Based on record review and interview, the facility failed to provide a discharge summary and post discharge plan of care which included wound care for 1 (R #50) of 1 (R #50) residents reviewed for wounds. This deficient practice likely resulted in R #50's pressure wound worsening and needing emergency care in the hospital. The findings are: Cross reference to F686 A. Record review of R #50's facility wound evaluations (of the same document type), completed by the Wound Care Nurse, revealed on 01/03/24, R #50's left heel pressure ulcer measured 2.6 cm length and 1.43 cm width. B. Record review of R #50's nursing progress notes, dated 01/05/24 at 2:42 pm, revealed R #50 was discharged with all medications to live with her niece. …
F661 citations in New Mexico
Resident Assessment and Care Planning Deficiencies
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
New Mexico cites F661 more often than its own record predicts
1.69 times the share F661 takes of citations nationally.
Of every deficiency written in New Mexico in 2025, this is the portion that was F661.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What New Mexico surveyors wrote
F661 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 staff completed a discharge summary that included a recapitulation (a summary describing the resident's course of treatment while residing in the facility), and a list of all medication at the time of discharge for 1 (R #26) of 1 (R #26) residents sampled for discharge from the facility. This deficient practice could likely lead to the receiving facility, community agency, or family members not knowing what the current care needs and/or current medications the resident needs. The findings are: A. Record review of R #26's face sheet, undated, revealed R #26's was admitted to the facility on [DATE] and discharged on 01/25/25. B. Record review of R #26's Medical Record, undated, revealed the following: 1. …
Based on record review and interview the facility failed to have a discharge summary (a concise summary of the resident's stay and course of treatment in the facility) to facilitate transition from one setting to another for 1 (R #132) of 1 (R #132) Resident reviewed for discharge. This deficient practice could result in the resident not receiving appropriate and timely care from the receiving facility. The findings are: A. Record review of a physician's orders [REDACTED]. B. On 04/18/18 at 10:51 am, during an interview with DD ( Dementia Program Director) regarding the discharge of R #132 to another facility, she stated, R #132 was doing fine in our memory unit. …
The short window
Recent years
| Year | Share of New Mexico citations | vs expected |
|---|---|---|
| 2023 | 0.61% | 2.37× |
| 2024 | 0.72% | 3.15× |
| 2025 | 0.11% | 1.69× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else New Mexico surveyors cite →
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