F0657

D

Failure to Update Care Plan to Reflect Accurate DNR Code Status

Rio Rancho, New Mexico Survey Completed on 02-11-2026

Penalty

Fine: $17,215

Summary

Facility staff failed to revise a resident’s care plan to accurately reflect the resident’s advance directive code status. Record review showed the resident was admitted on 12/12/25 with a documented code status of Do Not Resuscitate (DNR) on the face sheet, and the New Mexico Medical Orders for Scope of Treatment (NM MOST) form dated 01/28/26 also identified the resident as DNR. However, the resident’s care plan dated 01/26/26 listed the resident as Full Code, indicating a desire for all possible life-saving interventions. During an interview on 02/06/26, the DON confirmed that the resident’s advance directive care plan was inaccurate and should have been updated to match the NM MOST form.

This deficient practice is likely to result in residents' care and needs not being addressed if care plans are not updated.