Based on record review and interview, the facility failed to assess for signs and symptoms of UTI (an infection that affects part of the urinary tract) for 1 (R #1) of 1 (R #1) sampled residents for UTIs. This failed practice led to an UTI with [MEDICAL CONDITION] and pneumonia. The findings are: A. On 03/13/18 at 2:25 pm, during an interview, RN #1 was asked if he assessed R #1 for a UTI. He stated that R #1's daughter reported concerns about her father's urine looking thick and cloudy on 01/20/18. RN #1 stated that he not assess R #1 prior to the daughter voicing her concerns. RN #1 then did a Urinalysis (dipstick) on R #1 on 01/20/18 which was positive for a UTI. When asked RN #1 who routinely performs/monitors Foley care for residents, he replied, Nurses do. B. …
F636 citations in New Mexico
Comprehensive assessments · Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
New Mexico cites F636 more often than its own record predicts
3.00 times the share F636 takes of citations nationally.
Of every deficiency written in New Mexico in 2025, this is the portion that was F636.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What New Mexico surveyors wrote
F636 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 record review and interview, the facility failed to ensure a comprehensive MDS assessment was completed within 14 calendar days after admission for 1 (R #132) of 2 (R #28 and R #132) residents reviewed for MDS timing. This deficient practice could likely result in residents' needs not being met. The findings are: A. Record review of R #132's admission Record, no date, revealed R #132 was admitted to the facility on [DATE]. B. Record review of R #132's MDS assessments revealed staff did not complete his admission MDS assessment until 04/13/26. C. On 04/21/26 at 4:27 PM, during an interview, the MDS Coordinator confirmed staff did not complete R #132's admission MDS assessment within 14 days of admission to the facility.
The short window
Recent years
| Year | Share of New Mexico citations | vs expected |
|---|---|---|
| 2023 | 1.10% | 2.79× |
| 2024 | 0.62% | 2.12× |
| 2025 | 0.75% | 3.00× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else New Mexico surveyors cite →
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