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Complaint Investigation

Casa Arena Healthcare Llc

Inspection Date: December 23, 2025
Total Violations 1
Facility ID 325043
Location Alamogordo, NM
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Inspection Findings

F-Tag F0842

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0842 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on

record review, and interview, the facility failed to ensure medical records were complete and accurate for 1 (R #9) of 4 (R #8, R #9, R #10, and R #11) residents reviewed for documentation accuracy when staff failed to document R #9's skin impairment (the skin's normal structure and function are compromised). This deficient practice has the potential to negatively impact the care staff provide to meet residents' needs due to missing or inaccurate records and resident information. The findings are: A. Record review of R #9's skin assessment dated [DATE REDACTED], revealed R #9 had an open area on her coccyx (tailbone). B. Record review of R #9's nursing progress note, dated 12/18/25, revealed the medical provider was notified of the open area.

The facility would follow up with the wound care nurse (WCN) for treatment of R #9's open area on the coccyx. C. Record review of R #9's medical record no date, revealed the WCN did not document her assessments of R #9. D. On 12/23/25 at 9:48 AM, during an interview, LPN #8 stated that during a skin assessment there was an impairment on R #9's coccyx. LPN #8 stated that the medical provider was notified. The WCN was treating the area. E. On 12/23/25 at 10:22 AM, during an interview, the WCN stated that when she assessed the wound on R #9's coccyx, that the wound was not open. The WCN nurse stated that she saw some moister to the area and that she was going to order some ointment and for it to be covered. The WCN stated that she would be assessing the wound daily. The WCN confirmed that she did not document her assessments and treatments in R #9's medical record. F. On 12/23/25 at 10:33 AM,

during an interview, the DON stated that the WCN should be documenting R #9's wound assessments and treatments in the resident's medical record. The DON confirmed that the WCN did not document her

observations, assessments, and treatments of R #9's coccyx in the resident's medical record.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date

these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE

TITLE

(X6) DATE

FORM CMS-2567 (02/99) Previous Versions Obsolete

Facility ID:

If continuation sheet

Event ID:

📋 Inspection Summary

Casa Arena Healthcare LLC in Alamogordo, NM inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Alamogordo, NM, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Casa Arena Healthcare LLC or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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