HospitalInspections.org

Bringing transparency to federal inspections

5400 GIBSON BOULEVARD SE, 4TH FLOOR BOX# 8 ALBUQUERQUE, NM 87108 | Proprietary

View hospital's federal Hospital Compare Record

Health deficiencies are assigned during inspections that assess compliance with rules related to patient health and safety. Examples include violations of patients' rights and safety standards, as well as the administration of drugs and other treatments.

Life Safety deficiencies are assigned during inspections that assess a facility's compliance with National Fire Protection Association codes related to life safety in health care facilities. They are often conducted in tandem with health inspections. Examples include faulty or improperly maintained fire suppression and electrical systems.

Emergency Preparedness deficiencies can be cited during either a health or life safety inspection and relate to violations of CMS' Emergency Preparedness Rule. Examples include a lack of emergency plans, inadequate staff training and insufficient emergency supplies.

Complete reports and deficiency counts

Report date	Health Deficiencies	Life Safety	Emergency Preparedness	Total
May 25, 2022	6	0	0	6	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: GRIEVANCES PATIENT RIGHTS: NOTICE OF GRIEVANCE DECISION UNUSABLE DRUGS NOT USED INFECTION CONTROL SURVEILLANCE, PREVENTION DISCHARGE PLANNING DISCHARGE PLANNING - PT RE-EVALUATION
Apr 6, 2021	1	0	0	1	Read full report
Deficiencies cited in this report: INFECTION CONTROL PROGRAM
Oct 20, 2020	7	0	0	7	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: CARE IN SAFE SETTING INFECTION CONTROL PROGRAM Special Medical Record Requirements Social Service Records Psych Eval - Inventory of Assets Treatment Plan Document Therapeutic Efforts
Dec 5, 2019	9	0	0	9	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: INFORMED CONSENT DISCHARGE PLANNING DISCHARGE PLANNING PERSONNEL IMPLEMENTATION OF A DISCHARGE PLAN RECORDS OF DISCHARGED PATIENTS INCLUDE DISCHARGE SUMMARY DISCHARGE SUMMARY INCLUDES SUMMARY OF CONDITION ON DISCHARGE SOCIAL SERVICES SOCIAL SERVICES PROVIDED IN ACCORDANCE W/ STANDARDS
Feb 18, 2019	17	0	0	17	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: INFORMED CONSENT PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT DATA COLLECTION & ANALYSIS QUALITY IMPROVEMENT ACTIVITIES MEDICAL STAFF CREDENTIALING CONTENT OF RECORD CONTENT OF RECORD: ORDERS DATED & SIGNED CONTENT OF RECORD: INFORMED CONSENT PHARMACY ADMINISTRATION MAINTENANCE OF PHYSICAL PLANT PROGRESS NOTES RECORDED BY SOCIAL WORKER SPECIAL STAFF REQUIREMENTS FOR PSYCHIATRIC HOSPITALS QUALIFICATIONS OF DIRECTOR OF PSYCH NURSING SERVICES PSYCHOLOGICAL SERVICES ADEQUATE STAFF TO PROVIDE THERAPEUTIC ACTIVITIES
Mar 20, 2018	1	0	0	1	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: CARE IN SAFE SETTING
Oct 15, 2015 Follow-up to inspection on 2015-06-18*	10	0	0	10	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT PATIENT SAFETY QAPI EXECUTIVE RESPONSIBILITIES STAFFING AND DELIVERY OF CARE ADMINISTRATION OF DRUGS CONTENT OF RECORD: HISTORY & PHYSICAL INFECTION CONTROL PROFESSIONAL INFECTION CONTROL PROGRAM No Description Available
Jun 18, 2015	15	0	0	15	Read full report
Deficiencies cited in this report: GOVERNING BODY PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT QAPI PATIENT SAFETY QAPI EXECUTIVE RESPONSIBILITIES NURSING SERVICES STAFFING AND DELIVERY OF CARE ADMINISTRATION OF DRUGS CONTENT OF RECORD: HISTORY & PHYSICAL INFECTION PREVENTION CONTROL ABX STEWARDSHIP INFECTION CONTROL PROFESSIONAL INFECTION CONTROL PROGRAM No Description Available
May 14, 2015	2	0	0	2	Read full report
Deficiencies cited in this report: QAPI PATIENT SAFETY

Some state health departments and regional offices of the Centers for Medicare and Medicaid Services sometimes did not upload their inspection reports into a central computer system that could then be shared by us. In such cases, CMS identified the dates of the missing inspections and the number of deficiencies identified. You can request the actual reports from CMS or your state health department.

* Deficiencies cited in follow-up inspections are not counted toward a facility's total deficiency count.

HospitalInspections.org

HAVEN BEHAVIORAL HOSPITAL OF ALBUQUERQUE

Complete reports and deficiency counts