Manzano Del Sol: Advance Directive Failures - NM
The August 2025 inspection, triggered by a complaint, cited the facility for failing to uphold residents' rights to request, refuse, or discontinue treatment, to decline participation in experimental research, and to formulate advance directives. Inspectors classified the violation as isolated, with no documented actual harm, but with the potential for more than minimal harm to residents.
That last phrase carries weight. Advance directives exist precisely because people cannot always speak for themselves in a medical crisis. A resident who has documented that they do not want resuscitation, or who has refused a specific intervention, depends entirely on the facility to ensure those wishes are recorded, accessible, and followed. When a facility falls short of that, the gap doesn't announce itself in advance. It shows up at the worst possible moment.
The deficiency fell under a category the federal government classifies as Resident Rights violations, a category that sits at the center of what nursing home care is supposed to be. The right to refuse treatment is not a courtesy extended by a facility. It belongs to the resident.
Manzano Del Sol was not cited for this deficiency alone. Inspectors documented 15 deficiencies in total during the August 11 inspection. The advance directive violation was one piece of a larger picture.
The facility reported a correction date of October 24, 2025, more than ten weeks after the inspection concluded. Whether that correction involved retraining staff, auditing existing advance directive documentation, or something else entirely, the inspection report does not say.
What the report does say is that this was a complaint inspection, meaning someone reached out to regulators before inspectors arrived. A family member, a resident, a staff member — the report does not identify who filed the complaint or what prompted it. But complaint inspections begin with a specific concern, and what inspectors find when they arrive sometimes goes further than what the complaint described.
Fifteen deficiencies is a substantial number for a single inspection visit. Deficiencies range in severity, and not every citation reflects a crisis. But a facility that accumulates 15 citations in one inspection cycle is a facility where the gap between policy and practice has opened up in multiple places at once.
For residents at Manzano Del Sol, the advance directive deficiency is the one that most directly touches autonomy. The decision about what medical interventions a person wants — and doesn't want — is among the most personal decisions a human being makes. Nursing home residents, many of whom have diminished capacity or limited ability to advocate for themselves in real time, rely on written directives to speak for them when they cannot speak for themselves. A facility that does not properly support the creation and honoring of those documents is not just failing a regulatory standard. It is failing the people who trusted it with their end-of-life wishes.
The correction date has passed. Whether the fix held, whether the 15 deficiencies collectively reflect a facility under genuine strain, and whether the resident whose complaint started this inspection received any resolution — none of that appears in the inspection record.
What appears is a citation, a severity level, and a date. Somewhere behind those three data points is a resident who did not get to say no, or who could not get their wishes written down, or whose documented wishes were not treated as binding. The inspection report does not say which. It does not name them. It notes only that the potential for harm was real, and that the facility, as of August 11, 2025, had not met its obligation to protect it.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Manzano Del Sol By Purehealth from 2025-08-11 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Corrections: We strive for accuracy in everything we publish. If you believe any fact in this article is incorrect, please contact us with details, and we will review and correct it promptly.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: November 3, 2026 · Our methodology
Manzano Del Sol by Purehealth in Albuquerque, NM was cited for violations during a health inspection on August 11, 2025.
Inspectors classified the violation as isolated, with no documented actual harm, but with the potential for more than minimal harm to residents.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.