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Facility profile · CCN 555106

Santa Fe Lodge

55 federal citations on record , including 2 at the Immediate Jeopardy level.

2 Immediate Jeopardy

Record summary

Federal record · Q1 2026
55
Total citations
35
Last 3 years
3
Actual harm+
0
Federal penalties
$0
Total fines
2
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

55 on record
SurveyF-TagViolationSeveritySource
Mar 20, 2025F912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.BStandard
Mar 20, 2025F880Provide and implement an infection prevention and control program.EStandard
Mar 20, 2025F847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.EStandard
Mar 20, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Mar 20, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard
Mar 20, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Mar 20, 2025F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard
Mar 20, 2025F637Assess the resident when there is a significant change in conditionDStandard
Mar 20, 2025F578Honor 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.EStandard
Mar 20, 2025F558Reasonably accommodate the needs and preferences of each resident.DStandard
Mar 20, 2025F552Ensure that residents are fully informed and understand their health status, care and treatments.EStandard
Mar 20, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Oct 22, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Sep 11, 2024F584Honor 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.EComplaint
Mar 7, 2024F919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard
Mar 7, 2024F912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.BStandard
Mar 7, 2024F880Provide and implement an infection prevention and control program.DStandard
Mar 7, 2024F848Provide a neutral and fair arbitration process and agree to arbitrator and venue.DStandard
Mar 7, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Mar 7, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard
Mar 7, 2024F770Provide timely, quality laboratory services/tests to meet the needs of residents.DStandard
Mar 7, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Mar 7, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Mar 7, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Mar 7, 2024F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DStandard
Mar 7, 2024F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard
Mar 7, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Mar 7, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
Mar 7, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Mar 7, 2024F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DStandard
Mar 7, 2024F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard
Mar 7, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Mar 7, 2024F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.DStandard
Jan 19, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Jan 19, 2024F603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).KComplaint
Mar 10, 2023F912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.CStandard
Mar 10, 2023F881Implement a program that monitors antibiotic use.DStandard
Mar 10, 2023F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FStandard
Mar 10, 2023F825Provide or get specialized rehabilitative services as required for a resident.DStandard
Mar 10, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Mar 10, 2023F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.DStandard
Mar 10, 2023F732Post nurse staffing information every day.BStandard
Mar 10, 2023F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.DStandard
Mar 10, 2023F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.DStandard
Mar 10, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard
Mar 10, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.JStandard
Mar 10, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Mar 10, 2023F641Ensure each resident receives an accurate assessment.EStandard
Mar 10, 2023F638Assure that each resident’s assessment is updated at least once every 3 months.BStandard
Mar 10, 2023F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DStandard
Mar 10, 2023F578Honor 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.EStandard
Mar 10, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard
Mar 2, 2023F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.GComplaint
Mar 2, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Mar 2, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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