Deficiency Index

New Mexico State Veterans Home

Truth or Consequences, New Mexico · CCN 325092

23 surveys since 2011, 28 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
188
Surveys
23
Harm or worse
28
Immediate jeopardy
8
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy8

Findings at the most serious level CMS records.

Beyond CMS’s monthly file16/23

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
131
Ownership
Government - State
Chain
Independent
County
Sierra · rural
Medicare-certified since
1994

CMS ratings

Overall
3
Health inspection
3
Staffing
3
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat more weighted findings than its peer group.

Weighted by harm level, against 68 facilities in New Mexico.

Last survey on record

Jul 15, 2026

117 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day6.026.02
Registered-nurse hours per resident day0.53—
Annual nurse turnover84.1%33.1%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$128,954 across 2 penalties
Payment denials
1

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K33.4%L—
Actual harmG—H44.5%I—
No harm, potential for more than minimalD3943.8%E3640.4%F44.5%
No harm, potential for minimalA—B—C33.4%
CMS’s current file: 89 of the 188 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6575×

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  • F6584×

    Ensure services provided by the nursing facility meet professional standards of quality.

  • F5503×

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  • F6363×

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

  • F6403×

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

In the surveyor’s words

From the most serious findings on record at New Mexico State Veterans Home, in the surveyor’s own words.

  • Immediate jeopardy, patternF678Jun 15, 2022

    Based on observation, interview and, record review the facility failed to ensure there was a functional system in place to ensure staff could initiate /not initiate CPR (Cardiopulmonary Resuscitation lifesaving technique, aims to blood and oxygen flowing through the body) during an emergency for all 66 residents (residents were identified by the Resident Matrix provided by the Administrator on [DATE]), when they failed to: 1) Monitor the accuracy of resident's living will (legal document that helps communicate patient's wishes about medical treatment when they are not available to make their own wishes known ), 2) System for staff to immediately recognize the resident's code status (type of emergency treatment a person would or would not receive if their heart or breathing were to stop)… […]

  • Immediate jeopardy, patternF684Jun 15, 2022

    Based on record review and interview the facility failed to provide quality of care for 1 (R #27) of 1 (R #27) resident reviewed for diabetes, when R #27 who is insulin dependent (a chronic condition in which the pancreas produces little or no insulin) went out on leave (out of the building) and was provided by the facility short acting insulin to self-administer but was not provided a glucometer to check his blood sugar levels. This deficient practice likely resulted in R #27 being admitted to the hospital for DKA (diabetic ketoacidosis: a serious complication of diabetes that can be life-threatening. […]

  • Immediate jeopardy, patternF880Jun 15, 2022

    Based on observation, interview, and record review, the facility failed to ensure they maintained an Infection Prevention and Control Program (IPCP) when they failed to: 1. Provide process surveillance (techniques of observation and monitoring to evaluate infection control practices) for tracking the infections, 2. Repeated antibiotic use for R #66 without verification of effectiveness of the treatment before prescribing it again. 3. Follow contact precautions (used when patients have an infection that can be spread by contact with patient's skin including mucous membranes, vomit, urine, feces, and wound drainage) protocols when staff failed to use proper PPE [Personal Protective Equipment: gloves and gown for all interactions that may involve contact with the patient or the patient's… […]

  • Actual harm, patternF742May 14, 2026

    Based on record review and interview, the facility failed to ensure residents with diagnosed mental health disorders, psychosocial distress, and/or suicidal ideation received appropriate behavioral health treatment and services for 3 (R #5, R #89, and R #131) of 4 (R #5, R #9, R #89, and R #131) residents reviewed for behavioral-emotional health, when the facility failed to provide or obtain psychotherapy/counseling for R #5 and R #131; failed to notify the Psychiatric Mental Health Nurse Practitioner (PMHNP) of R #89's hallucinations; and failed to follow through with psychiatric referral/consultation for R #131.The facility's failure resulted in residents' identified mental health needs remaining unaddressed while residents continued to express psychosocial distress, depression, and… […]

  • Actual harm, patternF742Dec 27, 2024

    49313 Based on record review and interview, the facility failed to provide adequate mental health services for 2 (R #62 and R #70) of 2 (R #62 and R #70) residents reviewed for mental health. This deficient practice likely resulted increased depression, hopelessness and psychosocial distress for R #62 and R #70. The findings are: R #62 A. Record review of R #62's admission documents, no date, revealed the following: 1. R #62 was admitted to the facility on [DATE]. 2. R #62 had the following diagnoses: a. Bipolar Disorder (serious mental illness characterized by extreme mood swings, that can include extreme excitement episodes or extreme depressive feelings). b. Depression (mood disorder that causes a persistent feeling of sadness and loss of interest). c. […]

Read 47 findings in full →The most serious and the most recent: 47 of 188 on record.

Every survey on record

FindingsAt actual harm or above

  • Aug 13, 2026Complaint2 findings
  • Jul 15, 2026Complaint3 findings
  • May 14, 2026Standard and complaint22 findings · 1 harm
  • Dec 27, 2024Standard and complaint13 findings · 1 harm
  • Sep 10, 2024Complaint2 findings
  • May 8, 2024Complaint3 findings
  • Aug 25, 2023Standard and complaint17 findings
  • Jun 15, 2022Standard and complaint31 findings · 6 harm
Show the 15 earlier surveys
  • Aug 4, 2021Standard and complaint10 findings
  • Mar 26, 2021Complaint3 findings · 1 harm
  • Dec 11, 2020Infection control2 findings · 1 harm
  • Dec 18, 2019Standard and complaint10 findings · 2 harm
  • Sep 17, 2018Standard12 findings
  • Mar 15, 2018Complaint9 findings · 3 harm
  • Jul 7, 2017Standard7 findings
  • Oct 19, 2016Complaint5 findings · 1 harm
  • Apr 25, 2016Standard7 findings
  • Jul 14, 2015Complaint3 findings · 3 harm
  • May 15, 2015Standard2 findings
  • Jun 4, 2014Standard14 findings
  • Jul 26, 2012—4 findings · 4 harm
  • Jun 15, 2012—3 findings · 3 harm
  • Apr 15, 2011—4 findings · 2 harm

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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