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F0656
D

Failure to Implement Accurate Care Plan for Resident's Alcohol Storage

Santa Fe, New Mexico Survey Completed on 04-08-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to develop and implement an accurate, person-centered comprehensive care plan for a resident regarding the storage and access to beer, as ordered by the provider. Observation and interviews revealed that the resident kept a cooler with beer in his room and accessed it daily, consistent with his statement and the provider's order allowing one beer per day. However, the care plan documented that the beer should be stored in a locked refrigerator in the restorative area, not in the resident's room. Both the DON and Administrator confirmed the discrepancy between the care plan and the actual practice, with staff and family facilitating the resident's access to beer from the cooler in his room, contrary to the care plan instructions.

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