F0655

E

Failure to Complete Baseline Care Plans Within 48 Hours of Admission

Deming, New Mexico Survey Completed on 03-13-2026

Penalty

No penalty information released

Summary

The deficiency involves the facility’s failure to create accurate baseline care plans within 48 hours of admission for two of three residents reviewed. Record review showed that one resident was admitted on an unspecified date, but the baseline care plan, dated 01/18/26, was not signed and locked (finalized by all authors) until 01/21/26, which exceeded the 48-hour requirement. Another resident was also admitted on an unspecified date, and their baseline care plan, dated 02/26/26, was not signed and locked until 03/02/26. During an interview on 03/12/26 at 1:50 PM, the MDS coordinator confirmed that the baseline care plans for these two residents were not completed within 48 hours of admission and stated that the expectation was for baseline care plans to be completed within the first 48 hours of admission.

This failure to timely finalize baseline care plans, which contain the minimum healthcare information necessary to properly care for residents upon admission, was identified by surveyors as a deficient practice that could likely result in residents not receiving appropriate care and may place them at risk of an adverse event or worsening of their condition after admission.