Based on observation, record review, interviews, and facility policy review, the facility failed to assess one of one (Resident (R)3) resident for self-administration of medication in the sample of 18 residents. This had the potential to affect the residents' medication safety at the facility. Findings include: Review of R3's undated Admission Record in the Profile tab of the electronic medical record (EMR) revealed most recent admitted [DATE] and initial admitted [DATE]. The Admission Record revealed a diagnosis of myocardial infarction. Review of R3's quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 07/24/24, located in the EMR MDS tab, revealed a Brief Interview for Mental Status (BIMS) score of 15 out of 15 which indicated R3 was cognitively intact. …
F554 citations in New Mexico
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
New Mexico cites F554 less often than its own record predicts
0.56 times the national share — cited less often here than elsewhere.
Of every deficiency written in New Mexico in 2024, this is the portion that was F554.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What New Mexico surveyors wrote
F554 findings written in New Mexico, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
The short window
Recent years
| Year | Share of New Mexico citations | vs expected |
|---|---|---|
| 2023 | 0.37% | 0.66× |
| 2024 | 0.31% | 0.56× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else New Mexico surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction