Inspection Report Summary
The most recent inspection on September 4, 2025, identified deficiencies related to Individual Service Plans, incident reporting, resident treatment, chemical storage, maintenance, and fire extinguisher inspections. Earlier inspections showed a pattern of issues with incident reporting, resident rights violations including financial exploitation by staff, and failure to protect residents from abuse and neglect. Complaint investigations substantiated financial exploitation and failure to report incidents timely, with corrective actions such as staff training noted; no fines or enforcement actions were listed in the available reports. Prior reports also cited maintenance and documentation issues, with some complaints found unsubstantiated but still resulting in deficiencies. The facility’s inspection history reflects ongoing challenges with compliance in resident care documentation and safety practices, with no clear trend of improvement or worsening.
Deficiencies (last 3 years)
Deficiencies (over 3 years)
6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
15% better than New Mexico average
New Mexico average: 7.1 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
68 residents
Based on a September 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy over time
Inspection Report
Complaint Investigation
Census: 68
Deficiencies: 7
Date: Sep 4, 2025
Visit Reason
Complaint survey completed on 09/04/2025 for the state requirements of NMAC 8.370.14, Regulations for Assisted Living Facilities for Adults.
Complaint Details
Complaint Intake NM was investigated with deficiencies cited.
Findings
Deficiencies were cited related to Individual Service Plans not being reviewed or revised by licensed nurses, failure to report incidents timely, failure to treat a resident with courtesy and respect, unsafe storage of chemicals, maintenance issues including ceiling tile perforations and outdated elevator inspection, unsecured mechanical room, and fire extinguishers not inspected monthly.
Deficiencies (7)
Individual Service Plans (ISPs) for 3 residents were not reviewed or revised by a licensed nurse and lacked required information such as expected goals, documentation of facility's ability to meet needs, level of assistance, crisis prevention plan, and current medication orders.
Failure to report incidents involving residents to the licensing authority within 24 hours and failure to conduct investigations within 5 business days.
Resident was not treated with courtesy and respect, causing emotional discomfort.
Poisonous or flammable chemicals were stored unsecured in residential areas and housekeeping carts.
Ceiling tiles in 1st and 2nd floor hallways had perforations and signs of wear; elevator inspection was outdated since 06/22/2021.
Mechanical room was unlocked, unsecured, accessible to residents, and contained combustible materials.
Fire extinguishers were not inspected monthly as recommended by the manufacturer; nine extinguishers had last inspection dates from August 2024.
Report Facts
Resident census: 68
Number of residents with ISP deficiencies: 3
Number of fire extinguishers not inspected monthly: 9
Date of last elevator inspection: Jun 22, 2021
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Health Services | Confirmed ISPs were not reviewed or revised by licensed nurse and lacked required information | |
| Administrator | Confirmed incidents were not reported timely and investigations not conducted | |
| Executive Director | Confirmed mechanical room was unsecured and accessible to residents |
Inspection Report
Complaint Investigation
Census: 70
Deficiencies: 1
Date: Feb 20, 2025
Visit Reason
The inspection was conducted as a complaint survey to investigate allegations related to resident rights violations and financial exploitation at The Village at Alameda assisted living facility.
Complaint Details
Complaint intake numbers were investigated; one complaint was substantiated with cited deficiencies related to financial exploitation of a resident by a former direct care staff member.
Findings
The facility was found to have violated resident rights, specifically failing to protect a resident from financial exploitation by a former employee. The investigation revealed unauthorized CashApp transfers and bank withdrawals causing financial harm to the resident. The facility has taken corrective actions including staff training and securing resident valuables.
Deficiencies (1)
Failure to ensure residents were free from financial exploitation by facility staff.
Report Facts
Census: 70
CashApp transfers: 300
CashApp transfers: 500
Total unauthorized withdrawals: 1300
Employment duration: 110
Notice period for room transfers or discharge: 15
Complaint investigation report date: Dec 18, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| DCS #1 | Direct Care Staff | Named in findings related to financial exploitation and termination for job abandonment |
| Executive Director | Executive Director | Responsible for corrective actions including staff training and resident rights education |
Inspection Report
Complaint Investigation
Census: 66
Deficiencies: 3
Date: Jun 3, 2024
Visit Reason
The inspection was conducted as a complaint survey for alleged deficiencies related to resident abuse, neglect, exploitation, and failure to report incidents as required by state regulations.
Complaint Details
The complaint investigation substantiated deficiencies related to exploitation and failure to report incidents. The investigation revealed that a caregiver exploited residents financially, including theft of checks and unauthorized use of bank accounts. The facility did not report these incidents after the caregiver was terminated. Multiple police reports and bank communications confirmed the exploitation. The Executive Director implemented corrective actions including staff training and monitoring.
Findings
The facility was found deficient in reporting incidents timely to the Licensing Authority, resulting in residents being at risk of harm and financial loss. Exploitation incidents involving a former caregiver were documented, including theft and misuse of residents' financial accounts. The facility failed to protect residents from financial abuse and did not report incidents after the caregiver was terminated. Corrective actions and trainings were implemented by the Executive Director to ensure compliance.
Deficiencies (3)
Failure to report incidents or unusual occurrences, including exploitation, to the Licensing Authority within 24 hours or by the next business day.
Failure to protect residents from financial abuse and misappropriation by Direct Care Staff.
Failure to ensure residents' rights were protected, including financial rights and protection from exploitation.
Report Facts
Census: 66
Amount stolen: 550
Amount stolen: 500
Amount stolen: 300
Amount charged: 732.32
Timeframe for incident reporting: 24
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rhonda Gregory | Executive Director | Named as responsible for corrective actions and training related to reporting of incidents and resident rights. |
Inspection Report
Complaint Investigation
Census: 59
Deficiencies: 2
Date: Aug 3, 2022
Visit Reason
The inspection was conducted as a complaint survey related to the state requirements for Assisted Living Facilities, specifically addressing complaints #NM60188 and #NM60600 which were found to be unsubstantiated but with deficiencies cited.
Complaint Details
Complaint Intake #NM60188 was unsubstantiated with deficiencies cited. Complaint Intake #NM60600 was unsubstantiated with deficiencies cited.
Findings
The facility failed to report incidents such as the closure of the kitchen due to cockroach infestation and air conditioning failure to the Licensing Authority within the required timeframe. Additionally, the facility did not ensure documentation that resident bed linens were changed on an as-needed or weekly basis, risking harm to residents.
Deficiencies (2)
Failure to report incidents (kitchen closure and air conditioning failure) to the Licensing Authority within 24 hours.
Failure to document that resident bed linens were changed on an as-needed or weekly basis.
Report Facts
Resident census: 59
Inspection date: Aug 3, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rhonda Griego | Executive Director | Named in corrective actions for reporting of incidents and laundry services |
| Ray Lucero | Maintenance Director | Named in corrective actions for laundry services documentation |
| Estella | Regional Director | Monitors reporting of incidents compliance |
Inspection Report
Original Licensing
Census: 51
Deficiencies: 5
Date: Feb 2, 2022
Visit Reason
Initial survey completed on 02/02/22 for the state requirements of 7 NMAC 8.2, Regulations for Assisted Living.
Findings
The facility failed to ensure that Direct Care Staff had been cleared by the Employee Abuse Registry prior to hire, and failed to ensure that Direct Care Staff received required supervised training and orientation prior to providing unsupervised care. Additionally, the facility failed to ensure residents' admission/discharge agreements included a refund policy upon death, and failed to ensure residents/family received fire safety and evacuation orientation upon admission.
Deficiencies (5)
Facility failed to ensure Direct Care Staff had Employee Abuse Registry clearance prior to hire.
Facility failed to ensure Direct Care Staff received 16 hours of supervised training and 12 hours of orientation prior to providing unsupervised care.
Facility failed to ensure admission/discharge agreements included a refund policy upon resident death.
Facility failed to ensure residents/family received fire safety and evacuation orientation upon admission.
Facility failed to ensure Individual Service Plans (ISPs) were completed within 10 days of admission and included goals and outcomes.
Report Facts
Resident census: 51
Direct Care Staff files reviewed: 4
Residents whose admission/discharge agreements reviewed: 4
Residents whose ISPs reviewed: 4
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