B
76/100

Albuquerque Heights Healthcare and Rehabilitation Inspection Report, Violations & Safety Grade (Albuquerque, New Mexico)

103 Hospital Loop NE, Albuquerque, New Mexico 87109

Phone: 5053488300

CMS Overall:3/5

Overview & Bed Count

Certified Beds
134
Avg Residents/Day
122
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
County
Bernalillo
Sprinkler Systems
Yes
Special Focus
None
Abuse Citation
No

CMS Star Ratings

Overall3/5
Health3/5
Staffing4/5
Quality4/5

Nurse Staffing Check

MetricThis FacilityNew Mexico AvgDifference
RN Hours per Resident per Day1.210.65+0.56
Total Nurse Hours per Resident per Day4.013.58+0.43
CMS Staffing Rating4/52.8/5-
Nursing Staff Turnover62.5%53.5%-

Health Citation History

83 health citations on record

DateCategoryDescriptionSeverity
2026-07-24Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2026-05-22Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D – Moderate Harm Potential
2026-05-22Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.D – Moderate Harm Potential
2026-05-22Nutrition and Dietary DeficienciesEnsure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.D – Moderate Harm Potential
2026-02-03Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E – Moderate Harm Potential
2026-02-03Resident Assessment and Care Planning DeficienciesPASARR screening for Mental disorders or Intellectual DisabilitiesD – Moderate Harm Potential
2025-12-31Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2025-12-12Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.E – Moderate Harm Potential
2025-12-12Quality of Life and Care DeficienciesProvide safe, appropriate dialysis care/services for a resident who requires such services.E – Moderate Harm Potential
2025-12-12Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.D – Moderate Harm Potential
2025-12-12Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.D – Moderate Harm Potential
2025-12-12Quality of Life and Care DeficienciesProvide routine and 24-hour emergency dental care for each resident.D – Moderate Harm Potential
2025-08-14Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2025-06-10Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.E – Moderate Harm Potential
2025-06-10Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E – Moderate Harm Potential
2025-04-15Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.E – Moderate Harm Potential
2025-04-15Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.E – Moderate Harm Potential
2025-04-15Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.E – Moderate Harm Potential
2025-04-15Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E – Moderate Harm Potential
2025-04-15Quality of Life and Care DeficienciesProvide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.D – Moderate Harm Potential
2025-04-15Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.D – Moderate Harm Potential
2025-04-15Pharmacy Service DeficienciesEnsure 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.D – Moderate Harm Potential
2025-04-15Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.D – Moderate Harm Potential
2025-04-15Administration DeficienciesProvide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.E – Moderate Harm Potential
2025-01-16Quality of Life and Care DeficienciesProvide safe, appropriate dialysis care/services for a resident who requires such services.E – Moderate Harm Potential
2025-01-16Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2025-01-16Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.D – Moderate Harm Potential
2024-08-23Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G – Actual Harm
2024-08-23Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E – Moderate Harm Potential
2024-08-23Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.E – Moderate Harm Potential
2024-08-23Environmental DeficienciesMake sure that a working call system is available in each resident's bathroom and bathing area.E – Moderate Harm Potential
2024-08-23Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D – Moderate Harm Potential
2024-08-23Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.D – Moderate Harm Potential
2024-08-23Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2024-05-30Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential
2024-01-31Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2024-01-31Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E – Moderate Harm Potential
2024-01-31Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.E – Moderate Harm Potential
2024-01-31Resident Rights DeficienciesHonor the resident's right to organize and participate in resident/family groups in the facility.E – Moderate Harm Potential
2024-01-31Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.E – Moderate Harm Potential
2024-01-31Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E – Moderate Harm Potential
2024-01-31Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.E – Moderate Harm Potential
2024-01-31Quality of Life and Care DeficienciesProvide activities to meet all resident's needs.E – Moderate Harm Potential
2024-01-31Nursing and Physician Services DeficienciesObserve each nurse aide's job performance and give regular training.E – Moderate Harm Potential
2024-01-31Quality of Life and Care DeficienciesEnsure each resident must receive and the facility must provide necessary behavioral health care and services.E – Moderate Harm Potential
2024-01-31Nursing and Physician Services DeficienciesEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.E – Moderate Harm Potential
2024-01-31Resident Rights DeficienciesHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D – Moderate Harm Potential
2024-01-31Resident Rights DeficienciesGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D – Moderate Harm Potential
2024-01-31Resident Assessment and Care Planning DeficienciesPlan the resident's discharge to meet the resident's goals and needs.D – Moderate Harm Potential
2024-01-31Quality of Life and Care DeficienciesEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.D – Moderate Harm Potential

Showing 50 of 83 citations.

Fire Safety Citation History

9 fire safety citations on record

DateCategoryDescriptionSeverity
2025-04-15Emergency Preparedness DeficienciesAddress patient/client population and determine types of services needed.F – Moderate Harm Potential
2025-04-15Smoke DeficienciesProvide properly protected cooking facilities.F – Moderate Harm Potential
2025-04-15Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.E – Moderate Harm Potential
2025-04-15Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.E – Moderate Harm Potential
2024-01-31Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.F – Moderate Harm Potential
2024-01-31Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.F – Moderate Harm Potential
2024-01-31Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.E – Moderate Harm Potential
2024-01-31Services DeficienciesHave properly installed electrical wiring and gas equipment.E – Moderate Harm Potential
2023-01-23Smoke DeficienciesInstall smoke barrier doors that can resist smoke for at least 20 minutes.E – Moderate Harm Potential

Total Penalties & Fines

$8,170
Total Fine Amount (CMS)
1
Number of Fines
1
Total Penalties
DateTypeFine AmountPayment Denial
2024-08-23Fine$8,170-
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