F0628

E

Failure to Complete and Maintain Discharge Summaries for Discharged Residents

Las Cruces, New Mexico Survey Completed on 01-14-2026

Penalty

No penalty information released

Summary

Surveyors identified a deficiency related to the facility’s failure to provide required discharge summaries for two of three sampled residents who were discharged. Record review of the admission/discharge report showed that Resident #1 was discharged on 01/07/26, but the resident’s medical record did not contain a discharge summary. Similarly, nursing progress notes for Resident #2 documented that this resident was discharged on 01/07/26, yet the resident’s medical record also lacked a discharge summary. During an interview on 01/14/26 at 10:12 a.m., the ADON confirmed that both residents did not have discharge summaries and stated that staff should have completed these summaries and that they should be present in the medical record.

The deficiency centers on the inaction of facility staff in completing and placing discharge summaries into the medical records for these discharged residents, despite the facility’s expectation, as confirmed by the ADON, that such documentation be completed and maintained.