F759 in New Mexico. Pick another state for the same tag.
Against expectation — 2025
New Mexico cites F759 less often than its own record predicts
Versus expected share0.80×
0.80 times the national share — cited less often here than elsewhere.
Share of New Mexico citations0.86%
Of every deficiency written in New Mexico in 2025, this is the portion that was F759.
New Mexico0.86%
National1.08%
Share of all citations that were F759.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What New Mexico surveyors wrote
F759 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.
E · No harm, potential for more than minimal, patternJanuary 15, 2026
Based on observations, record reviews, and interviews; the facility failed to ensure medication error rate did not exceed five percent for 3 (R #16, R#26, and R #61) of 3 (R #16, R#26, and R #61) residents. The medication error rate was 11.54% from staff administering 26 medications with 3 errors. This deficient practice is likely to result in medications continuing to be administered incorrectly, increasing the risk for adverse outcomes and potential harm.The findings are:A. On 01/12/26 at 4:03 PM, during observation of medication administration, observed RN Registered Nurse (RN) #1 crush divalproex sodium (Depakote; an anticonvulsant) 500 milligrams (mg) delayed release for R #26.B. …
B · No harm, potential for minimal, patternJune 21, 2018
Based on observation and interview the facility failed to ensure the medication error rate did not exceed 5% by performing 8 medication errors out of 28 opportunities for 1 (R #20) of 5 (R #20, R #31, R #64, R #73, R #77) residents reviewed during medication administration. This resulted in a medication error rate of 28.57%. If residents are not informed of the medications they are receiving, then residents do not have the ability to accept or reject the medications being administered.
The findings are:
A. On 06/20/18 at 7:55 am during observation of medication administration to R #20, Certified Medication Aide (CMA) #1 was observed drawing the following medications: [REDACTED]
1. Vitamin D3 (a vitamin supplement) 1 tablet
2. …
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