Advanced Health Care of Albuquerque

Inspectors wroteBased 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.

Inspectors wroteBased 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.

Inspectors wroteBased 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).

Inspectors wroteBased 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.

Inspectors wroteBased on record review and interview, the facility failed to notify the physician for 1 (R #1) of 3 (R #1, R #2 and R #3) residents when staff did not administer multiple doses of heart medication to R #1 as ordered. If the facility is not notifying the physician of significant medications being missed due to the resident's schedule, then the physician may be unaware of any issues with the resident receiving medication that is important to the resident's wellbeing and recovery. This deficient practice likely contributed to multiple missed doses of heart medication and likely contributed to R #1's death.

Inspectors wroteBased on record review and interview, the facility failed to administer significant medication of plavix and aspirin (plavix and aspirin a medication used to prevent heart attacks and strokes in persons with heart disease, recent stroke, or blood circulation disease. It is also used with aspirin to treat new or worsening chest pain, to keep blood vessels open, and to prevent blood clots after certain procedures, such as cardiac stent.) ordered by the physician for 1 (R #1) of 3 (R #1, #2 and #3 ) residents reviewed for medications. This deficient practice has the potential to jeopardize the resident's health and safety could likely have contributed to R #1's death.

Inspectors wroteBased on record review and interview, the facility failed to provide quality care to 1 (R #1) of 1 (R #1) resident when they failed to properly assess a resident with history of mycardial infarction (heart attack) after the resident began to experience anxiety for a couple hours before transferring the resident to the emergency room. If the facility fails to properly assess a resident with heart issues, then the resident may experience unidentified life-threatening conditions such as a heart attack. This deficient practice likely resulted in unnecessary distress and delay in treatment.

Inspectors wroteBased on record review and interview, the facility failed to enter a new wound care order to prevent skin breakdown which resulted in a pressure sore (skin and soft tissue injuries that form as a result of constant or prolonged pressure exerted on the skin) and did not enter in new orders for the treatment of a pressure wound for 2 (R #11 and R #54) of 3 (R #11, R #37 and R #54) residents looked at for wounds. This deficient practice did contribute to resident's decline in condition and resulted in the resident going to the hospital.

Inspectors wroteBased 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.

Inspectors wroteBased 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: [...]

Inspectors wroteBased 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.

Inspectors wroteBased 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.

Inspectors wroteBased 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. [...]

Inspectors wroteBased 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. [...]

Inspectors wroteBased 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.