Based on observation, record review, and interview, the facility failed to complete a Significant Change In Status (SCIS; major decline or improvement in the patient's health status) MDS assessment within 14 days after the facility determined that a resident was admitted to hospice (a specialized type of care focused on providing comfort, dignity, and support to individuals with terminal illnesses and their families during the end-of-life stage) providers for 2 (R #2 and R #8) of 2 (R #2 and R #8) residents reviewed for hospice care. This deficient practice could likely result in the residents not receiving the appropriate care and services that they need. The findings are: R #2 A. Record review of R #2's Face Sheet, no date revealed the following: 1. …
F637 citations in New Mexico
Assessment after a significant change · Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
New Mexico cites F637 more often than its own record predicts
3.13 times the share F637 takes of citations nationally.
Of every deficiency written in New Mexico in 2025, this is the portion that was F637.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What New Mexico surveyors wrote
F637 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% | 1.20× |
| 2024 | 0.41% | 1.84× |
| 2025 | 0.75% | 3.13× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else New Mexico surveyors cite →
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