Artesia Palms Care Center

In the surveyor’s words

From the most serious findings on record at Artesia Palms Care Center, in the surveyor’s own words.

• Immediate jeopardy, widespreadF880Oct 21, 2021

  Based on observation, interview, and record review, the facility's staff failed to implement infection control policies and procedures (P/P) and its mitigation plan which included response testing to prevent the spread of COVID 19 ([Coronavirus] a disease that can triggers a respiratory [lung] tract infection affecting the upper respiratory tract [sinuses, nose, and throat] and/or lower respiratory tract [windpipe and lungs] the virus spreads mainly through person-to-person contact) and Scabies (a contagious skin disease marked by itching and small raised red spots, caused by the itch mite) infections by ensuring the facility's staff practice hand hygiene, donned (put on) and doffed (removed) personal protective equipment ([PPE] equipment worn to minimize exposure to hazards that cause… […]

• Immediate jeopardy, patternF760Jan 5, 2025

  Based on interview and record review, the facility failed to ensure a resident, who was diagnosed with atrial fibrillation ([Afib] abnormally fast heartbeat that may lead to blood clots) and received Warfarin (a medication used to prevent blood clots from forming) was free from significant medication errors for one of three sampled residents (Resident 1). The facility failed to: 1. Ensure Resident 1's Warfarin was administered as ordered by Resident 1's physician's Nurse Practitioner (NP). 2. […]

• Immediate jeopardy, patternF759Jan 31, 2023

  Based on observation, interview, and record review, the facility failed to ensure that its medication error rate was less than five percent (%). Seventeen medication errors out of 44 total opportunities contributed to an overall medication error rate of 38.64 % affecting three of six residents observed for medication administration (Residents 51, 200, and 257.) The medication errors were as follows: 1. Omitted or late administration of metoprolol succinate (a medication used to treat high blood pressure) 50 milligrams (mg - a unit of measure for mass) for Resident 51 2. Omitted or late administration of tamsulosin 0.4 mg (a medication used to treat prostate problems) for Resident 51 3. […]

• Immediate jeopardy, patternF689Oct 21, 2021

  Based on observation, interview, and record review, the facility's staff failed to ensure the residents who were at risk for choking and aspiration (breathing in a foreign object [food] into the airway) were supervised during eating and received their prescribed diet for four (4) of 35 sampled residents (Residents 58, 195, 30 and 88). a. Resident 58, who had a diagnosis of dysphagia (difficulty swallowing), had no teeth and exhibited behaviors of stealing food from other residents, had a history of choking that required emergency procedures, was not supervised, and took a sandwich not prescribed on Resident 58's diet texture and choked and was unable to be resuscitated (revived). b. […]

• Immediate jeopardy, isolatedF689May 23, 2025

  Based on interview and record review, the facility failed to ensure two of nine sampled residents (Resident 1 and Resident 2), who were assessed at risk for elopement (the act of leaving a facility unsupervised and without prior authorization), received supervision to prevent elopement from the facility. These deficient practices resulted in Resident 1 and Resident 2 eloping from the facility on 5/18/2025 at approximately 12 p.m. without staff awareness. Resident 1 and Resident 2 were located by Resident 1's Family Member (FM) 1 approximately 20 miles from the facility on 5/19/2025 at approximately 3 p.m. (approximately 27 hours after they were believed to have eloped from the facility). […]