Based on record review and interview, the facility failed to have an effective administration that maintained the highest practicable well-being of residents for 1 (R #16) of 3 (R #1, R #16, and R #17) residents reviewed when the administration failed to recognize the mistreatment, dehumanization (the process of depriving a person or group of positive human qualities) and disrespect to R #16 when she was used by staff to prank another staff member after she was deceased . If the administration is unable to adequately identifying the mistreatment of residents, even of deceased residents still under the care of the facility and establish a standard of practice by implementing adequate corrective action when failures are identified, then residents remain at risk of serious adverse outcomes. …
F835 citations in New Mexico
Administration · Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
New Mexico cites F835 more often than its own record predicts
1.46 times the share F835 takes of citations nationally.
Of every deficiency written in New Mexico in 2025, this is the portion that was F835.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What New Mexico surveyors wrote
F835 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 interview, observation and interview, the facility administration failed to ensure that facility resources were effectively used to: 1. Resolve grievances in a timely manner (refer to tag F 585); 2. Prevent, report, and investigate allegations of neglect (refer to tags F 600, F 609 and F 610); 3. Provide quality of care to residents (refer to tag F 684); 4. Treat and provide services to prevent and heal pressure ulcers (refer to tag F 686); 5. Provide adequate and competent nursing staff to ensure that residents were receiving the assistance that they required (refer to tags F 725 and F 726); and 6. …
Cross-Reference with F0602. Based on record review and interviews, it was determined the facility was not administered in a manner that ensured the effective and efficient use of resources to attain or maintain each resident's highest practicable physical, mental, and psychosocial well being, when:The facility administration failed to prevent unauthorized individuals, who were not contracted or directly hired by the facility, from working in the facility near residents.This deficient practice is likely to affect the 89 residents listed on the facility census provided by the Administrator on 05/13/26. If the facility is unaware of an individuals' status when they enter the facility and are near residents, residents' safety and well being are placed at risk. The finds are: A. …
The short window
Recent years
| Year | Share of New Mexico citations | vs expected |
|---|---|---|
| 2024 | 0.10% | 0.32× |
| 2025 | 0.43% | 1.46× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else New Mexico surveyors cite →
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