Rio Rancho Center
Rio Rancho Center in Rio Rancho, NM — inspection on April 27, 2026.
Found 4 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
(antipsychotic medication).
Inject 2 mg intramuscularly (IM; administered in the muscle) every 6 hours
Dated 02/25/26, Hydroxyzine (antihistamine) HCl Oral Tablet 25 mg.
Give 1 tablet by mouth every 6
by mouth every 6 hours as needed for anxiety.
Dated 02/28/26, Ramelteon (sedative) Oral Tablet 8 mg.
Give 1 tablet by mouth at bedtime for insomnia (inability to sleep).
Dated 03/09/26, Ramelteon Oral Tablet 8 mg.
Give 1 tablet by mouth every 19 hours as needed for insomnia.
Dated 03/23/26, Risperidone (antipsychotic) tablet 0.25 mg.
Give 1 tablet by mouth every 8 hours as needed for agitation for 14 days.
The medication was discontinued on 3/23/26. F.
Record review of R #2's EHR, dated 04/27/26, revealed a Psychotherapeutic Medication Administration Disclosure/Consent form was not completed prior to the use of Clonazepam, Haldol, Hydroxyzine, Ramelteon, or Risperidone. R #5:G.
Record review of R #5's face sheet revealed an admission date of 01/5/23 and included the following diagnoses: Parkinsonism (an umbrella term that refers to conditions with similar, movement-related effects),Dementia with behavioral disturbance,Cognitive communication deficit,Major Depressive Disorder (MDD; a mental health disorder characterized by persistently depressed mood or loss of interest in activities, causing significant impairment in daily life).Hallucinations (false perceptions, where you sense an object, person, or event even though it is not real). H.
Record review of R #5's physicians' orders revealed the following:Dated 12/31/25, Caplyta Oral Capsule 10.5 mg.
Give 1 capsule by mouth at bedtime for adjunctive treatment of MDD.
The medication was discontinued on 04/23/26.Dated 12/31/25, Mirtazapine Tablet 15 mg.
Give 1 tablet by mouth at bedtime for MDD.
The medication was discontinued on 04/23/26.Dated 04/23/26, Mirtazapine (antidepressant) tablet 15 mg.
Give 1 tablet by mouth at bedtime for Major Depressive Disorder.
Dated 04/23/26, Caplyta (antipsychotic) Oral Capsule 10.5 mg.
Give 1 capsule by mouth at bedtime for adjunctive treatment of MDD. I.
Record review of R #5's EHR, dated 04/27/26, revealed a Psychotherapeutic Medication Administration Disclosure/Consent form was not completed prior to the use of Mirtazapine or Caplyta. R #6:J.
Record review of R #6's face sheet revealed an admission date of 2/14/26 and included the following diagnoses:Depression,Panic disorder (type of anxiety disorder that causes repeated, unexpected episodes of intense fear and anxiety accompanied by physical symptoms that are similar to the body's normal response to danger). K.
Record review of R #6's physicians' orders revealed the following: Dated 03/20/26, Clonazepam oral tablet 0.5 mg.
Give 1 tablet by mouth two times a day for anxiety.
Dated 04/13/26, Olanzapine (antipsychotic) oral tablet 10 mg.
Give 1 tablet by mouth at bedtime for psychosis (a mental state in which a person loses touch with reality, experiencing symptoms such as hallucinations, delusions, and disorganized thinking). L.
Record review of R #6's EHR, dated 04/27/26, revealed a Psychotherapeutic Medication Administration Disclosure/Consent form was not completed prior to the use of Clonazepam or Olanzapine. M. On 04/27/26 at 2:33 pm, during an interview, the Director of Nursing (DON) stated R #'s 1, 2, 5, and 6 should have completed and signed consent forms for the use of any psychotropic medications.
She stated her expectation is that all residents or resident representatives receive information on all treatments and medications prior to using them, so they are aware of the risks and the benefits.
325033 04/27/2026
Rio Rancho Center 4210 Sabana Grande SE Rio Rancho, NM 87124
unauthorized people had ability to access it. If the resident's clinical information is not sufficiently
findings are: A. On 4/24/26 at 8:42 am, during an observation of the 100 unit, a cart was stationed in the unit between rooms #138 and #140 with a computer that contained 15 residents PHI including, their names and room numbers for anyone walking by to see. B. On 4/24/26 at 8:52 am, during an interview, the Director of Nursing (DON) stated the computer between rooms #138 and #140 should not be left unattended with resident PHI present, because unauthorized individuals could easily access the information. C. On 4/24/26 at 10:13 am, during an interview, the Administrator (ADM) stated the computer between rooms #138 and #140 should not have been left unattended with resident PHI present.
She stated it is her expectation that nursing staff understand the importance of safeguarding resident records.
325033 04/27/2026
Rio Rancho Center 4210 Sabana Grande SE Rio Rancho, NM 87124
every 12 months.
record review and interview, the facility failed to ensure a comprehensive Minimum Data Set (MDS; a
for 2 (R #1 and R #2) of 4 (R #1, #2, #5 and #6) residents, when:The facility did not change R #1 and R #2's discharge MDS status from return anticipated (returning to the facility) to return not anticipated (not returning to the facility).
This deficient practice is likely to result in residents' needs not being met.
The findings are: R #1:A.
Record review of R #1's face sheet revealed an admission date of 09/16/24 and a discharge date of 02/24/26. B.
Record review of R #1's discharge MDS, dated [DATE], revealed R #1 was discharged to the hospital with an anticipated return to the facility. C.
Record review of R #1's Electronic Health Record (EHR), dated 04/27/26, revealed R #1 did not return to the facility and a final discharge MDS was not completed nor submitted as required. R #2:D.
Record review of R #2's face sheet revealed an admission date of 02/24/26 and a discharge date of 03/14/26. E.
Record review of R #2's discharge MDS, dated [DATE], revealed R #2 was discharged to the hospital with an anticipated return to the facility. F.
Record review of R #2's EHR, dated 04/27/26, revealed R #2 did not return to the facility and a final discharge MDS was not completed nor submitted as required. G. On 04/27/26 at 2:33 pm, during an interview, the Director of Nursing (DON) stated her expectation was for the MDS assessments to accurately reflect the resident's current status in the facility, because an inaccurate status could affect billing for the resident and cause the facility census to be inaccurate.
The DON stated the discharge MDS assessments for R #1 and R #2 were inaccurate and should have reflected a discharge-return not anticipated status.
325033 04/27/2026
Rio Rancho Center 4210 Sabana Grande SE Rio Rancho, NM 87124
prevent accidents.
observations and interviews, the facility failed to ensure the environment was free of accident
coffee, a chair, and a backpack was stationed in the doorway of room [ROOM NUMBER], blocking the entrance and without facility staff nearby. An unattended computer cart with a chair was blocking the hallway and handrails between rooms #138 and #140, without facility staff nearby.
This deficient practice is likely to result in residents getting injured in avoidable accidents and putting residents at risk of serious injury and harm.
The findings are: A. On 04/24/26 at 8:36 am, during an observation of the 100 unit, a computer cart with a cup of coffee and a chair with a backpack were stationed in the doorway of room [ROOM NUMBER], blocking the door entrance and without facility staff nearby. B.
On 04/24/26 at 8:42 am, during an observation of the 100-unit, an unattended computer cart and chair with staff belongings was stationed in the hallway between resident rooms #138 and #140, blocking access to the unit handrails and without facility staff nearby. C. On 04/24/26 at 10:13 am, during an interview, the Administrator (ADM) stated it was not acceptable for staff to leave computer carts unattended in front of resident's doorways.
She stated the facility staff should not leave drinks, purses, bags or other personal items in the hallways.
She stated it is her expectation that staff put all personal belongings away in spaces provided for staff.
The ADM stated this could potentially be a hazard if a resident picked up an item or tripped on the carts and chairs blocking the handrails and room access.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.