SOMBRILLO NURSING FACILITY

πŸ“ 1011 SOMBRILLO COURT, los-alamos, NM 87544 πŸ“ž 5056624300 πŸ›οΈ 66 beds

Overall Rating

⭐⭐⭐⭐
4/5

Health Inspection

⭐⭐⭐
3/5

Staffing

⭐⭐⭐⭐
4/5

Quality Measures

⭐⭐⭐⭐
4/5

Inspection History Overview

137
Total Violations
8 years of data
$80,885
Total Fines
13 penalties
8
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2025 7 violations

Tag 0583 D Mar 24, 2025

Keep residents' personal and medical records private and confidential.

βœ“ Corrected: Apr 18, 2025
Tag 0600 D Mar 24, 2025

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Apr 18, 2025
Tag 0609 D Mar 24, 2025

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Apr 18, 2025
Tag 0610 D Mar 24, 2025

Respond appropriately to all alleged violations.

βœ“ Corrected: Apr 18, 2025
Tag 0689 D Mar 24, 2025

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Apr 18, 2025
Tag 0761 D Mar 24, 2025

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

βœ“ Corrected: Apr 18, 2025
Tag 0812 E Mar 24, 2025

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Apr 18, 2025

2024 5 violations

Tag 0561 D Jul 22, 2024

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

βœ“ Corrected: Aug 12, 2024
Tag 0757 D Jul 22, 2024

Ensure each resident’s drug regimen must be free from unnecessary drugs.

βœ“ Corrected: Aug 12, 2024
Tag 0658 D Mar 18, 2024

Ensure services provided by the nursing facility meet professional standards of quality.

βœ“ Corrected: Apr 18, 2024
Tag 0677 D Mar 18, 2024

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Apr 18, 2024
Tag 0880 D Mar 18, 2024

Provide and implement an infection prevention and control program.

βœ“ Corrected: Apr 18, 2024

2023 18 violations

Tag 0577 E Oct 26, 2023

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

βœ“ Corrected: Dec 1, 2023
Tag 0578 E Oct 26, 2023

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

βœ“ Corrected: Dec 1, 2023
Tag 0602 D Oct 26, 2023

Protect each resident from the wrongful use of the resident's belongings or money.

βœ“ Corrected: Dec 1, 2023
Tag 0609 D Oct 26, 2023

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Dec 1, 2023
Tag 0657 D Oct 26, 2023

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: Dec 1, 2023
Tag 0658 D Oct 26, 2023

Ensure services provided by the nursing facility meet professional standards of quality.

βœ“ Corrected: Dec 1, 2023
Tag 0677 E Oct 26, 2023

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Dec 1, 2023
Tag 0684 D Oct 26, 2023

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: Dec 1, 2023
Tag 0692 D Oct 26, 2023

Provide enough food/fluids to maintain a resident's health.

βœ“ Corrected: Dec 1, 2023
Tag 0756 D Oct 26, 2023

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

βœ“ Corrected: Dec 1, 2023
Tag 0761 D Oct 26, 2023

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

βœ“ Corrected: Dec 1, 2023
Tag 0803 F Oct 26, 2023

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

βœ“ Corrected: Dec 1, 2023
Tag 0808 E Oct 26, 2023

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

βœ“ Corrected: Dec 1, 2023
Tag 0812 F Oct 26, 2023

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Dec 1, 2023
Tag 0842 E Oct 26, 2023

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

βœ“ Corrected: Dec 1, 2023
Tag 0880 F Oct 26, 2023

Provide and implement an infection prevention and control program.

βœ“ Corrected: Dec 1, 2023
Tag 0921 D Oct 26, 2023

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

βœ“ Corrected: Oct 26, 2023
Tag 0947 D Oct 26, 2023

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

βœ“ Corrected: Dec 1, 2023

2022 28 violations

Tag 0578 E Aug 11, 2022

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

βœ“ Corrected: Sep 21, 2022
Tag 0600 D Aug 11, 2022

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Sep 21, 2022
Tag 0655 E Aug 11, 2022

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

βœ“ Corrected: Sep 21, 2022
Tag 0656 E Aug 11, 2022

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Sep 21, 2022
Tag 0657 E Aug 11, 2022

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: Sep 21, 2022
Tag 0658 D Aug 11, 2022

Ensure services provided by the nursing facility meet professional standards of quality.

βœ“ Corrected: Sep 21, 2022
Tag 0677 E Aug 11, 2022

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Sep 21, 2022
Tag 0679 E Aug 11, 2022

Provide activities to meet all resident's needs.

βœ“ Corrected: Sep 21, 2022
Tag 0684 E Aug 11, 2022

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: Sep 21, 2022
Tag 0690 D Aug 11, 2022

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

βœ“ Corrected: Sep 21, 2022
Tag 0698 D Aug 11, 2022

Provide safe, appropriate dialysis care/services for a resident who requires such services.

βœ“ Corrected: Sep 21, 2022
Tag 0710 D Aug 11, 2022

Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

βœ“ Corrected: Sep 21, 2022
Tag 0730 D Aug 11, 2022

Observe each nurse aide's job performance and give regular training.

βœ“ Corrected: Sep 21, 2022
Tag 0756 E Aug 11, 2022

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

βœ“ Corrected: Sep 21, 2022
Tag 0758 E Aug 11, 2022

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

βœ“ Corrected: Sep 21, 2022
Tag 0761 F Aug 11, 2022

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

βœ“ Corrected: Sep 21, 2022
Tag 0791 D Aug 11, 2022

Provide or obtain dental services for each resident.

βœ“ Corrected: Sep 21, 2022
Tag 0800 F Aug 11, 2022

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

βœ“ Corrected: Sep 21, 2022
Tag 0806 D Aug 11, 2022

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

βœ“ Corrected: Sep 21, 2022
Tag 0808 D Aug 11, 2022

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

βœ“ Corrected: Sep 21, 2022

2021 25 violations

Tag 0609 D Dec 8, 2021

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Jan 7, 2022
Tag 0610 D Dec 8, 2021

Respond appropriately to all alleged violations.

βœ“ Corrected: Jan 7, 2022
Tag 0677 D Dec 8, 2021

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Jan 7, 2022
Tag 0550 D Sep 28, 2021

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: Nov 1, 2021
Tag 0585 D Sep 28, 2021

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

βœ“ Corrected: Nov 1, 2021
Tag 0656 D Sep 28, 2021

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Nov 1, 2021
Tag 0675 E Sep 28, 2021

Honor each resident's preferences, choices, values and beliefs.

βœ“ Corrected: Nov 1, 2021
Tag 0689 G Sep 28, 2021

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Nov 1, 2021
Tag 0725 F Sep 28, 2021

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

βœ“ Corrected: Nov 1, 2021
Tag 0742 E Sep 28, 2021

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

βœ“ Corrected: Nov 1, 2021
Tag 0761 C Sep 28, 2021

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

βœ“ Corrected: Nov 1, 2021
Tag 0919 F Sep 28, 2021

Make sure that a working call system is available in each resident's bathroom and bathing area.

βœ“ Corrected: Nov 1, 2021
Tag 0561 E May 6, 2021

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

βœ“ Corrected: Jun 20, 2021
Tag 0578 E May 6, 2021

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

βœ“ Corrected: Jun 20, 2021
Tag 0583 D May 6, 2021

Keep residents' personal and medical records private and confidential.

βœ“ Corrected: Jun 20, 2021
Tag 0641 E May 6, 2021

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Jun 20, 2021
Tag 0645 D May 6, 2021

PASARR screening for Mental disorders or Intellectual Disabilities

βœ“ Corrected: Jun 20, 2021
Tag 0655 D May 6, 2021

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

βœ“ Corrected: Jun 20, 2021
Tag 0656 E May 6, 2021

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Jun 20, 2021
Tag 0658 E May 6, 2021

Ensure services provided by the nursing facility meet professional standards of quality.

βœ“ Corrected: Jun 20, 2021

2020 14 violations

Tag 0880 E Jun 30, 2020

Provide and implement an infection prevention and control program.

βœ“ Corrected: Aug 14, 2020
Tag 0600 G Jun 3, 2020

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Jun 4, 2020
Tag 0578 E Jan 21, 2020

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

βœ“ Corrected: Feb 28, 2020
Tag 0623 D Jan 21, 2020

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

βœ“ Corrected: Feb 28, 2020
Tag 0656 E Jan 21, 2020

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Feb 28, 2020
Tag 0657 E Jan 21, 2020

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: Feb 28, 2020
Tag 0658 D Jan 21, 2020

Ensure services provided by the nursing facility meet professional standards of quality.

βœ“ Corrected: Feb 28, 2020
Tag 0684 D Jan 21, 2020

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: Feb 28, 2020
Tag 0695 E Jan 21, 2020

Provide safe and appropriate respiratory care for a resident when needed.

βœ“ Corrected: Feb 28, 2020
Tag 0755 D Jan 21, 2020

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: Feb 28, 2020
Tag 0756 F Jan 21, 2020

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

βœ“ Corrected: Feb 28, 2020
Tag 0791 E Jan 21, 2020

Provide or obtain dental services for each resident.

βœ“ Corrected: Feb 28, 2020
Tag 0880 D Jan 21, 2020

Provide and implement an infection prevention and control program.

βœ“ Corrected: Feb 28, 2020
Tag 0921 F Jan 21, 2020

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

βœ“ Corrected: Feb 28, 2020

2019 3 violations

Tag 0656 D Apr 15, 2019

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: May 14, 2019
Tag 0657 E Apr 15, 2019

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: May 14, 2019
Tag 0658 E Apr 15, 2019

Ensure services provided by the nursing facility meet professional standards of quality.

βœ“ Corrected: May 14, 2019

2018 37 violations

Tag 0558 E Nov 14, 2018

Reasonably accommodate the needs and preferences of each resident.

βœ“ Corrected: Jan 9, 2019
Tag 0583 D Nov 14, 2018

Keep residents' personal and medical records private and confidential.

βœ“ Corrected: Jan 9, 2019
Tag 0584 E Nov 14, 2018

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

βœ“ Corrected: Jan 9, 2019
Tag 0600 E Nov 14, 2018

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Jan 9, 2019
Tag 0656 E Nov 14, 2018

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Jan 9, 2019
Tag 0657 E Nov 14, 2018

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: Jan 9, 2019
Tag 0658 D Nov 14, 2018

Ensure services provided by the nursing facility meet professional standards of quality.

βœ“ Corrected: Jan 9, 2019
Tag 0679 E Nov 14, 2018

Provide activities to meet all resident's needs.

βœ“ Corrected: Jan 9, 2019
Tag 0685 E Nov 14, 2018

Assist a resident in gaining access to vision and hearing services.

βœ“ Corrected: Jan 9, 2019
Tag 0692 E Nov 14, 2018

Provide enough food/fluids to maintain a resident's health.

βœ“ Corrected: Jan 9, 2019
Tag 0695 B Nov 14, 2018

Provide safe and appropriate respiratory care for a resident when needed.

βœ“ Corrected: Jan 9, 2019
Tag 0761 B Nov 14, 2018

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

βœ“ Corrected: Jan 9, 2019
Tag 0810 D Nov 14, 2018

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

βœ“ Corrected: Jan 9, 2019
Tag 0880 D Nov 14, 2018

Provide and implement an infection prevention and control program.

βœ“ Corrected: Jan 9, 2019
Tag 0552 E Jan 30, 2018

Ensure that residents are fully informed and understand their health status, care and treatments.

βœ“ Corrected: Mar 9, 2018
Tag 0558 E Jan 30, 2018

Reasonably accommodate the needs and preferences of each resident.

βœ“ Corrected: Mar 9, 2018
Tag 0583 D Jan 30, 2018

Keep residents' personal and medical records private and confidential.

βœ“ Corrected: Mar 9, 2018
Tag 0585 D Jan 30, 2018

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

βœ“ Corrected: Mar 9, 2018
Tag 0602 D Jan 30, 2018

Protect each resident from the wrongful use of the resident's belongings or money.

βœ“ Corrected: Mar 9, 2018
Tag 0609 D Jan 30, 2018

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Mar 9, 2018

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2022 3 penalties totaling $18,901

$13,000
Fine
August 11, 2022
$2,651
Fine
March 21, 2022
$3,250
Fine
January 10, 2022
Average: $6,300 | Range: $2,651 - $13,000

2021 8 penalties totaling $34,734

$2,620
Fine
December 27, 2021
$1,638
Fine
December 6, 2021
$1,300
Fine
November 29, 2021
$983
Fine
November 22, 2021
$655
Fine
November 15, 2021
$7,615
Fine
September 28, 2021
$19,923
Fine
May 6, 2021
$0
Payment Denial
May 6, 2021
Average: $4,342 | Range: $0 - $19,923

2020 2 penalties totaling $27,250

$27,250
Fine
June 3, 2020
$0
Payment Denial
June 3, 2020
Average: $13,625 | Range: $0 - $27,250

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

July 22, 2024
0.00

Health

March 18, 2024
0.00

Health

October 26, 2023
0.00

Health

August 11, 2022
0.00

Health

May 6, 2022
0.00

Health

December 8, 2021
0.00

Health

September 28, 2021
0.00

Health

May 6, 2021
0.00

Quality Measures

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Ownership Information

Non profit - Corporation
Independent (Not part of a chain)
325056
325056
5056624300
Los Alamos

Historical Ownership Records

August 25, 2025
Organization
August 25, 2025
Organization
August 25, 2025
Organization