Inspection Reports for
The Neighborhood in Rio Rancho Life Plan Community

The complaint investigation was substantiated. The facility failed to notify the guardian of a resident's decline and diet change, failed to prevent abuse by a CNA who was terminated, and failed to complete required fall assessments and interventions. Documentation and weight monitoring were also found deficient.

The facility failed to notify a resident's guardian of a diet change and decline, failed to prevent employee abuse of a resident, did not complete necessary fall assessments or interventions, failed to consistently capture accurate resident weights, and had incomplete and inaccurate medical records and documentation for residents.

The facility was found deficient in multiple areas including failure to obtain and enter wound care orders, improper management of fall mats, lack of annual competency reviews for nursing assistants, failure to schedule annual dental appointments, inadequate food safety practices in the kitchen, incomplete documentation of resident weights, and failure to ensure call lights were within reach of residents. All deficiencies were assessed as causing minimal harm or potential for actual harm.

The complaint investigation focused on billing errors related to hospice residents, failure to notify POA of injuries, inaccurate assessments, incomplete care plans, inadequate staff competency and orientation, and failure to properly arrange hospice services. Substantiation status is not explicitly stated.

The facility was found to have multiple deficiencies including billing residents for hospice-covered items, failure to notify POA of resident injuries, inaccurate assessments, incomplete care plans especially regarding hospice and fall protocols, lack of training and orientation for agency nursing staff, and failure to properly coordinate hospice services including lack of hospice orders, qualifying diagnoses, and plans of care for hospice residents.

Complaint intake was investigated with no deficiencies cited related to the complaint itself, but other deficiencies were found during the investigation.

The facility was found deficient in securing cleaning supplies and hazardous chemicals, which were accessible to residents, posing a risk of harm. Additionally, fire extinguishers were not inspected monthly as required, increasing risk to residents and staff.

The complaint investigation found that the resident fell due to a broken Hoyer sling during transfer. The incident was substantiated with findings of negligence and failure to follow proper transfer procedures.

The facility failed to prevent an accident involving a resident who fell when a Hoyer sling broke during transfer, causing injuries requiring hospital treatment. The facility also failed to ensure patient care equipment was maintained in safe operating condition, and staff did not follow proper procedures requiring two staff members to operate the lift.

The facility was found deficient in multiple areas including failure to update care plans for hospice residents, failure to notify appropriate staff about medication spills and missing narcotics, inadequate wound care, improper respiratory care, mishandling and improper storage of medications including fentanyl patches, presence of expired medical supplies and food, and failure to maintain safe food storage practices.

The facility was found deficient in multiple areas including failure to notify the power of attorney and nurse practitioner of a resident fall, incorrect medication administration due to transcription error, failure to provide behavioral health treatment and monitoring for residents with insomnia and agitation, failure to monitor behaviors related to psychotropic medication use, and use of a broken recliner that posed a safety risk to residents.

The facility was found deficient in multiple areas including incomplete medical orders for scope of treatment forms, failure to promptly resolve resident grievances, inadequate safeguarding of resident belongings, failure to timely report incidents to the State Survey Agency, inaccurate Minimum Data Set assessments, improper labeling and documentation of enteral feeding supplements, and unsanitary food storage conditions in the kitchen.

The facility was found deficient in maintaining proper freezer temperatures in the kitchen walk-in freezer, with temperatures not recorded within the required range for multiple days. Corrective actions were implemented including staff training, equipment adjustments, and revised documentation procedures to prevent recurrence.

Complaint Intake #NM53252 was unsubstantiated with no deficiencies cited. Complaint Intake #NM43244 was unsubstantiated with no deficiencies cited.

The facility was cited for deficiencies related to admissions and discharge agreements, resident evaluations, individual service plans, custodial drug permits, and nutrition. Several residents' records lacked required documentation such as refund policies upon death, evaluations completed within 15 days prior to admission, expected goals and outcomes in service plans, and availability of physician-ordered medications. The facility also failed to maintain proper temperature logs for freezers and refrigerators, putting residents at risk of foodborne illness.

Complaint #NM38151 was substantiated with deficiencies cited related to resident records, individual service plans, and incident reporting. The complaint included reports of injuries of unknown origin that were undocumented and unreported by the facility.

The facility was found deficient in maintaining complete and accurate resident records, including documentation of accidents and injuries. Individual Service Plans (ISPs) were not reviewed or revised at least every six months for some residents. The facility failed to report incidents or injuries of unknown origin to the licensing authority within required timeframes. Additionally, residents in the Memory Care Unit could not independently access the secure outdoor area due to staff-controlled access.

The facility failed to apply for an amended Assisted Living license within 10 business days of changing administrators, resulting in a discrepancy between the license name and the current administrator. The Plan of Correction outlines steps taken to ensure compliance, including posting the correct license and monitoring future compliance.