cms_NM: 1
Data source: Big Local News · About: big-local-datasette
rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | SANTA FE CARE CENTER | 325030 | 635 HARKLE ROAD | SANTA FE | NM | 87505 | 2020-01-16 | 609 | E | 1 | 0 | WQZY11 | > Based on record review and interview, the facility failed to submit a Follow-Up Report within 5 working days of the date the Incident Report was filed for 1 (R #1) of 3 (R #'s 1, 4 and 5) residents who had Incident Reports filed with the Department of Health (DOH)/Incident Management Bureau (IMB). This deficient practice has the potential for resident issues that have been reported, to not be addressed and/or rectified in a timely manner. The findings are: Findings for R #1: [NAME] Record review revealed that the facility submitted an Incident Report (self-report) to the Department of Health (DOH)/Incident Management Bureau (IMB) on 8/10/19 regarding neglect. B. Record review revealed that the 5 day follow up for the incident (on 08/09/19) was submitted on 09/09/19. C. On 01/13/20 at 3:50 pm, during an interview, the Administrator reported that she emailed the 5 Day Follow-Up Report to the DOH/IMB on 09/09/19 indicating that she found during an audit, that there was no evidence that the 5 Day Follow-Up Report was sent to the DOH/IMB. D. On 01/13/20 at 4:25 pm, during an interview, the Director of Nursing (DON) reported that she usually submits all of the Incident Reports and 5 Day Follow-Up Reports to DOH/IMB, but they were in-between DON's in (MONTH) 2019 when the Incident Report for R #1 was submitted and the 5 Day Follow-Up Report should have been submitted timely, but it was not. The DON reported that the Assistant Director of Nursing (ADON) and the Administrator serve as a back-up to her when she is unable to submit the reports. The DON reported that she officially started in the DON capacity at this facility in (MONTH) 2019. | 2020-09-01 |