Based on observation, record review, and interview, the facility failed to provide necessary care and services to prevent the worsening of a pressure ulcer (injury to skin and underlying tissue from prolonged pressure) for 1 (R #1) of 5 (R #1, R #2, R #3, R #4, and R #5) residents reviewed for pressure ulcers/skin impairment. Specifically, the facility failed to accurately identify, assess, measure, stage, monitor, document, report, and adjust care for R #1's coccyx/sacral pressure ulcer. …
F686 citations in New Mexico
Pressure ulcers · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
New Mexico cites F686 less often than its own record predicts
0.66 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 F686.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What New Mexico surveyors wrote
F686 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 residents received the necessary treatment and services to prevent the development and worsening of pressure ulcers (PU; an injury to skin and underlying tissue resulting from prolonged pressure on the skin) for 1 (R #1) of 1 (R #1) resident when staff failed to: Begin wound care after identification of a coccyx (tailbone area; base of spine) wound.Administer wound care for R #1's coccyx pressure ulcer as ordered.Notify the facility Wound Care Nurse (WCN) and administrative nursing staff of R #1's worsening pressure ulcer and of the development of a new pressure wound on R #1's left ischial (hip bone) in a timely manner. …
Based on 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 #3) of 1 (R #3) resident reviewed, when facility staff failed to:Provide consistent wound care per physician orders for R #3.Follow up with the hospital and/or the facility Wound Nurse Practitioner (WNP) to clarify confusing wound care orders.These deficient practices led to R #3 having maggots (a soft bodied, legless larva of a fly or other insect, found in decaying matter) present in a wound on R #3's right foot. If wound care is not provided as ordered by a physician, residents are likely at risk for wound deterioration, infection, delayed healing, and other complications.The findings are: A. …
The short window
Recent years
| Year | Share of New Mexico citations | vs expected |
|---|---|---|
| 2023 | 1.10% | 0.54× |
| 2024 | 1.13% | 0.54× |
| 2025 | 1.29% | 0.66× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else New Mexico surveyors cite →
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