Based on observations, record reviews, and interviews, the facility failed to ensure that six of six residents (Resident (R)23, R83, R50 , R65, R79 and R90 ) reviewed for tracheostomy (trach) care out of a total sample of 33 residents had the necessary supplies at the bedside in the event of a life-threatening emergency, and failed to train staff on appropriate emergency tracheostomy care in the event that a resident's airway was compromised, which placed residents with a tracheostomy at increased likelihood of serious harm or death. On 12/13/22 at 2:32 PM, the Administrator, the Regional Nurse, and Director of Nursing (DON) were notified of an Immediate Jeopardy (IJ) at F695-K: Respiratory/Tracheostomy Care and Suctioning. …
F695 citations in New Mexico
Respiratory care · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
New Mexico cites F695 less often than its own record predicts
0.68 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 F695.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What New Mexico surveyors wrote
F695 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 ensure a portable oxygen tank had oxygen in it for 1 (R #289) of 1 (R 289) residents reviewed for respiratory care. This deficient practice has the potential to affect residents with [MEDICAL CONDITIONS], shortness of breath and dependence on supplemental oxygen by not supplying enough oxygen in order to prevent [MEDICAL CONDITION] (decreased oxygen to the body). The findings are: A. Record review of facility Resident Face Sheet for R #289 dated 11/13/12 revealed [DIAGNOSES REDACTED]. B. Record review of facility Care Plan for R #289 dated 02/19/14 revealed, Resident has a [DIAGNOSES REDACTED].Administer oxygen via nasal cannula as ordered. Monitor O2 SAT (oxygen saturation) .provide humidified room air C. …
Based on record review, observation, and interview, the facility failed to provide respiratory care in accordance with professional standards for 4 (R #2, R #3, R #5, and R #6) of 4 (R #2, R #3, R #5, and R #6) residents reviewed for respiratory care when the staff failed to:1. Ensure medical orders included the amount of oxygen (a specific flow rate; measurement of the volume of liquid or gas moving per unit of time) and the delivery method (i.e. Nasal canula, simple mask, or non-rebreather mask) for R #6.2. …
The short window
Recent years
| Year | Share of New Mexico citations | vs expected |
|---|---|---|
| 2023 | 1.84% | 0.79× |
| 2024 | 1.55% | 0.70× |
| 2025 | 1.50% | 0.68× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else New Mexico surveyors cite →
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