Inspection Report
Complaint Investigation
Census: 73
Deficiencies: 0
Aug 28, 2023
Visit Reason
An onsite complaint survey was completed to investigate compliance with state regulations for Assisted Living for Adults.
Findings
No deficiencies were cited during the complaint investigation; the facility was found to be in compliance.
Complaint Details
Complaint investigation completed with no deficiencies cited.
Inspection Report
Complaint Investigation
Census: 69
Deficiencies: 2
Oct 26, 2022
Visit Reason
The inspection was a Full-Onsite/Complaint survey conducted on 10/26/22 to assess compliance with state requirements for Assisted Living Facilities for Adults, triggered by Complaint Intake ID #NM 55454 which was unsubstantiated with no deficiencies cited.
Findings
Two deficiencies were cited: failure to maintain up-to-date vaccination records for pets living in the facility, and failure to keep the activity room office orderly and attractive, posing potential risk of harm or injury to residents. No residents were found to be affected by these deficient practices.
Complaint Details
Complaint Intake ID #NM 55454 was unsubstantiated with no deficiencies cited.
Deficiencies (2)
| Description |
|---|
| Facility failed to ensure that pets living in the facility had current vaccination records on file. |
| Facility failed to maintain the activity room office in an orderly and attractive manner, with scattered documents and items on the floor. |
Report Facts
Residents at risk: 69
Pets living in facility: 3
Pets with expired vaccinations: 2
Date of survey completion: Oct 26, 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Resident Care Director | Interviewed confirming vaccination records for pets were not up-to-date and educated Activity Assistant | |
| Administrator | Interviewed confirming the activity room office was not kept orderly and attractive | |
| Business Office Manager | Re-educated front receptionist/designee on pet vaccination log | |
| Front receptionist/designee | Responsible for maintaining and monitoring pet vaccination log | |
| Activity Assistant | Educated on maintaining orderly and attractive activity office |
Inspection Report
Complaint Investigation
Deficiencies: 0
May 5, 2021
Visit Reason
A complaint investigation was completed for intake number NM00027573 regarding unsanitary practices.
Findings
The complaint of unsanitary practices was unsubstantiated and no deficiencies were cited.
Complaint Details
Complaint of unsanitary practices was investigated and found unsubstantiated.
Inspection Report
Routine
Deficiencies: 0
Aug 21, 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
Jul 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 COVID-19 infection prevention and control survey.
Inspection Report
Routine
Deficiencies: 0
Jun 29, 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
May 20, 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
Mar 16, 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
Monitoring
Deficiencies: 1
Jun 12, 2015
Visit Reason
An on-site monitoring survey was completed on 06/12/15 for the state requirements of 7 NMAC 8.2, Regulations for Assisted Living.
Findings
A deficiency was cited related to hospice care training requirements. The facility failed to have the required 6 hours of annual palliative/hospice care training for direct care staff providing care to hospice residents.
Deficiencies (1)
| Description |
|---|
| Facility failed to have the required 6 hours of annual palliative/hospice care training for direct care staff providing care to hospice residents. |
Report Facts
Training hours required: 6
Residents receiving hospice services: 2
Direct care staff training records reviewed: 4
Inspection Report
Complaint Investigation
Deficiencies: 0
Jun 28, 2013
Visit Reason
Complaint investigations were completed for intakes NM00028501, NM00028562, and NM00028894 on 06/28/13 for the state requirements of 7 NMAC 8.2, Regulations for Assisted Living.
Findings
The complaints were unsubstantiated with no deficiencies cited.
Complaint Details
Complaints were unsubstantiated with no deficiencies cited.
Inspection Report
Complaint Investigation
Deficiencies: 0
Mar 7, 2012
Visit Reason
A complaint investigation was completed for intake NM00028210 on 03/07/12 for the state requirements of 7 NMAC 8.2, Regulations for Assisted Living.
Findings
The complaint was unsubstantiated with no deficiencies cited.
Complaint Details
Complaint intake NM00028210 was investigated and found unsubstantiated with no deficiencies cited.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jan 11, 2011
Visit Reason
A complaint investigation was conducted for intake NM00027830.
Findings
The complaint was substantiated with no deficiencies cited.
Complaint Details
Complaint intake NM00027830 was substantiated with no deficiencies cited.
Inspection Report
Complaint Investigation
Deficiencies: 0
May 4, 2010
Visit Reason
A complaint investigation was completed for Intake number NM00027578 regarding allegations of neglect.
Findings
The complaint of neglect was unsubstantiated and no deficiencies were cited during the investigation.
Complaint Details
Complaint of neglect was investigated and found to be unsubstantiated.
Inspection Report
Complaint Investigation
Deficiencies: 0
Dec 21, 2009
Visit Reason
A complaint investigation was completed for Intake NM00027387 regarding an employee exploitation allegation.
Findings
The facility self-reported the employee for exploitation and sent the employee information to the Employee Abuse Registry. The facility was not cited for deficiencies.
Complaint Details
Investigation related to employee exploitation; facility self-reported and no deficiencies were cited.
Inspection Report
Annual Inspection
Deficiencies: 0
Dec 10, 2008
Visit Reason
Annual inspection to assess compliance with New Mexico Regulations Governing Adult Residential Care Facilities 7 NMAC 8.2.
Findings
The facility was found to be in compliance with all applicable regulations and no deficiencies were cited.
Inspection Report
Annual Inspection
Census: 70
Capacity: 100
Deficiencies: 3
Dec 9, 2008
Visit Reason
The inspection was conducted as an annual survey for the Life Safety Code portion of the New Mexico Regulations Governing Requirements for Adult Residential Care Facilities.
Findings
Deficiencies were cited related to maintenance of building and grounds, including electrical outlets not protected by GFIC and fire protection systems such as smoke barriers and doors not maintained in accordance with NFPA 70 and fire safety requirements.
Deficiencies (3)
| Description |
|---|
| Electrical outlets within two feet of water supply were not GFIC protected. |
| Fire protection systems including smoke barriers and doors were not self-closing or automatic closing as required. |
| Recess style light fixtures in the Director of Nursing office had electrical wire running through open space allowing smoke passage between compartments. |
Report Facts
Licensed capacity: 100
Census: 70
Number of electrical outlets not GFIC protected: 2
Number of 6-inch recess style light fixtures removed: 2
Timeframe for monitoring corrective action: 90
Inspection Report
Deficiencies: 2
Feb 27, 2007
Visit Reason
The inspection was conducted to assess compliance with state and federal regulations regarding facility reports, records, policies, procedures, and heating, ventilation, and air-conditioning standards at Village at Northrise-Morningsi.
Findings
The facility was found deficient in following approved Private Duty Policies and Procedures for residents receiving private pay services, and failed to have adequate screening on windows used for ventilation, with approximately 50% of screens missing or torn. Corrective actions and monitoring plans were outlined for these deficiencies.
Deficiencies (2)
| Description |
|---|
| Failure to follow approved Private Duty Policies and Procedures for residents receiving private pay services. |
| Facility failed to have openings to outside air used for ventilation properly screened for control of insects; approximately 50% of windows had torn or missing screens. |
Report Facts
Deficient residents: 4
Percentage of windows with missing or torn screens: 50
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maintenance Supervisor | Acknowledged the screens need replacement during interview on 2/28/07 | |
| Administrator | Interviewed on 2/27/07 regarding Private Duty Policies and Procedures | |
| Program Director | Interviewed on 2/27/07 regarding Private Duty Policies and Procedures |
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