Inspection Results » Mimbres Memorial Nursing Home

Health Inspection on March 6, 2018 ^[1]

1. Pattern: Actual harm that is not immediate jeopardy

   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-04-03)
   • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (Corrected 2018-04-03)
   • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (Corrected 2018-04-03)
   • Provide enough food/fluids to maintain a resident's health. (Corrected 2018-04-03)

2. Widespread: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. (Corrected 2018-04-03)
   • Administer the facility in a manner that enables it to use its resources effectively and efficiently. (Corrected 2018-04-03)
   • Develop and implement policies and procedures for flu and pneumonia vaccinations. (Corrected 2018-04-03)

3. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • 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. (Corrected 2018-04-03)
   • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2018-04-03)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-04-03)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-04-03)
   • Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is ne (Corrected 2018-04-03)
   • Implement a program that monitors antibiotic use. (Corrected 2018-04-03)
   • Provide and implement an infection prevention and control program. (Corrected 2018-04-03)
   • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2018-04-03)
   • Assure that each residentÂ’s assessment is updated at least once every 3 months. (Corrected 2018-04-03)
   • Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. (Corrected 2018-04-03)
   • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2018-04-03)
   • Ensure each resident receives an accurate assessment. (Corrected 2018-04-03)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-04-03)

4. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Observe each nurse aide's job performance and give regular training. (Corrected 2018-04-03)

5. Pattern: No actual harm with potential for minimal harm

   • Encode each residentÂ’s assessment data and transmit these data to the State within 7 days of assessment. (Corrected 2018-04-03)