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Santa Fe Post-Acute: Care Plan Failures Cited - CA
The deficiency was one of six cited during the complaint investigation....
Latest reports, citations, and penalties from CMS data
The deficiency was one of six cited during the complaint investigation....
The inspection took place September 24, 2025....
The man, identified in inspection records only as Resident 1, left on June 7, 2025....
The citation, issued September 25, 2025, covered how the facility procures, stores, prepares, distributes, and serves food....
Peeling wallpaper above closets and below sinks....
The September 2025 inspection of the Spencer facility turned up 12 deficiencies in total....
The allegation against the aide, identified in inspection records as CNA #1, was reported on April 22, 2025....
The inspection, conducted September 25, 2025, was triggered by a complaint....
Complaint investigations don't happen on a schedule....
She was lying in bed, her foley catheter bag attached to the side of the bed and facing an open door, its contents visible to anyone passing in the hallway....
Inspectors cited the facility under a standard that requires each resident's drug regimen to be free from unnecessary drugs....
Those are not unusual accommodations in a nursing home....
The citation, issued September 24, 2025, falls under the category of resident rights deficiencies....
Inspectors rated the level of harm as minimal harm or potential for actual harm and noted that a few residents were affected....
Whether they were working, on any given day, was another question....
What they found was a gap between what the facility's own registered dietitian expected and what was actually landing on residents' trays....
Inspectors arrived on the morning of September 22, 2025, at 9:15 a.m....
Care planning sits at the heart of that protection....
But inspectors concluded there was potential for more than minimal harm, the threshold that triggers a formal deficiency finding....
The citation, issued September 23, 2025, fell under the category of infection control deficiencies....