During a complaint survey the following deficient practice was found to be Immediate Jeopardy: 1) R #3 had been admitted with a stage II pressure wound that healed and developed a facility acquired (developed in the facility) that progressed to an infected (osteo[DIAGNOSES REDACTED] - infection of bone) stage 4 pressure ulcer on his left buttock 2) Record review of R #3's care plan dated 07/02/18 revealed vague interventions for his pressure ulcers to include a lack of timing for repositioning to prevent and/or heal pressure ulcers. 3) Record review of R #3's medical record revealed no documentation of when staff repositioned him. …
F881 citations in New Mexico
Antibiotic stewardship · Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
New Mexico cites F881 less often than its own record predicts
0.67 times the national share — cited less often here than elsewhere.
Of every deficiency written in New Mexico in 2025, this is the portion that was F881.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What New Mexico surveyors wrote
F881 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 staff implemented comprehensive antibiotic stewardship practices (a set of commitments and actions designed to optimize the treatment of infections while reducing the adverse events associated with antibiotic use) for 1(R #15) of 1 (R #15) resident's reviewed for antibiotic use when they failed to provide an end date for R #15's antibiotics. This deficient practice could likely result in the inappropriate use of antibiotics that can lead to antibiotic resistance (significant risk associated with long-term antibiotic use when bacteria change to resist antibiotics that used to effectively treat them) and multi-drug resistant organisms (pathogens, primarily bacteria, that have developed resistance to multiple antibiotics,… …
The short window
Recent years
| Year | Share of New Mexico citations | vs expected |
|---|---|---|
| 2023 | 0.61% | 1.32× |
| 2024 | 0.21% | 0.46× |
| 2025 | 0.32% | 0.67× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else New Mexico surveyors cite →
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