Good Samaritan Society - Manzano Del Sol

Manzano Del Sol Nursing Center has received 20 health citations in the last year, far above the national average of 8.4 and the state average of 15.5. The facility has had 39 inspections since 2005 and 1 complaint inspection that resulted in a citation during the past 3 years.

The following deficiencies were found during Manzano Del Sol Nursing Center’s health inspection on March 1, 2022:

• Keeping the call lights of several patients out of their reach, which prevented patients from calling for assistance when they needed it
• Refusal to allow a patient to have a Keurig coffee maker and giving it to a staff member in housekeeping in violation of its policy prohibiting staff from accepting gifts from residents
• Failure to address concerns raised by the resident council, including call light responsiveness, missing personal items, rude staff, and food issues
• Failure to ensure all patients have advance directives
• Failure to include weight management in the care plan of a patient with an at-risk nutritional status, resulting in the patient becoming malnourished
• Failure to develop a care plan for a patient whose skin would frequently tear during wheelchair transfers
• Failure to provide appropriate foot care and a referral to a podiatrist for a resident with severely thickened toenails
• Failure to regularly review drug regimens to ensure patients are not receiving unnecessary drugs
• Mixing medication when administering through a patient’s endoscopic gastrostomy tube, resulting in a medication error rate of 7.89 percent
• Failure to properly label and secure medications
• Failure to obtain dental care for a patient
• Failure to consistently screen visitors for COVID-19 before permitting entry and update the screening questions to match regulations
• Failure to perform COVID-19 testing twice weekly on all unvaccinated staff
• Failure to ensure staff is vaccinated for COVID-19 and develop a contingency plan for unvaccinated staff