Based on observation, record review, and interview, the facility failed to create a baseline care plan (minimum healthcare information necessary to properly care for a resident upon their admission to the facility) within 48 hours of admission for 2 (R #24, and R #25) of 3 (R #24, R #25, and R #26) residents reviewed for baseline care plans. This deficient practice could likely result in residents not receiving the appropriate care and may place residents at risk of an adverse event (undesirable experience, preventable or non-preventable, that may cause harm to a resident because of medical care or lack of medical care) or worsening of current condition after admission. The findings are: A. Record review of the facility Care Plan Policy, dated June 2020 revealed the following: 1. …
F655 citations in New Mexico
Baseline care plan · Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
New Mexico cites F655 more often than its own record predicts
3.60 times the share F655 takes of citations nationally.
Of every deficiency written in New Mexico in 2025, this is the portion that was F655.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What New Mexico surveyors wrote
F655 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 develop and implement a baseline care plan within 48 hours of a resident's admission for 4 ( R #10, 71, 79 and 85) of 4 ( R #10, 71, 79 and 85) residents reviewed for care plans. If the facility is not developing a care plan for newly admitted residents, then residents are likely to not get the care and assistance they need. This deficient practice may result in residents not receiving optimal care and treatment that affect residents' safety and place the resident at risk for adverse events that are most likely to occur right after admission. The findings are: A. Record review of the face sheet reveals R #71's admission date of [DATE]. With a [DIAGNOSES REDACTED]. B. …
The short window
Recent years
| Year | Share of New Mexico citations | vs expected |
|---|---|---|
| 2023 | 1.71% | 2.14× |
| 2024 | 1.44% | 2.10× |
| 2025 | 2.36% | 3.60× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else New Mexico surveyors cite →
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