Based on record review and interview, the facility failed to ensure advanced directives (code status; documents providing an individual's wishes for emergency and lifesaving care) were accurate within the Electronic Health Record (EHR) for 1 (R #21) of 2 (R #16 and #21) residents reviewed for advance directives, when: The facility failed to ensure R #21's advance directive forms and EHR contained matching and consistent information regarding the residents' end-of-life wishes.The facility staff did not update the resident's advanced directives in the EHR after the resident completed their Medical Orders for Scope of Treatment (MOST; a legal document which outlines the care the resident wants when they become incapacitated and unable to speak for themselves) form. …
F578 citations in New Mexico
Advance directives · Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
New Mexico cites F578 more often than its own record predicts
1.36 times the share F578 takes of citations nationally.
Of every deficiency written in New Mexico in 2025, this is the portion that was F578.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What New Mexico surveyors wrote
F578 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.
Based on observation, interview, and record review, the facility failed to ensure there was a system in place for the nursing staff to immediately determine code status [the residents choice as to whether or not they would like to be provided cardio- pulmonary resuscitation (CPR) in the event that they stopped breathing and/or their heart stopped] for 1 (R #58) of 3 (R #3, R #8, and R #58) residents reviewed for code status, when they failed document R #58's code status in her medical record. This deficient practice could likely lead to a delay in potentially lifesaving measures if staff are not immediately aware of residents' preferences for resuscitation. The findings are:A. …
The short window
Recent years
| Year | Share of New Mexico citations | vs expected |
|---|---|---|
| 2023 | 1.47% | 1.37× |
| 2024 | 0.62% | 0.63× |
| 2025 | 1.29% | 1.36× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else New Mexico surveyors cite →
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