This is a repeat deficiency from a complaint survey completed on [DATE]. The facility failed to ensure that the residents' medical records reflected the resident's medical status when any positive or negative condition change occurs and the services that were provided thus to ensure that the information would be available to facilitate communication among the professional team members. This deficient practice resulted in an Immediate Jeopardy (IJ) at a scope and severity of J being identified on [DATE]. The facility was notified on [DATE] at 11:35 am. The facility took corrective action by providing an acceptable Plan of Removal on [DATE] at 5:42 pm. This resulted in the scope and severity being reduced from level K to level G. Based on the Plan of Removal, interventions included: 1. …
F842 citations in New Mexico
Medical records · Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
New Mexico cites F842 more often than its own record predicts
2.06 times the share F842 takes of citations nationally.
Of every deficiency written in New Mexico in 2025, this is the portion that was F842.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What New Mexico surveyors wrote
F842 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 medical records were complete and accurate for 2 (R #1 & R #16) of 6 (R #1, R #2, R #3, R #16, R #17, and R #18) residents reviewed for abuse and neglect when staff failed to:1. Document accurately about an incident that occurred with R #1 on 07/03/26.2. Document discussions with R #16's family members.These deficient practices could likely cause staff to not be aware of situations that occur or changes in care decisions, which could adversely impact the care staff provides. The findings are: A. …
Based on observation, and interview, the facility failed to protect residents' personal health information (PHI) by leaving a document unattended containing multiple residents' information (such as names, diagnoses, treatment plans, or room numbers) on top of a south nurse's counter. This deficient practice is likely to result in passerby's to have unauthorized access to sensitive information, putting residents' privacy at risk.The findings are:A. On 03/16/26 at 9:04 am, during an observation of the south nurse's station, a piece of paper on a clipboard with complete residents information (full name, assigned room number and code status) was left unattended and exposed to public view.B. …
The short window
Recent years
| Year | Share of New Mexico citations | vs expected |
|---|---|---|
| 2023 | 3.55% | 2.19× |
| 2024 | 2.27% | 1.21× |
| 2025 | 4.61% | 2.06× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else New Mexico surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction