Odelia Healthcare: Blood Condition Ignored - NM
The resident arrived at the facility on June 14 with hospital discharge papers listing hematuria — blood in urine caused by traumatic catheter insertion and urinary tract infections. The hospital specifically noted the resident should receive care for the condition.
But Odelia's admission record that same day included only a diagnosis of metabolic encephalopathy. No mention of hematuria.
The omission cascaded through every level of the resident's care. Provider notes from June 16 contained no documentation of hematuria treatment. The care plan dated June 17 excluded the blood condition entirely. The facility's comprehensive assessment, also completed June 17, made no reference to the hospital's primary concern.
Five days later, the resident's condition deteriorated rapidly.
Staff documented significant decline in food and fluid intake on June 19. The person seemed different than usual — tired, weak, confused, drowsy. The symptoms were getting worse. Increased confusion. General weakness.
Two days later, the resident was back in the hospital.
The June 21 hospital discharge documentation listed hematuria as the primary diagnosis. The resident had been readmitted for the exact condition Odelia had failed to address.
Even after the second hospitalization, the pattern continued. Progress notes from June 26 acknowledged the resident had returned "for diagnosis of hematuria." Nursing staff observed blood in the person's brief and ordered a urine test.
The test was never completed.
Provider notes from August 20 — two months after the initial admission — still contained no documentation of hematuria treatment. The next day brought another medical crisis.
Staff documented urine retention on August 21. A bladder scan showed more than 999 milliliters of retained urine. When staff attempted catheter insertion, they encountered severe resistance and the resident experienced severe pain. The person had abdominal tenderness, persistent discomfort, decreased urine output over two days, and lower severe abdominal pain.
During the September 3 inspection, the facility's MDS Coordinator admitted staff had not included the hematuria diagnosis in the resident's comprehensive assessment. The coordinator explained that resident symptoms were excluded from active diagnoses if "the facility was not treating the condition in house."
The Director of Nursing acknowledged the multiple failures. Staff had not documented the hematuria diagnosis in the admission record, care plan, or assessment. The ordered urine test was never completed. The DON said it was her expectation that all hospital diagnoses be entered in residents' assessments and care plans for appropriate care.
But expectations and reality had diverged dramatically for this resident.
The hospital had been explicit about the seriousness of the condition. Hematuria from traumatic catheter insertion indicated injury to the urethra, bladder, or surrounding tissue. Combined with urinary tract infections, the condition required ongoing monitoring and treatment.
Instead, the resident experienced a cascade of complications over two months. The initial blood condition went untreated despite clear hospital instructions. Symptoms worsened until rehospitalization became necessary. Even after the second discharge with hematuria listed as the primary diagnosis, basic monitoring failed.
The ordered urine test that might have provided crucial information about the resident's condition was never obtained. Staff observed blood in the person's brief but took no further action beyond the unfulfilled test order.
By August, the untreated condition had progressed to severe complications. Urine retention requiring catheterization. Severe pain during the attempted procedure. Abdominal tenderness and persistent discomfort.
The MDS Coordinator's explanation revealed a fundamental misunderstanding of care obligations. Hospital discharge diagnoses are not suggestions to be ignored if inconvenient. They represent medical conditions requiring ongoing attention, especially when explicitly noted for continued care.
The Director of Nursing's admission that all hospital diagnoses should be included in care planning highlighted the gap between policy and practice. Her expectation was reasonable and medically sound. The execution failed completely.
Federal inspectors found the facility's failures created potential for actual harm. When admitting diagnoses are excluded from care plans, staff may fail to monitor and treat conditions, leading to adverse outcomes or rehospitalization.
For this resident, the potential became reality twice over.
The person arrived with a treatable condition and clear instructions for ongoing care. Instead of treatment, they received neglect. Instead of monitoring, they got oversight failures. Instead of healing, they experienced repeated hospitalizations and escalating complications.
The resident's experience illustrates how administrative failures translate into human suffering. Missing a diagnosis on paperwork meant missing blood in urine. Skipping a care plan entry meant skipping essential monitoring. Failing to complete an ordered test meant failing the person who needed answers.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Odelia Healthcare from 2025-09-03 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 20, 2026 · Our methodology
Odelia Healthcare in Albuquerque, NM was cited for violations during a health inspection on September 3, 2025.
The hospital specifically noted the resident should receive care for the condition.
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.