ALBUQUERQUE, NM- THE REHABILITATION CENTER OF ALBUQUERQUE

The Department of Health & Human Services conducted an inspection of the facility. The following  highlighted decencies listed below were found in a public survey, that can be found by clicking on “Full State Report” at the bottom.

Ensure each resident receives an accurate assessment.

Based on observation, interview, and record review, the facility failed to ensure that Minimum Data Set (MDS; a federally mandated standardized assessment tool completed by facility staff, that measures health status in nursing home residents) assessments included accurate insulin use information for 2 (R #2 and R #3) of 2 (R #2 and R #3) residents reviewed for MDS accuracy. This deficient practice could likely result in residents not receiving the most optimal and personalized care required to meet their highest practicable outcomes.

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Based on observation, interview, and record review, the facility failed to support residents in activities of daily living by not offering showers to residents in accordance with a pre-planned and agreed upon schedule and not answering call lights in a timely manner for 3 (R #2, R #73, and R #309) of 3 (R #2, R #73, and R #309) residents sampled for ADLs. These deficient practices are likely to negatively impact resident safety, comfort, and to impede processes such as timely incontinence care (assisting residents to the bathroom or changing adult briefs) and showers.

Provide safe and appropriate respiratory care for a resident when needed.

Based on observation, interview, and record review, the facility failed to meet professional standards of care for 1 (R #309) of 1 (R #309) resident reviewed for oxygen therapy when staff failed to:
– Ensure physician orders for oxygen therapy were entered into the resident’s medical record.
– Ensure O2 tubing was properly dated and labeled with the last equipment change.

This deficient practice could likely result in residents not getting the therapeutic results required for optimal health.

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Based on observation and interview, the facility failed to properly store medications in medication carts by allowing loose medications under the medication cards (cards that contain individually sealed tablets in which the medication must be pushed through the foil in order to take the medication). This deficient practice has the likelihood to result in all residents on hall 300 and 400, as identified on the census list provided by the administrator on [DATE], to receive expired or improperly temperature-controlled medications that have either lost their potency or effectiveness.

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Based on interview, observation, and record review, the facility failed to serve food according to the
presented menu. This deficient practice has the potential to affect all 116 residents listed on the census presented by the Administrator (ADM) on 03/25/24 and could likely result in resident frustration and/or dissatisfaction with meal options and therefore residents’ may not receive required nutrition to maintain their best health.

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Based on interview, record review, and observation, the facility failed to ensure staff served meals that were attractive and palatable (pleasant to taste) for 6 (R #’s 2, 7, 29, 36, 49, and 309) of 10 (R #’s 2, 7, 15, 29, 36, 37, 39, 49, 104 and 309) residents reviewed for meal quality. This deficient practice reduces residents’ ability to eat and enjoy meals, may decrease their quality of life, and could likely lose weight.

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

*This is a repeat deficiency.

Based on observation, record review, and interview, the facility failed to take into consideration food preferences (choices) for 2 (R #36 and R #49) of 2 (R #36 and R #49) residents by not providing an alternative meal substitution as per resident request. This deficient practice could likely affect all 116 residents identified on the facility census provided by the Administrator (ADM) on 03/25/24 and could likely result in residents feeling frustrated that staff do not support their rights and choices.

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Based on observation and interview record review, the facility failed to serve food under sanitary conditions in accordance with professional standards of food service safety when staff failed to monitor the internal temperature of food to ensure it is safe for consumption. This deficient practice is likely to result in residents getting a food borne illness and could likely affect all 115 residents identified on the census list provided by the Administrator on 02/12/24.

Make sure that a working call system is available in each resident’s bathroom and bathing area.

Based on observation, interview, and record review, the facility failed to ensure a resident’s call light was functioning as intended for 1 (R #3) of 1 (R #3) resident reviewed for call system functioning. This deficient practice could likely result in residents being unable to notify staff when they are in need of assistance.