas and not accessible to residents.
Report Facts
Direct Care Staff not cleared: 3 Resident census: 37 Containers of powdered laundry detergent: 27 Containers of powdered laundry detergent: 30 Disinfectant spray bottles: 7 Disinfectant wipes containers: 2

Inspection Report

Complaint Investigation
Census: 38 Deficiencies: 8 Date: May 8, 2024

Visit Reason
The inspection was a complaint survey conducted to investigate multiple complaint intakes related to the state requirements of NMAC 7.8.2, Regulations for Assisted Living Facilities for Adults.

Complaint Details
The complaint investigation included multiple complaint intakes, some with deficiencies cited and others with no deficiencies. Specific complaints involved suspected abuse and neglect of residents, failure to update resident evaluations and service plans, medication administration issues, and inadequate staffing in the Memory Care Unit. The investigation confirmed incidents of verbal and physical abuse, failure to report incidents timely, and medication errors.
Findings
The facility was found deficient in staff training, resident evaluation, individual service plans, reporting of incidents, resident rights, custodial drug permits, memory care units, and nutrition. Several residents were at risk due to lack of proper training, incomplete evaluations, failure to update service plans, inadequate incident reporting, and medication management issues.

Deficiencies (8)
Failed to ensure Direct Care Staff completed sixteen (16) hours of supervised training prior to providing unsupervised care.
Failed to ensure resident evaluations were reviewed or revised by licensed nurses or physician extenders every six months or when significant changes occurred.
Failed to ensure Individual Service Plans (ISP) were reviewed or revised by licensed nurses or physician extenders every six months or when significant changes occurred.
Failed to report incidents of suspected abuse, neglect, or exploitation to the licensing authority complaint hotline within twenty-four (24) hours or next business day.
Failed to protect and respect resident rights including privacy, confidentiality, and freedom from abuse or neglect.
Failed to maintain custodial drug permits and ensure proper medication storage, labeling, and administration.
Failed to ensure sufficient trained staff on duty in the Memory Care Unit to meet residents' needs and timely medication administration.
Failed to provide planned and nutritionally balanced meals in accordance with recommended dietary allowances and maintain proper food storage and sanitation.
Report Facts
Census: 38 Staff training hours required: 16 Resident evaluation review period: 6 Incident reporting timeframe: 24 Memory Care Unit staffing: 3 Food storage discard timeframe: 3 Food service temperature: 140

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