F0655

E

Failure to Complete Accurate Baseline Care Plans for Newly Admitted Residents

Hobbs, New Mexico Survey Completed on 03-12-2026

Penalty

No penalty information released

Summary

The facility failed to create accurate baseline care plans containing the minimum healthcare information necessary to properly care for newly admitted residents. For one resident admitted with diagnoses including type 2 diabetes mellitus, hyperlipidemia, and obstructive sleep apnea, record review of the electronic health record showed there was no baseline care plan in place. During an interview, the DON confirmed that there was not a baseline care plan for this resident and acknowledged that this did not meet her expectations.

For another resident admitted with multiple diagnoses, including thrombosis of the atrium and ventricle following an acute myocardial infarction, C. difficile enterocolitis, type 2 diabetes mellitus, depression, anxiety, epilepsy, and urinary retention, the baseline care plan was found to be incomplete. The baseline care plan record contained only a date with no additional information documented. In an interview, the DON confirmed that this baseline care plan was not completed accurately and within 48 hours as expected.