RIO RANCHO, NM- RIO RANCHO CENTER

The Department of Health & Human Services conducted an inspection of the facility. The following highlighted decencies listed below were found in a public survey.

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Based on observation, record review and interview, the facility failed to ensure residents received treatment and care in accordance with professional standards of practice for 1 (R # 40) of 1 (R #40) residents reviewed for pressure ulcers (localized damage to skin/tissue occurs as a result of pressure) and pain. This deficient practice is likely to result in residents experiencing pain or a worsened condition.

Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Based on record review, observation and interview the facility failed to properly inform 1 (R #93) of 1 (R #93) resident of treatment decisions by failing to utilize interpreter line (service used for communication) to communicate with resident in a language the resident could understand. If the facility is not able to communicate with residents then residents are likely not to get their needs met.

Honor the resident’s right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Based on observation, record review, and interview, the facility failed to promote residents choices for 5 (R #’s 16, 76, 94, 95, and 96) of 5 (R #’s 16, 76, 94, 95, and 96) residents reviewed for choices when staff failed to:
1. Offer R #16 showers per his preference.
2. Ensure medical appointments were not missed due to lack of transportation for R #’s 76, 95, and 96.
3. Ensure R #94 was provided clothing that fit and ensure she had clothing available.
These deficient practices are likely to result in the resident’s personal choices, poor hygiene, needs, and preferences not being honored. 

Honor the resident’s right to organize and participate in resident/family groups in the facility.

Based on record review and interview, the facility failed to notify residents of the findings of their grievances. This deficient practice is likely to result in the facility not considering the needs of the residents.

Allow residents to easily view the nursing home’s survey results and communicate with advocate agencies.

Based on observation and interview, the facility failed to have the most recent survey results in a place readily accessible (such as a lobby or other area frequented by most residents, visitors, or other individuals) to all 113 residents that resided in the facility. If residents are unable to locate the latest survey results conducted by State Surveyors, then residents, representatives, and visitors are unable to know how the facility is doing and make decisions accordingly.

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Based on record review and interview, the facility did not ensure 2 (R #’s 92 and 107) of 3 (R #s 39, 92, and 107) residents reviewed for timely Beneficiary Protection Notification received the correct notifications form 10055: Skilled Nursing Facility Advanced Beneficiary Notice of Non-coverage (SNF ABN) . This deficient practice can result in confusion for the resident or their representative as to what services they have or do not have financial coverage for.

Honor the resident’s right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Based on observation and interview, the facility failed to maintain an environment that was clean, in good condition, and had basic toiletries (paper towels, etc) for 2 (R #’s 61 and 109) of 2 (R #’s 61 and 109) residents sampled for a homelike environment. Failure to maintain the building in a clean and comfortable manner is likely to result in unsafe conditions and prevent residents from enjoying everyday activities.

Ensure services provided by the nursing facility meet professional standards of quality.

Based on observation, record review, and interview, the facility failed to meet professional standards of quality for 5 (R #’s 8, 11, 14, 21, and 73) of 5 (R #’s 8, 11, 14, 21, and 73) residents when staff failed to:
1. Label, date, and change oxygen (O2; labeling and date as to when the O2 was replaced with new tubing) for R #’s 11, 14, and 73.
2. Ensure humidifier bottles (bottles with distilled water used to provide humidity) on O2 were full for R #8 and #21
If the facility is not changing and labeling oxygen tubing and not ensuring humidifier bottles were full then residents are likely to not receive the therapeutic benefits and care needed.

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

Based on record review and interview, the facility failed to ensure the resident’s ability to perform activities of daily living (ADLs) was maintained for 2 (R #’s 14 and 42) of 2 (R #’s 14 and 42) residents reviewed for restorative therapy (therapy in which a patient trains on abilities they already have to perfect them and helps maintain physical abilities to perform ADLs.) If the facility does not ensure that residents receive restorative services, then the residents are likely to experience a decrease in their ability to walk, transfer (move from one place to another), and do other activities of daily living.