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F0658
E

Failure to Perform Regular Rounding on Residents

Las Cruces, New Mexico Survey Completed on 09-16-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

Staff failed to perform regular rounding on 11 out of 19 residents in the 400 Unit, as evidenced by record review, video surveillance, and interviews. One resident fell out of bed and remained on the floor for approximately three hours without staff checking on them. Video footage confirmed that staff did not round on several rooms between 11:00 PM and 3:23 AM, affecting multiple residents. The facility's standard practice, as stated by the Administrator, is to round on residents at least every two hours, but this was not followed during the cited period.

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