F868 in New Mexico. Pick another state for the same tag.
Against expectation — 2025
New Mexico cites F868 less often than its own record predicts
Versus expected share0.46×
0.46 times the national share — cited less often here than elsewhere.
Share of New Mexico citations0.11%
Of every deficiency written in New Mexico in 2025, this is the portion that was F868.
New Mexico0.11%
National0.23%
Share of all citations that were F868.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What New Mexico surveyors wrote
F868 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.
F · No harm, potential for more than minimal, widespreadAugust 11, 2025
Based on record review and staff interviews, the facility failed to ensure the Medical Director participated in the Quality Assurance and Performance Improvement/Quality Assurance and Assessment (QAPIQAA) Committee meetings, as required by regulation. This failure had the potential to affect all residents. If the facility does not ensure required members, including the Medical Director (MD), participate in the QAPI/QAA Committee, then the committee may not fully meet regulatory requirements for oversight of quality issues. The findings are:A. Record review of the facility's QAPI Program policy, revised September 2024, stated the QAPI/QAA Committee met monthly to review reports, evaluate data, and monitor QAPI activities. …
C · No harm, potential for minimal, widespreadFebruary 23, 2023
Based on record review and interview, the facility failed to have the necessary minimum committee members (Medical Director, Administrator, Director of Nursing, Infection Preventionist, and two other staff) for 1 of the 4 required Quality Assurance Performance Improvement (QAPI) meetings. This failure could likely affect all 62 (1 - 62) residents identified on the census presented by the Administrator on 02/19/22. By not having the required committee members at the quarterly QAPI meetings, issues may not be discovered or may be delayed in the care and improvements for the residents. The findings are:
A. Record review of facility 3rd quarter 2022 meeting sign-in sheet revealed that the facility failed to have an Infection Preventionist attend the meeting.
B. …
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