Cross reference to F756. Based on record reviews and interviews, the facility failed to keep a resident free from significant medication errors for 1 (R #25) of 1 (R #25) resident, when staff entered a duplicate medication order of clopidogrel (an antiplatelet; medication that prevents blood clots by preventing platelets in the blood from sticking together) and administered the clopidogrel for a period of 19 consecutive days. This deficient practice had the potential to cause severe complications including but not limited to severe bleeding and death. The findings are: A. …
F760 citations in New Mexico
Significant medication errors · Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
New Mexico cites F760 more often than its own record predicts
1.07 times the share F760 takes of citations nationally.
Of every deficiency written in New Mexico in 2025, this is the portion that was F760.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What New Mexico surveyors wrote
F760 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.
This is past noncompliance. Based on record review, observation, and interview, the facility failed to ensure residents are free of any significant medication errors for 1 (R #1) of 7 (R #1, R #3, R #4, R #5, R #6, R #7, and R #8) residents reviewed for neglect, when nursing staff failed to administer medication to the correct resident. This deficient practice likely resulted in R #1 experiencing adverse (unwanted, harmful, or abnormal) side effects and admission to the hospital. The findings are: A. Record review of the facility's Complaint Narrative Investigation: A Follow-up Report (5 day), undated, revealed upon interview with LPN #1, she reported having pre-poured the medications in a cup, become distracted, and handed the medications to R #1 instead of R #2. …
Based on record review and interview, the facility failed to prevent significant medication errors for 3 (R #2, R #3, and R #9) of 5 (R #2, R #3, R #4, and R #5) residents reviewed for medication errors when the facility did not administer night medications on 03/30/26. This deficient practice is likely to result in residents having adverse effects (unwanted, harmful, or abnormal result). The findings are:R #2A. Record review of R #2's admission Record revealed he was originally admitted to the facility on [DATE] with the following diagnoses:1. Type 2 diabetes mellitus (DM2, a condition that results from insufficient production of insulin, causing high blood sugar),2. Hyperlipidemia (a condition in which there are high levels of fat particles in the blood; high cholesterol),3. …
The short window
Recent years
| Year | Share of New Mexico citations | vs expected |
|---|---|---|
| 2023 | 2.08% | 1.87× |
| 2024 | 0.82% | 0.71× |
| 2025 | 1.39% | 1.07× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else New Mexico surveyors cite →
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