Inspection Reports for
Life Care Center of Farmington
1101 WEST MURRAY DRIVE, FARMINGTON, NM, 87401
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
10.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
52% worse than New Mexico average
New Mexico average: 7.1 deficiencies/yearDeficiencies per year
20
15
10
5
0
Occupancy
Latest occupancy rate
78% occupied
Based on a November 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Complaint Investigation
Census: 112
Deficiencies: 7
Date: Nov 20, 2025
Visit Reason
The inspection was conducted due to complaints regarding failure to promote resident self-determination, failure to provide access to medical records, medication administration issues, inaccurate PASARR screening, and infection control during a COVID-19 outbreak.
Complaint Details
The complaint investigation was triggered by allegations of failure to honor resident rights, failure to provide medical records, medication errors including missed doses and failure to notify the medical director, inaccurate PASARR screening, medication security breaches, and infection control failures during a COVID-19 outbreak. The investigation substantiated these issues with findings of minimal harm and immediate jeopardy related to medication security.
Findings
The facility was found deficient in multiple areas including failure to honor resident choices, failure to provide timely access to medical records, failure to notify the medical director of missed medications, failure to provide appropriate pharmacy services, failure to secure medications properly, inaccurate PASARR screening, and failure to implement an effective infection prevention and control program during a COVID-19 outbreak.
Deficiencies (7)
Failed to promote resident choices when an outside individual removed a religious item without authorization.
Failed to provide access to medical records for a resident upon request.
Failed to notify the Medical Director of missed antidepressant doses for a resident.
Failed to ensure accurate PASARR screening for mental disorders or intellectual disabilities.
Failed to provide appropriate pharmacy services; resident did not receive prescribed medications as ordered, resulting in interruption of therapy.
Failed to ensure medications were secured and supervised; medication carts were left unlocked and unattended, and medications were pre-poured and left unattended.
Failed to implement and maintain an effective infection prevention and control program during a COVID-19 outbreak, including failure to exclude symptomatic staff from resident contact.
Report Facts
Residents affected: 1
Residents affected: 1
Residents affected: 58
Facility census: 112
Dates of missed medication: 7
Date of survey completion: Nov 20, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing (DON) | Named in findings related to religious item removal, medication notification failures, and medication security |
| Administrator | Administrator (ADM) | Named in findings related to religious item removal, PASARR screening, medication security, and infection control |
| Medical Director | Medical Director (MD) | Named in findings related to missed medication notification and medication management |
| Certified Medication Aide #1 | Certified Medication Aide (CMA) | Named in medication security deficiency for pre-pouring and leaving medications unattended |
| Infection Preventionist | Infection Preventionist (IP) | Named in infection control deficiency during COVID-19 outbreak |
| Psychiatric Provider | Psychiatric Provider (PP) | Named in medication management and resident condition discussion |
| Admissions Director | Admissions Director (AD) | Named in PASARR screening deficiency |
| Social Services Assistant | Social Services Assistant (SSA) | Named in PASARR screening deficiency |
| Social Services Director | Social Services Director (SSD) | Named in PASARR screening deficiency |
| Registered Nurse #1 | Registered Nurse (RN) | Named in medication security deficiency |
| Medical Records Director | Medical Records Director (MRD) | Named in medical records access deficiency |
| Ombudsman | Facility Ombudsman | Named in religious item removal and medical records access complaints |
Inspection Report
Deficiencies: 1
Date: May 16, 2025
Visit Reason
The inspection was conducted to assess compliance with care standards related to activities of daily living assistance for residents, specifically addressing concerns about a resident not receiving timely showers.
Findings
The facility failed to provide timely shower assistance to one resident (R #57) over a seven-day period, with no documentation explaining the omission. This failure could increase the risk of infection and negatively affect the resident's dignity.
Deficiencies (1)
Failed to provide activities of daily living assistance, specifically timely showers, to resident R #57 for seven days without documentation explaining the omission.
Report Facts
Days without shower: 7
Residents reviewed for ADL assistance: 3
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Interviewed regarding the failure to provide showers to resident R #57 and lack of documentation |
Inspection Report
Routine
Census: 118
Deficiencies: 9
Date: May 16, 2025
Visit Reason
The inspection was a routine regulatory visit to assess compliance with healthcare facility standards, including resident care, medication management, safety, and food handling.
Findings
The facility was found deficient in multiple areas including inaccurate resident assessments, failure to update care plans, medication administration errors, inadequate assistance with activities of daily living, safety hazards related to unlocked emergency carts and shower rooms, improper oxygen use, medication storage issues, unsanitary food storage and kitchen conditions, lack of proper staff protective gear in the kitchen, and malfunctioning exit doors in the Memory Unit during fire alarm activation.
Deficiencies (9)
Failed to complete an accurate Minimum Data Set (MDS) assessment for a resident whose primary language was Navajo but was recorded as English.
Failed to revise the care plan to address resident's oxygen use within 7 days of comprehensive assessment.
Failed to obtain and administer carvedilol medication as ordered due to access issues with emergency medication kit.
Failed to provide timely shower assistance to a resident for seven days without documentation.
Emergency cart and shower room in B Unit were unlocked and accessible to residents, posing accident hazards.
Resident did not wear oxygen continuously as ordered, risking health complications.
Insulin pens were not dated or discarded within 28 days of opening, and some pens were unlabeled.
Food items in kitchen dry storage and refrigerator were not labeled, dated, or properly protected; kitchen was unclean; single use items were uncovered; staff did not wear hairnets or beard guards properly; ice machine drain did not have an air gap.
Exit doors in the Memory Unit failed to unlock during fire alarm activation, compromising emergency evacuation.
Report Facts
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 37
Residents affected: 1
Residents affected: 3
Residents affected: 110
Residents affected: 118
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nurse #10 | Interviewed regarding resident language and MDS assessment | |
| Certified Nursing Assistant #9 | Interviewed regarding resident language and communication | |
| Social Services Assistant | Interviewed regarding resident cognitive assessment and language | |
| Director of Nursing | Director of Nursing (DON) | Interviewed regarding care plan, medication access, shower assistance, emergency cart, and safety issues |
| Certified Medication Technician #3 | Interviewed regarding medication administration and eKit access | |
| Nurse #12 | Interviewed regarding eKit access | |
| Medical Director | Interviewed regarding medication and oxygen orders | |
| Nurse #1 | Interviewed regarding insulin pen storage and kitchen safety | |
| Dietary Manager | Interviewed regarding food storage, kitchen cleanliness, and staff protective gear | |
| Consultant Pharmacist #1 | Interviewed regarding insulin pen storage | |
| Nurse #11 | Interviewed regarding oxygen use | |
| Administrator | Interviewed regarding fire alarm and exit door functionality |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Jan 8, 2025
Visit Reason
The inspection was conducted due to a complaint regarding the facility's failure to notify the resident's family member/Power of Attorney (POA) about changes in medication for resident #1.
Complaint Details
The complaint was substantiated. The family member/POA stated the facility increased resident #1's medications without notifying her, including some medications increased by double the amount. The Director of Nursing confirmed staff should notify family prior to medication changes and obtain verbal consent, which did not occur. Nursing staff also confirmed no notification was given.
Findings
The facility failed to notify the family member/POA of resident #1 when the resident's medication dosages were increased, and there was no documentation of verbal consent for these changes. Interviews with the family member/POA, Director of Nursing, and nursing staff confirmed lack of communication regarding medication changes.
Deficiencies (1)
Failure to notify the resident's family member/Power of Attorney of medication changes for resident #1.
Report Facts
Residents affected: 3
Medication start and end dates: Buspirone and Trazodone medication orders with specific start and end dates between 10/09/24 and 11/22/24
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing | Interviewed regarding notification procedures for medication changes and verbal consent |
| Nurse #1 | Nurse | Interviewed about medication increase due to resident behaviors and lack of notification to family/POA |
Inspection Report
Complaint Investigation
Deficiencies: 6
Date: Jul 12, 2024
Visit Reason
The inspection was conducted due to complaints and allegations regarding resident care, including dignity during feeding, failure to investigate injuries of unknown origin, accident prevention, pain management, nursing staff competency, and infection prevention.
Complaint Details
The complaint investigation was triggered by allegations of improper feeding practices, failure to investigate injuries of unknown origin, inadequate accident prevention, poor pain management, lack of nursing staff competency, and infection control failures. Substantiation is implied by the findings and issuance of immediate jeopardy status on 07/11/24.
Findings
The facility was found deficient in multiple areas including failure to treat residents with dignity during feeding, failure to investigate and report injuries of unknown origin, inadequate supervision leading to a resident fall and death, improper pain management, lack of nursing staff competency in resident care and transfers, and failure to maintain infection prevention protocols related to catheter leg bag care.
Deficiencies (6)
Failure to ensure residents were treated with respect and dignity during feeding, with staff standing while feeding residents.
Failure to investigate an injury of unknown origin resulting in bilateral femur fractures and subsequent resident death.
Failure to prevent an accident resulting in a resident falling out of bed, hitting her head, and dying later at the hospital.
Failure to provide safe and appropriate pain management for residents with injuries and pain complaints.
Failure to ensure nursing staff had competencies to prevent falls, properly assist residents with transfers, and manage catheter leg bags, resulting in immediate jeopardy.
Failure to maintain proper infection prevention measures by not removing a catheter leg bag while resident lay in bed, risking urinary tract infection.
Report Facts
Residents affected: 3
Residents affected: 1
Residents affected: 1
Residents affected: 2
Resident weight: 285
Date of survey completion: Jul 12, 2024
Date of injury: May 16, 2024
Date of injury: Jun 26, 2024
Date of death: May 16, 2024
Date of death: Jun 30, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nurse #3 | Fed resident while standing and did not receive specific training on transferring resident with broken clavicle | |
| Certified Nursing Assistant #3 | Assisted resident R #12 during fall incident and changed resident alone during shift change | |
| Certified Nursing Assistant #9 | Interviewed regarding injury of unknown origin to resident R #11 | |
| Certified Nursing Assistant #2 | Pulled resident R #1 up by arm causing pain and bruising | |
| Director of Nursing | Director of Nursing (DON) | Interviewed regarding injury investigations, fall incident, and catheter bag care |
| Administrator | Administrator | Interviewed regarding injury investigation and fall incident |
| Nurse #10 | Interviewed regarding pain management and resident transfers | |
| Power of Attorney/Family Member | Reported concerns about resident R #1 pain and catheter bag care | |
| Nursing Educator | Nursing Educator | Interviewed regarding staff training on two person assist and brief changes |
Inspection Report
Routine
Census: 35
Deficiencies: 3
Date: Mar 1, 2024
Visit Reason
The inspection was conducted to evaluate compliance with regulatory requirements related to resident safety, care planning, and medication management at the Life Care Center of Farmington.
Findings
The facility failed to timely report unwitnessed falls resulting in injury to the State Survey Agency, did not develop comprehensive care plans including fall prevention strategies for certain residents, and failed to ensure medication carts were locked when not in use, potentially exposing residents to harm.
Deficiencies (3)
Failed to timely report unwitnessed falls resulting in injury to the State Survey Agency for 2 of 3 residents reviewed for falls.
Failed to develop comprehensive, person-centered care plans including current fall prevention strategies for 2 of 3 residents reviewed.
Failed to ensure all medication carts were locked when not in use, allowing unauthorized access to medications and personal health information.
Report Facts
Residents affected: 2
Residents affected: 2
Residents affected: 35
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #2 | Licensed Practical Nurse | Stated medication cart was hers and should be locked |
| Director of Nursing | Director of Nursing | Explained failure to report falls and care plan deficiencies |
Inspection Report
Routine
Census: 106
Deficiencies: 5
Date: Feb 2, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory standards related to medication management, food safety, wound care documentation, and vaccination policies at Life Care Center of Farmington.
Findings
The facility was found deficient in multiple areas including incomplete care plans regarding antidepressant medication side effects, loose and expired medications and supplies, failure to discard expired food, incomplete wound care documentation, and failure to timely offer influenza vaccinations to residents.
Deficiencies (5)
Failed to include information about side-effects of antidepressant medication in the care plan for one resident.
Medication carts contained loose medications and expired supplies were stored with unexpired supplies.
Failed to discard food after it reached its shelf life or expired, including decomposed cucumber, leftover soup, and expired milk jugs.
Medical record was inaccurate and did not reflect wound care provided for one resident, with gaps in documentation of wound care treatments.
Failed to ensure one resident was offered influenza vaccination in a timely manner.
Report Facts
Residents affected: 1
Residents affected: 82
Residents affected: 106
Residents affected: 1
Residents reviewed: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing | Interviewed regarding care plan deficiencies, wound care documentation, and vaccination delays |
| Licensed Practical Nurse #1 | Licensed Practical Nurse | Interviewed regarding loose medications and expired supplies in medication carts |
| Licensed Practical Nurse #2 | Licensed Practical Nurse | Interviewed regarding loose medications in medication carts |
| Dietary Manager | Dietary Manager | Interviewed regarding expired food items not discarded |
| Registered Nurse #8 | Registered Nurse | Interviewed regarding wound care for resident #39 |
| Licensed Practical Nurse #5 | Licensed Practical Nurse | Interviewed regarding wound care for resident #39 |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Dec 20, 2023
Visit Reason
The inspection was conducted to investigate complaints regarding the facility's failure to ensure residents and their families were fully informed about the next steps needed for continuation of care upon discharge.
Complaint Details
The complaint investigation found that the facility did not ensure timely initiation of Home Health services for resident #3 and failed to inform resident #4 and her family about the need to return to the hospital for staple removal and wound check. Interviews with Power of Attorney representatives and facility staff confirmed these issues.
Findings
The facility failed to provide adequate discharge information and coordination for two residents, resulting in delays in home health services and lack of notification about necessary follow-up care such as staple removal and wound checks.
Deficiencies (1)
Failure to ensure residents and family members were fully aware of the next steps needed for continuation of care upon discharge for 2 of 4 residents reviewed.
Report Facts
Residents reviewed for safe discharge process: 4
Residents with deficient discharge process: 2
Date survey completed: Dec 20, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Social Service Director | Interviewed regarding Home Health Care referrals and communication | |
| Director of Nursing (DON) | Interviewed regarding discharge summary content and deficiencies |
Inspection Report
Complaint Investigation
Deficiencies: 10
Date: Oct 21, 2022
Visit Reason
The inspection was conducted based on complaints and concerns regarding medication administration, wound care, restorative services, personal grooming, respiratory care, psychotropic medication use, medication errors, and infection control practices at the Life Care Center of Farmington.
Complaint Details
The visit was complaint-related, triggered by concerns about medication administration, wound care, restorative services, personal grooming, respiratory care, psychotropic medication use, medication errors, and infection control practices. Substantiation status is not explicitly stated.
Findings
The facility was found deficient in multiple areas including failure to notify POA for medication changes, incomplete care plans for wound care, improper medication administration techniques, lack of restorative services, inadequate personal grooming assistance, inconsistent wound care documentation, administering oxygen without physician orders, inappropriate increase of psychotropic medication without proper assessment, medication errors exceeding 5%, and failure to properly disinfect glucometers between uses.
Deficiencies (10)
Failed to notify and get consent from the Power of Attorney for an antipsychotic medication increase for resident #18.
Failed to develop and implement a complete care plan for wound care for resident #18.
Failed to meet professional standards for nursing care related to medication administration techniques for residents #6, 60, and 76.
Failed to provide restorative services needed for resident #44.
Failed to provide care and assistance for personal grooming for residents #4, 26, 57, 87, and 91.
Failed to provide appropriate wound care treatment and documentation for residents #6 and 18.
Administered oxygen to resident #54 without a physician's order.
Failed to assess benefit versus risk before increasing dose of antipsychotic medication for resident #18.
Medication error rate exceeded 5% with 5 errors out of 43 opportunities involving residents #13, 15, 22, 60, and 76.
Failed to properly disinfect glucometers between uses for residents #13, 36, 89, and 93.
Report Facts
Medication errors: 5
Medication error rate: 11.43
Medication dose increase: 2.5
Oxygen liters: 5
Oxygen liters increased: 10
Medication capsules: 4
Medication tablets: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse #1 | Registered Nurse | Stated she does most of the wound care and measurements for resident #6. |
| Director of Nursing | Director of Nursing | Confirmed medication increase for resident #18 should have involved POA consent and that wound care orders need to be re-written. |
| Licensed Practical Nurse #1 | Licensed Practical Nurse | Observed administering medications and involved in medication increase recommendation for resident #18. |
| Licensed Practical Nurse #2 | Licensed Practical Nurse | Observed improper eye drop administration and glucometer use. |
| Licensed Practical Nurse #3 | Licensed Practical Nurse | Observed improper inhaler administration and glucometer use. |
| Licensed Practical Nurse #4 | Licensed Practical Nurse | Observed crushing medications against manufacturer instructions. |
| Certified Nursing Assistant #8 | Certified Nursing Assistant | Reported no observed behaviors from resident #18. |
| Certified Nursing Assistant #7 | Certified Nursing Assistant | Reported resident #18 is easy going and does not show behaviors. |
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