F0657

E

Failure to Hold Timely IDT Care Plan Meetings and Update Care Plan Diagnoses

Alamogordo, New Mexico Survey Completed on 02-16-2026

Penalty

No penalty information released

Summary

The facility failed to ensure required IDT care plan meetings were held within 7 days of completion of the admission MDS assessments and on a quarterly basis for two residents, and failed to revise a care plan to reflect an updated diagnosis for another resident. For one resident admitted on an unspecified date, the admission MDS was completed on 12/15/25, but there was no documentation in the medical record of an IDT care plan meeting, and the resident’s POA reported that staff had not met with her to discuss the resident’s care plan. For a second resident admitted on an unspecified date, the admission MDS was completed on 11/18/25, but the medical record likewise contained no documentation of an IDT care plan meeting, and a family member stated that staff had not met with the resident or family to discuss the care plan. The Administrator confirmed that IDT care plan meetings had not been held for these two residents since admission, despite an expectation that such meetings occur quarterly based on MDS assessments.

The facility also failed to revise the care plan for a third resident to include a diagnosis of essential hypertension. This resident, admitted on an unspecified date, had diagnoses including hypokalemia and dementia. A provider progress note dated 11/10/25 documented a plan addressing essential hypertension, noting blood pressure readings ranging from 121/71 to 162/79 while on losartan 50 mg daily and consideration of titration for persistent elevated blood pressures. However, review of the resident’s care plan dated 11/06/25 showed that it was not updated to include the essential hypertension diagnosis. The DON confirmed that the resident’s care plan had not been revised to reflect this diagnosis.