Santa Fe Health & Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Santa Fe Health & Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Feb 21, 2025

  Based on observations, interviews, and record reviews the facility failed to properly store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed. The facility failed to ensure foods were sealed and/or labeled properly in refrigerator and dry storage This failure could place residents that eat out of the kitchen at risk for foodborne illnesses. Findings include: During an observation of dry storage on 02/19/2025 at 09:10 AM revealed the following: *2 large plastic containers with label-powder milk with no use by date, *One bag of light brown in color, appeared to be crushed breadcrumbs sealed bag no label or date, *1 bag egg noodles in plastic zip bag with no used by date, *1 bag spaghetti noodles in plastic zip… […]

• No harm, potential for more than minimal, widespreadF812Jan 25, 2024

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for food and nutrition services The facility failed to prevent the following: 1. Vinyl mesh liner was used to cover stainless steel surfaces on shelves and in drawers. 2. Floor tile grout was soiled with a dark colored build-up and dried food throughout the kitchen. 3. The interior surface of the microwave oven was soiled with dried food and grease. 4. The three-door freezer unit for storing breakfast foods and desserts had a temperature above zero and food items were not frozen solid. 5. […]

• No harm, potential for more than minimal, widespreadF812Nov 4, 2022

  Based on observation, interview and record review the facility failed to distribute and serve food in accordance with professional standards for food service safety as evidenced by; one of one dietary aide observed using unsanitary practices while transferring drinking glasses and filling drinking glasses with ice as well as a catch tray in dining room that was worn and pitted and had a thick, black tarry appearing substance along the back above a wire rack that was also covered in some sort of viscous looking substance. […]

• No harm, potential for more than minimal, patternF572May 7, 2026

  Based on observations, interviews and record review the facility failed to inform residents, both orally and in writing in a language that the resident understands, of his or her rights and all rules and regulations governing resident conduct and responsibilities during the stay in the facility for 1 of 3 residents (Resident #1) reviewed for resident rights.The facility failed to maintain written acknowledgment that Residents #1 was informed prior to or at admission of their rights, the rules governing resident conduct, and their responsibilities during their stay at the facility This deficient practice could place residents at risk of not being aware of their rights, responsibilities, the facility's policies on admission.The findings included:Review Resident #1's face sheet, dated… […]

• No harm, potential for more than minimal, patternF580May 7, 2026

  Based on interviews and record review, the facility failed to immediately notify the resident's physician, and notify, consistent with his or her authority, the resident's representative when there was an accident involving the resident for 1 of 2 residents (Resident #1) reviewed for resident rights. The facility failed to inform the Resident #1 responsible party (RP) that her depression medications were discontinued.The Findings:Observation and interview of Resident #1 revealed she was lying in bed. The resident was alert, oriented to name and place. She stated she did not know she was not receiving her major depression medication until the daughter informed her. She said the daughter felt her behavior changed and started asking questions about her medication. […]