Based on and record review, observation, and interviews, the facility failed to maintain a safe and comfortable environment for all residents and occupants when staff failed to: - Maintain the oxygen tanks and cylinder storage in compliance with National Fire Protection Association (NFPA) 99 requirements. - Maintain the portable fire extinguishers (PFE) clearance to be readily accessible and immediately available, This failure had the potential to affect all facility occupants. If staff fail to maintain a safe environment, then the residents and occupants could find themselves in an emergency situation which could endanger their health and safety. The findings are:Oxygen Tank and Cylinder StorageA. …
F921 citations in New Mexico
Safe, clean, comfortable environment · Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
New Mexico cites F921 more often than its own record predicts
1.26 times the share F921 takes of citations nationally.
Of every deficiency written in New Mexico in 2025, this is the portion that was F921.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What New Mexico surveyors wrote
F921 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 observation and staff interviews, the facility failed to ensure the central patio walkway was smooth and level. This affected all residents who use the patio for smoking and other activities. This deficient practice has the potential to cause residents, staff and/or visitors to receive injuries related to tripping and falls. The findings are: A. On 01/21/25 during observation of the central patio area there were areas where the paved concrete and brick pavers (bricks that are made and placed to create a walkway) laid out in a pathway design and many of the bricks were broken and some areas of the concrete were chipped and broken. …
The short window
Recent years
| Year | Share of New Mexico citations | vs expected |
|---|---|---|
| 2023 | 0.73% | 0.86× |
| 2024 | 0.52% | 0.65× |
| 2025 | 1.07% | 1.26× |
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