Las Cruces Wellness & Rehabilitation LLC

In the surveyor’s words

From the most serious findings on record at Las Cruces Wellness & Rehabilitation LLC, in the surveyor’s own words.

• Actual harm, isolatedF600Mar 14, 2023

  Based on interview and record review, the facility failed to keep residents free from abuse and neglect for 2 (R #46 and R #247) of 2 (R #46 and R #247) residents reviewed for abuse neglect, when they failed to: 1. Keep R #247 free from verbal abuse and sexual harassment from LPN #13 when she made inappropriate comments to him in front of his family, and 2. Provide R #46 dinner on the day she was admitted into the facility This deficient practice likely resulted in R #247 having anger, fear, and anxiety as a result. The findings are: R #247 A. On 03/09/23 at 1:59 PM, during an interview with R #247, he stated that he was not sure of the date, but while visiting with his daughter, a nurse made a comment about making a baby with him. […]

• No harm, potential for more than minimal, widespreadF761Mar 14, 2023

  Based on observation and interview the facility failed to properly store medications in the medication carts for all 41 residents (residents were identified by the resident matrix provided by the Administrator on 03/07/23) that were randomly sampled, when they failed to secure the medication carts on both units in the facility. This deficient practice could result in residents obtaining medication not prescribed to them resulting in adverse side effects. The findings are: Unit 1 A. On 03/07/23 at 11:33 AM, during an observation of Unit 1 revealed the medication cart unlocked, no staff were present. B. On 03/07/23 at 11:40 AM, during an interview LPN #8 confirmed that the medication cart was unlocked. Unit 2 C. […]

• No harm, potential for more than minimal, widespreadF888Apr 29, 2022

  Based on record review and interview, the facility failed to implement policies and procedures to ensure that all staff are fully vaccinated for Covid-19 [A respiratory illness], when they failed to utilize: 1) A process for tracking and securely documenting the Covid-19 vaccination status of all staff, and 2) A process for ensuring the implementation of additional precautions, intended to mitigate the transmission and spread of Covid-19, for all staff who are not fully vaccinated for Covid-19. This could likely affect all 45 residents in the facility (residents were identified by the Resident Matrix provided by the Administrator on 04/26/22). If staff are not fully vaccinated against Covid-19 then staff could expose residents to Covid-19 causing illness and death. […]

• No harm, potential for more than minimal, widespreadF727Jan 8, 2021

  Based on record review and interview the facility failed to have Registered Nursing coverage for at least 8 hours a day for 7 days a week and a full time DON. This has the potential to affect all 27 resident in the facility (residents were identified by the census list provided by the Administrator on 01/03/21). This deficient practice could likely result in resident not being able to receive the nursing care they need. The finding are: A. Record review of the working schedule for 01/01/21-01/07/21 revealed the facility did not have RN coverage for 8 hours a day for 7 days week. B. On 01/07/21 at 3:50 pm, during an interview Human Resources confirmed that there was no RN coverage for 01/02/21-01/03/21. C. […]

• No harm, potential for more than minimal, widespreadF756Jan 8, 2021

  Based on interview and attempted record review, the facility failed to ensure that the drug regimen was reviewed monthly by a licensed pharmacist and act upon the recommendations, when they failed to have residents drug regimen reviewed in December of 2020. This has the potential to affect all 27 residents in the facility (residents were identified by the census list provided by the Administrator on 01/03/21). This deficient practice could likely result in residents receiving medication longer or at a higher dose than is needed. The findings are: A. On 01/07/21 at 3:01 PM, during an interview, the ADON revealed that the facility did not get the December Pharmacy review. […]