Based on observation, record review and interview, the facility failed to ensure a resident was free from physical restraints for 1 (R #1) of 2 (R #1 and #2) residents when staff failed to assess the resident for the use of a seatbelt. If staff do not assess residents before implementing the use of a seatbelt, then residents may experience injury, entrapment, or a decline in independence and participation. The findings are:A. Record review of R #1's Minimum Data Set (MDS; a federally mandated assessment instrument completed by facility staff), dated 05/07/26, revealed a Brief Interview of Mental Status (BIMS; a screening for cognitive impairment) score of 15, cognitively intact. B. Record review of R #1's care plans revealed, R #1 the following: - admission date of 06/05/19. …
F604 citations in New Mexico
Restraints · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
New Mexico cites F604 more often than its own record predicts
1.41 times the share F604 takes of citations nationally.
Of every deficiency written in New Mexico in 2025, this is the portion that was F604.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What New Mexico surveyors wrote
F604 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% | 0.96× |
| 2024 | 0.21% | 0.56× |
| 2025 | 0.54% | 1.41× |
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