Albuquerque Heights: Bed Safety Failure Risks Fall - NM
The resident, identified in inspection records as Resident 20, has spastic movements he cannot control. The aide knew this. The bed was in the high position when she left.
A registered nurse at the facility confronted the aide after the incident. The CNA confirmed to the RN that she should not have left the room with the bed raised while the resident was on the edge. The nurse told inspectors that Resident 20 needed to be positioned in the middle of the bed, not the edge, specifically because of those uncontrolled movements.
The inspection cited the violation as causing minimal harm or potential for actual harm, with few residents affected. What that language does not capture is what the situation looked like in practice: a man who cannot stop his own body from moving, positioned where a single spasm could send him over the side of a raised bed, with nobody in the room.
The aide confirmed what she did wrong. The nurse confirmed why it mattered. The inspection report does not say how long Resident 20 sat there before someone returned.
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.
Download the official CMS inspection PDF from Medicare.gov
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.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 19, 2026 · Our methodology
Albuquerque Heights Healthcare and Rehabilitation in Albuquerque, NM was cited for violations during a health inspection on December 31, 2025.
The resident, identified in inspection records as Resident 20, 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.