Albuquerque Heights Healthcare: Safety Hazards - NM
The December 31 incident involved Resident 20, who has spastic movements he cannot control. CNA 1 positioned the resident toward the edge of the bed instead of in the middle and walked away, leaving the bed in a high position.
The resident fell.
When the unit manager and assistant director of nursing arrived at the scene, they found the bed still in the high position. The manager confirmed this was not appropriate practice during the federal inspection.
Registered Nurse 1 interviewed the nursing assistant after the incident. The CNA acknowledged her mistakes during that conversation.
"RN 1 stated CNA 1 confirmed she should not have left the room with the bed in high position while R 20 was on the edge of the bed," inspectors documented.
The registered nurse explained that Resident 20's medical condition made proper positioning critical for safety. His spastic movements, which he cannot control, required him to be positioned in the middle of the bed rather than near the edge.
The nursing assistant confirmed to supervisors that she understood she should not have left the room with the bed raised while the resident remained positioned on the edge.
Federal inspectors classified the violation as causing minimal harm or potential for actual harm, affecting few residents. The investigation stemmed from a complaint filed about the facility's care practices.
The incident highlights the importance of proper transfer techniques and bed positioning for residents with movement disorders who cannot protect themselves from falls.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Albuquerque Heights Healthcare and Rehabilitation from 2025-12-31 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
Albuquerque Heights Healthcare and Rehabilitation in Albuquerque, NM was cited for violations during a health inspection on December 31, 2025.
The December 31 incident involved Resident 20, who has spastic movements he cannot control.
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.