Advanced Health Care of Albuquerque

Based on observation and interview, the facility failed to store food under sanitary conditions when staff failed to: 1. Label and date all items in the kitchen refrigerator. 2. Cover foods in the refrigerator and the storage room . 3. Remove dented, expired can of olives from the ready-to-use rack. 4. Wear hairnets and beard guards in a manner to cover all their hair while in the kitchen. These deficient practices are likely to affect all residents listed on the resident census provided by the Administrator on 03/27/25. Failure to store food under safe and sanitary conditions could likely to lead to foodborne illnesses in residents. The findings are: Food Storage A. On 03/24/25 at 7:45 am, during an initial walk through the kitchen, observation revealed the following: In the dry storage room: -A large, uncovered plastic container of sliced almonds. -A dented can of sliced ripe olives, expired 12/29/23. -A sweet potato was cut in half, not covered, and very dried out. In the refrigerator and freezer: -Meatballs were not in a sealed container and frost bitten. -A bag of corn and a…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observations, interviews, and record review, the facility failed to keep the facility's eye washing stations (EWS, units for washing off chemicals or substances that might have splashed into an individual's eyes before they can seek further medical attention) free from dust, debris, and other microscopic organisms from contaminating the water outlets when staff failed to maintain the protective caps on the spray heads for 2 (EWS #1, EWS #2) of 2 (EWS #1, EWS #2) eye washing stations. This deficient practice is likely to lead to staff being exposed to water that may contain contaminants such as rust, scale, chemicals buildup, and harmful microbes. The findings are: A. Record review of the EWS's manufacturer's guidelines, dated 2023, following: - Periodic cleaning of the eyewash aerators (screens at the end of a faucet. The revealed the devices reduce the amount of water that comes out of a faucet and controls the stream) is advisable to ensure proper water flow. - Keep plastic dust covers on spray heads when the unit is not in use. - The EWS unit, like all emergency eyewash…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews and interviews, the facility failed to ensure staff completed and transmitted a discharge Minimum Data Set assessment (MDS; a federally mandated assessment instrument completed by facility staff) 14 days after discharge for 1 (R #39) of 1 (R #39) resident reviewed for MDS assessments. This failed practice could lead to the facility not reporting accurate information to the Centers for Medicare & Medicaid Services (CMS). The findings are: A. Record review of R #39's Face Sheet, undated, revealed the following: - An admission date of 11/14/24. - A discharge date of 12/13/24. B. Record review of R #39's Electronic Health Record (EHR) revealed the following: - The MDS Licensed Practical Nurse (LPN) completed R #39's admission MDS, dated [DATE]. - The MDS LPN did not initiate a discharge MDS. C. On 03/26/25 at 11:27 am, during an interview, the facility's MDS LPN stated she expected the previous MDS LPN, who does not work with them any longer, to complete R #39's discharge MDS. She stated the…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation and interview, the facility failed to ensure 1 (R #9) of 1 (R #9) resident received a meal at lunch time. This deficient practice could likely cause hunger and weight loss. The findings are: A. On 03/24/25 at 1:00 pm, during observation and interview, staff finished lunch service to the north hall, and the residents ate their lunch. Residents on the north hall were finishing their lunch meals. Further observation revealed R #9 did not have a meal tray on her table. R #9 stated she did not eat lunch yet, because staff did not bring her a meal tray. She stated she would like to eat lunch, because she was hungry. B. On 03/24/25 at 1:05 pm, during an interview with Certified Nursing Assistant (CNA) #6, she stated she thought R #9's tray was on the food cart, but she did not find it on there. She stated she could not find a meal refusal by R #9. C. On 03/24/25 at 1:12 pm, during an observation and interview, CNA #6 brought a lunch meal tray for R #9. CNA #6 stated the kitchen staff stated R #9 marked her meal ticket as she did not want a lunch tray. D. On 03/27/25 at…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation and interview, the facility failed to store foods under sanitary conditions and follow safe food handling practices by not ensuring food items in the walk in freezer were properly labeled and dated. These deficient practices are likely to affect all 47 residents listed on the resident census list provided by the Administrator on 12/11/23 and are likely to lead to foodborne illnesses in residents if food is not being stored properly and safe food handling practices are not adhered to. The findings are: A. On 12/11/23 at 8:34 am, during an initial tour of the kitchen, the following observations were made of the walk-in freezer: - Two (2) boxes of beef steak variety packs, and a package of cage free chicken were not dated. -Several packages of unlabeled vacuum sealed meats and one open package of an unknown meat, stored in a milk crate, were not dated and labeled. -A milk crate was filled with several, sealed packages of unknown rolls or buns and did not have dates and labels. B. On 12/11/23 at 8:38 am, during an observation and interview with the Dietary Manager,…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on record review, observation and interview, the facility failed to meet professional standards of care for 3 (R #55, R #165, and R #169) of 3 (R #55, R #165, and R #169) residents reviewed for respiratory care by not properly dating and monitoring the oxygen delivery tubing for residents and not dating the humidifier bottle (bottle of water that provides water to the oxygen to prevent the air from being too dry) for residents. This deficient practice has the likelihood of residents developing bacterial and viral infections if the oxygen tubing and humidifiers were not changed as ordered and nursing staff may be unaware as to when the tubing and humidifiers were changed last. A. Record review of R #165's physician's orders revealed the following: -An order with date of 12/08/23 for oxygen per nasal cannula (a device that delivers extra oxygen through a tube and into your nose) to maintain SpO2 (oxygen saturation-a measurement of how much oxygen your blood is carrying as a percentage of the maximum oxygen it could carry) greater than 90%. Document LPM (liters per minute) each…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interview the facility failed to properly store medications in a medication cart by allowing loose medications to be found under the medication cards. This deficient practice has the likelihood to result in all residents that have medications in medication cart #1 that were 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. The findings are: A. On [DATE] at 8:19 am, during an observation of medication cart #1, loose medications were found under the medication cards (medication stored in vertical cards). Loose medications found under the medication cards included a yellow oval tablet, white capsule, pink capsule, orange capsule, white tablet, and a pink tablet. B. On [DATE] at 8:20 am, during an interview with Registered Nurse #1, she stated loose medications should not be in the medication carts.

Based on observation, record review, and interview the facility failed to maintain proper infection prevention measures by: 1. Not disinfecting the glucose meter (device to measure sugar in the blood) correctly for medication cart #1. 2. Dragging oxygen tubing on the floor. 3. Not wearing gloves prior to providing nursing care. Failure to adhere to an infection control program could likely cause the spread of infections and illness to all residents of unit 2 listed on the census provided by the Nursing Home Administrator (NHA) on 12/11/23. The findings are: A. On 12/11/23 at 12:58, during an observation of a blood glucose check, Registered Nurse (RN) #1 was cleaning medication cart #1's glucose meter with alcohol wipes. B. On 12/11/23 at 1:00 pm, during an interview of RN #1, she stated she always cleaned her glucose meter with alcohol wipes. C. On 12/11/23 at 1:05 pm, during an interview of the Director of Nursing (DON), she stated alcohol wipes are not to be used to clean the glucose meter. The DON further stated the only approved wipes used to disinfect (remove viruses and…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview, the facility failed to meet professional standards of quality for 3 (R #'s 99, 100 and 144) of 3 (R #'s 99, 100 and 144) resident's reviewed for skin issues and medications: 1. R #99 for skin issues/pressure sores (sores that occur after prolonged pressure), by not assessing and monitoring a skin blister on R #99's right heel and not informing the attending physician of the new wound and, 2. R #'s 100 and 144, failing to verify patency [condition of being open or unobstructed] by aspiration [drawing back on the line and confirming a swift blood return] of the Peripherally Inserted Central Catheter (PICC) [a thin tube that's inserted through a vein usually in your arm and passed through to the larger veins near your heart] prior to flushing [pushing fluid into] the PICC. If staff fails to assess for or respond to a residents' signs/symptoms of a potential negative outcome, then the affected resident may likely experience declining health issues and a failure to…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on record review, interview, and observation, the facility failed to ensure infection control practices were followed by staff observed for the following infection control practices: 1. staff not doffiing (removing or taking-off an item of clothing) Personal Protective Equipment (protective items or garments worn to protect the body or clothing from hazards that can cause injury and to protect residents from cross-transmission of diseases or germs) gowns prior to exiting a resident's room, 2. not sanitizing hands after removal of gloves 3. contaminated eye protection goggles left for re-use for resident care 4. no sanitizing wipes available at PPE station outside resident's door, 5. no trashbin large enough to contain contaminated gowns and other PPE in resident's room 6. not using proper method to disinfect glucometers [a medical device for determining the approximate concentration of glucose in the blood], between use on residents. These deficient practices could likely affect all residents on quarantines units and those residents who use glucometers by putting them at…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on record review and interview, the facility failed to document in the medical record, for any of the 47 residents listed on the resident census provided by the Administrator on 10/03/22, the physician response to pharmacy recommendations. This deficient practice could likely cause residents to be on unnecessary medications and could likely cause confusion on whether or not the recommendations were seen by the physician and followed up on. The findings are: A. Record review of the physician orders dated 09/21/22 (also the date of admission to the facility for R #85) indicated that Wellbutrin SR (sustained-release) (is used for the treatment of major depressive disorder) 150 milligrams (mg) every 12 hr; three times per day was ordered for R #85. B. Record review of the Medication Administration Record from 09/21/22 to 09/30/22 indicated that R #85 was taking the Wellbutrin SR medication between 6:00 am and 9:00 am, 11:00 am and 1:00 pm and 4:00 pm and 6:00 pm. C. Record review of the pharmacy recommendation for R #85 dated 09/21/22 indicated that medications had been reconciled…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.