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Colfax General LTC Inspection Report, Violations & Safety Grade (SPRINGER, New Mexico)

615 Prospect Avenue, SPRINGER, New Mexico 87747

Phone: 5754833300

CMS Overall:5/5

Overview & Bed Count

Certified Beds
33
Avg Residents/Day
31
Ownership
For profit - Partnership
Provider Type
Medicaid
County
Colfax
Sprinkler Systems
Yes
Special Focus
None
Abuse Citation
No

CMS Star Ratings

Overall5/5
Health5/5
Staffing2/5
Quality3/5

Nurse Staffing Check

MetricThis FacilityNew Mexico AvgDifference
RN Hours per Resident per Day0.730.65+0.08
Total Nurse Hours per Resident per Day2.273.58-1.31
CMS Staffing Rating2/52.8/5-
Nursing Staff Turnover70.4%53.5%-

Health Citation History

20 health citations on record

DateCategoryDescriptionSeverity
2025-04-23Nutrition 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
2025-04-23Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.E – Moderate Harm Potential
2025-04-23Resident 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
2025-04-23Environmental DeficienciesMake sure that a working call system is available in each resident's bathroom and bathing area.D – Moderate Harm Potential
2025-01-30Nutrition 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
2025-01-30Nutrition and Dietary DeficienciesDispose of garbage and refuse properly.F – Moderate Harm Potential
2025-01-30Resident Rights DeficienciesHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.D – Moderate Harm Potential
2025-01-30Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2025-01-30Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.D – Moderate Harm Potential
2024-01-19Pharmacy 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.F – Moderate Harm Potential
2024-01-19Nutrition and Dietary DeficienciesEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.F – Moderate Harm Potential
2024-01-19Nutrition 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
2023-02-28Quality of Life and Care DeficienciesEnsure each resident must receive and the facility must provide necessary behavioral health care and services.G – Actual Harm
2023-02-28Nutrition 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
2023-02-28Infection Control DeficienciesDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.F – Moderate Harm Potential
2023-02-28Pharmacy 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.E – Moderate Harm Potential
2023-02-28Administration DeficienciesElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.E – Moderate Harm Potential
2023-02-28Resident Assessment and Care Planning DeficienciesEncode each residentโ€™s assessment data and transmit these data to the State within 7 days of assessment.D – Moderate Harm Potential
2023-02-28Resident 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
2023-02-28Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D – Moderate Harm Potential

Fire Safety Citation History

9 fire safety citations on record

DateCategoryDescriptionSeverity
2025-01-30Smoke DeficienciesFollow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.E – Moderate Harm Potential
2024-01-19Smoke DeficienciesProvide properly protected cooking facilities.E – Moderate Harm Potential
2024-01-19Smoke DeficienciesInstall an approved automatic sprinkler system.E – Moderate Harm Potential
2023-02-28Smoke DeficienciesEnsure that waiting areas, nurseโ€™s stations, gift shops, and cooking facilities, open to the corridor are properly protected.F – Moderate Harm Potential
2023-02-28Smoke DeficienciesInstall corridor and hallway doors that block smoke.F – Moderate Harm Potential
2023-02-28Smoke DeficienciesInstall smoke barrier doors that can resist smoke for at least 20 minutes.F – Moderate Harm Potential
2023-02-28Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.F – Moderate Harm Potential
2023-02-28Egress DeficienciesHave properly located and lighted "Exit" signs.E – Moderate Harm Potential
2023-02-28Smoke DeficienciesProvide properly protected cooking facilities.D – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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