Bloomfield Nursing: PASARR Screening Failure - NM
The resident, admitted on May 12, 2015, carried diagnoses of dementia and depression. But the facility's previous nursing home had completed a New Mexico PASRR Level 1 Identification Screen four days earlier that documented the resident "did not have a diagnosis or suspected mental illness."
Depression was specifically listed as a mental illness example on the screening form.
Federal PASRR requirements — Preadmission Screening and Resident Review — exist to prevent inappropriate placement of people with mental disorders or intellectual disabilities in nursing homes for long-term care. When screenings contain errors, residents may not receive proper care or services.
The resident continued receiving antidepressant medication throughout their stay. A February 2025 assessment still listed depression as an active diagnosis and confirmed the resident was taking antidepressants.
Neither the Marketing Director nor the Director of Social Services caught the screening error, despite both departments being responsible for reviewing PASRR accuracy before admission.
During a September 29 interview, the Marketing Director acknowledged the screening was incorrect. She said her department and Social Services were supposed to check resident diagnoses against PASRR documentation, sending forms back to previous facilities for correction when diagnoses didn't match.
"R #1's PASRR did not have the resident's diagnosis of depression, which made the PASRR incorrect," she told inspectors. She said all resident PASRRs should be screened before admission.
The Marketing Director was new to her position. She had not reviewed the resident's screening.
The Director of Social Services gave an identical account thirty-five minutes later. She explained that when residents had conditions listed on the New Mexico PASRR Level 1 Identification Screen, her department would submit a PASRR II to the State Agency for review.
"If the residents were not properly screened, then they may not receive the care or services needed," she said. She expected all PASRRs to be accurate with correct resident information.
The Social Services Director was also new to her position. She had not reviewed the resident's screening either.
The facility's policy required both departments to verify PASRR accuracy, but neither director had implemented the review process for this resident's case. The screening error went undetected for over ten years, from the resident's 2015 admission through the 2025 inspection.
Mental health screening requirements serve as a critical safeguard in nursing home placements. The federal government established PASRR protocols to ensure people with serious mental illness receive appropriate treatment settings rather than being warehoused in facilities unprepared to meet their needs.
When facilities fail to identify mental health conditions during the screening process, residents may not access specialized services, therapeutic programs, or proper medication management designed for their conditions.
The resident's case demonstrates how administrative oversights can persist across staff changes. Both new directors understood their departments' responsibilities for PASRR review but hadn't established systems to ensure compliance.
The inspection found the facility failed to review PASRR screenings for accuracy and completion, creating potential for inappropriate placement and care. Federal inspectors classified the violation as causing minimal harm or potential for actual harm.
The screening error affected one resident out of three reviewed during the inspection, but inspectors noted the systemic failure in the facility's admission process could impact future residents with unidentified mental health conditions.
Despite a decade passing since the flawed screening, the resident remained at Bloomfield Nursing, still receiving antidepressant treatment for the depression that was never properly documented in their federal placement review.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Bloomfield Nursing and Rehabilitation Center from 2025-11-18 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 20, 2026 · Our methodology
Bloomfield Nursing and Rehabilitation Center in Bloomfield, NM was cited for violations during a health inspection on November 18, 2025.
The resident, admitted on May 12, 2015, carried diagnoses of dementia and depression.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.