Based on record review and interviews, the facility failed to provide adequate oversight of nursing students in accordance with professional standards of practice for 1 (R #1) of 1 (R #1) resident reviewed, which resulted in a nursing student providing R #1 a meal tray despite R #1 having an active nothing by mouth (NPO) dietary order. If staff serve food to a resident with an NPO order, then the resident is at risk for aspiration, choking, respiratory distress, and other preventable adverse outcomes. The findings are: A. …
F684 citations in New Mexico
Quality of care · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
New Mexico cites F684 less often than its own record predicts
0.50 times the national share — cited less often here than elsewhere.
Of every deficiency written in New Mexico in 2025, this is the portion that was F684.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What New Mexico surveyors wrote
F684 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 observation, record review, and interview, the facility failed to monitor and provide appropriate interventions for 1 (R #4) of 3 (R #4, #5, and #6) residents reviewed for injury: 1. When the facility failed to provide proper wound care for R #4's left forearm laceration. 2. When the facility nurses failed to communicate the severity of R #4's left forearm laceration to other nursing staff. 3. When the facility failed to re-assess R #4's left forearm laceration for approximately 12 hours. These deficient practices likely resulted in R #4's left forearm laceration becoming worse with additional bleeding, that required hospitalization . The findings are: A. Record review of R #4's face sheet revealed R #4 was admitted into the facility on [DATE] and was discharged on [DATE]. B. …
Based on observation, record review, and interviews, the facility failed to ensure residents received the necessary treatment and services to promote healing of a wound for 1 (R #1) of 1 (R #1) resident reviewed, when the facility staff failed to:Provide consistent wound care per physician orders for R #1.Implement interventions to address repeated refusals of wound care.Ensure R #1's wound care was completed by facility nursing staff and not by R #1.These deficient practices led to R #1 having maggots (a soft bodied, legless larva of a fly or other insect, found in decaying matter) present causing the wound on R #1's right foot to worsen. …
The short window
Recent years
| Year | Share of New Mexico citations | vs expected |
|---|---|---|
| 2023 | 2.45% | 0.68× |
| 2024 | 3.09% | 0.78× |
| 2025 | 2.15% | 0.50× |
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