Skies Healthcare & Rehabilitation Center

F-F677 for related findings.

B. On 04/14/25 at 2:10 pm during an interview with Certified Nursing Assistant (CNA) #2, she stated on most days she will be the only CNA on her unit and the residents do not receive showers per the shower schedule due to low staffing.

C. On 04/14/25 at 4:04 pm during an interview with CNA #4, she stated this past weekend (04/12/25 through 04/13/25), she was the only CNA on her unit on Saturday and Sunday. CNA #4 confirmed residents do not receive showers per the shower schedule due to low staffing.

D. On 04/14/25 at 2:10 pm during an interview with CNA #2, she stated on most days she will be the only CNA on her unit and residents do not receive showers per the shower schedule due to low staffing.

E. On 04/15/25 at 10:48 am during an Interview with CNA #6, she stated I am working alone two to three days per week. She confirmed she cannot complete resident showers and other assigned duties within work shift hours. She confirmed she will work her assignment, and half of an additional CNA assignment due to low staffing

F. On 04/15/25 at 2:37 pm during an Interview with Registered Nurse (RN) #1, she stated sometimes they do not have staffing, sometimes people call off and CNAs get pulled to another hall to share assignments. There should be two CNAs per hall.

G. On 04/15/25 at 3:19 pm during an interview with the Unit Manager (UM) #1, he confirmed staffing issues affect residents Activities of Daily Living (ADL), which includes showers.

H. On 04/16/25 at 12:50 pm during an interview with the Director of Nursing (DON), DON stated yes, we are short-staffed and have several job openings right now.

FORM CMS-2567 (02/99) Event ID: Facility ID: If continuation sheet Previous Versions Obsolete Page 8 of 10 325064 Department of Health & Human Services Printed: 08/28/2025 Form Approved OMB Centers for Medicare & Medicaid Services No. 0938-0391

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A. Building 325064 B. Wing 04/16/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Skies Healthcare & Rehabilitation Center 9150 McMahon Boulevard NW Albuquerque, NM 87114

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.

(X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0725 Call Lights:

Level of Harm - Minimal harm or I. On 04/14/25 at 11:13 am during an interview with R #5, she stated she has had to wait about three hours potential for actual harm on average for her call light to be answered, while she is in a dirty brief. R #5 stated there is not enough staff to answer call lights or provide timely care. Residents Affected - Many J. On 04/14/25 at 11:45 am during an interview with R #8, she stated that at night there is only one CNA for

the whole floor her room is on and she has to wait a long time for the call lights to be answered.

K. On 04/14/25 at 4:04 pm during an interview with CNA #4, she stated that due to the facility not having enough staff, residents can sometimes wait up to an hour or longer to have their call lights answered.

L. On 04/15/25 at 11:17 am during an interview with CNA #7, she stated that it will take her a long time to answer call lights due to the amount of CNAs available.

FORM CMS-2567 (02/99) Event ID: Facility ID: If continuation sheet Previous Versions Obsolete Page 9 of 10 325064 Department of Health & Human Services Printed: 08/28/2025 Form Approved OMB Centers for Medicare & Medicaid Services No. 0938-0391

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A. Building 325064 B. Wing 04/16/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Skies Healthcare & Rehabilitation Center 9150 McMahon Boulevard NW Albuquerque, NM 87114

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.

(X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** 41988

Residents Affected - Few Based on record review and interview, the facility failed to ensure medical records were updated with the post fall neurological evaluations/assessments (a thorough assessment of your nervous system, including your brain, spinal cord, and peripheral nerves) for 1 (R #4) of 1 (R #4) resident reviewed for falls.

This deficient practice could likely result in staff not knowing residents' daily care events, changes, and their needs.

The findings are.

A. Record review of R #4's face sheet revealed R #4 was admitted into the facility on [DATE REDACTED].

B. Record review of nursing progress notes dated 04/11/25 revealed R #4 experienced an unwitnessed fall and R #4 was found between the beds with the curtain over her head and her left leg over the bedside table leg.

C. Record review of R #4's Electronic Health Record (EHR) revealed R #4's post fall neurological evaluations were not present in R #4's EHR.

D. On 04/16/25 at 10:32 am during an interview with Registered Nurse (RN) #3, she stated nursing staff are to begin neurological checks (evaluations) immediately after being notified that a resident had an unwitnessed fall. RN #3 also stated the facility has a form that must be completed when each neurological evaluation has been conducted and documented.

E. On 04/16/25 at 11:45 am during an interview with the Activities Aide (AA), she stated her position was in medical records prior to becoming the AA. AA further stated that she was unable to locate R #4's post fall neurological evaluations (fall on 04/10/25) in the current medical records office.

F. On 04/16/25 at 1:01 pm during an interview, the Director of Nursing (DON) presented the neurological evaluations for R #4's fall on 04/10/25 and stated the documentation should have been present in R #4's EHR, and they were not.

FORM CMS-2567 (02/99) Event ID: Facility ID: If continuation sheet Previous Versions Obsolete Page 10 of 10 325064