Spanish Trails Rehabilitation Suites
Inspection Findings
F-Tag F0740
F 0740 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
attack CNA #1. R #1 felt he was acting in self-defense when CNA #1 did not leave his room and when he proceeded to walk around his bed. R #1 stated he got into a wrestling match with CNA #1 and remembered falling to the floor and the only way to defend himself was by kicking CNA #1. R #1 also stated that more staff came in once he was on the floor and CNA #1 left and the rest of the staff helped him back to bed. R #1 was unable to recall if CNA #1 had caused the injury R #1 further stated it was late at night and he was so angry he went to bed and the next morning when he woke up, he felt pain on his pinky finger. E. On 12/26/25 at 10:40 am, during an interview with CNA #1, he stated the night of 11/22/25, CNA #2 (who had been asked by LPN #1) came to ask him to help her with R #1's care (getting his pants up as requested by LPN #1). CNA #1 stated R #1 is known for his aggressive behavior. CNA #1 entered R #1's room and asked CNA #2 to stay at the door while he provided care. CNA #1 asked R #1 what was going and R #1 started yelling at him to leave. CNA #1 replied we are just here trying to help you. CNA #1 stated he went around
the bed to have a better view of his ostomy bag (a collection pouch to catch urine or stool), and immediately R #1 jumped him and cornered him. R #1 started swinging at him and R #1 immediately fell to
the floor and continued kicking CNA #1. CNA #1 stated that as soon as he was able to move away from R #1 (CNA #2, LPN #1 and another staff [does not recall the name of the staff]) started coming in and CNA #1 proceeded to leave the room. CNA #1 further stated that R #1 had a prior incident with another resident and he was the CNA that intervened in the incident, after that incident R #1 had a negative attitude toward him.G. On 12/26/25 at 12:14 pm, during an interview with LPN #1, she recalled the night of 11/22/25, R #1 had a nasty attitude. LPN #1 went in the room after R #1 had a late shower to provide dressing change to his legs. LPN #1 stated she made the decision to remove herself from the situation (as she felt threatened by R #1's increase aggressive behavior) after providing wound care (does not remember the exact treatment provided) and asked CNA #2 to help R #1 pull his pants up. CNA #2 grabbed CNA #1 and entered the room. LPN #1 stated that a few minutes later, she heard CNA #2 yelling the resident is fighting [name of CNA.] LPN #1 quickly ran back to the room with the other night staff (do not recall which staff came in with her) and saw CNA #1 standing by bed A (bed A is empty, and R #1 is assigned to bed). LPN #1 further stated she did not see the actual altercation and saw R #1 on the floor. LPN #1 went straight to R #1 and asked him to try to calm down so they can assist him back to bed.H. On 12/26/25 at 2:06 pm, during
an interview with the Administrator, she stated they took CNA #1 off the schedule immediately pending investigation. The administrator also stated that she was unable to get a hold of CNA #1 and subsequently terminated him when she substantiated her investigation. On 11/24/25 she concluded that CNA #1 had all
the opportunity to remove himself from the situation and that did not happen. Immediately after the incident
the administrator conducted abuse re-training and de-escalation training for the staff. On 11/28/25 they conducted safe interviews with all the residents, especially the residents CNA #1 was assigned and did not find any similar situations. Administrator further stated that all staff when hired is giving an abuse/neglect training but not de-escalation or any other training for staff related to managing difficult or aggressive behaviors. De-escalation training was conducted with staff after 11/23/25. I. On 12/29/25 at 8:03 am, during
an interview with CNA #2, she stated LPN #1 asked her to help R #1 pull his pants up. CNA #2 stated she is not assigned to R #1 and is aware of R #1's behavior, so she asked CNA #1 for help. CNA #2 stated that as soon as R #1 saw CNA #1, he started yelling profanity to CNA #1. CNA # 2 stated that the next thing
she saw was R #1 on his feet attacking CNA #1. CNA #2 quickly asked for help and LPN #1 and another nurse showed up. CNA #2 also stated that R #1 is nice to everyone except CNA #1 because of a prior incident (incident when CNA #1 intervened between R #1 and another resident). ?
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If continuation sheet
Spanish Trails Rehabilitation Suites in Albuquerque, NM inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Albuquerque, NM, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Spanish Trails Rehabilitation Suites or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.