Cedar Ridge Inn
Cedar Ridge Inn in Farmington, NM — inspection on April 28, 2026.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Discontinued an eye drop medication without a physician's order and authorization.
This deficient
provider, and potential complications.
The findings are: A.
Record review of R #2's face sheet revealed an admission date of 07/01/23 with the following diagnoses:Cerebral infarction (the death of brain tissue due to lack of blood flow),Dementia (symptoms affecting memory, thinking and social abilities severely enough to interfere with your daily life),Glaucoma (a group of eye conditions that can cause blindness). B.
Record review of R #2's physician orders revealed the following: Start date of 02/23/26, Dorzolamide HCI-Timolol Maleate PF (eye drops used to treat high eye pressure caused by glaucoma), instill one drop in the right and left eye, one time per day in the morning.
Physician order was discontinued on 03/04/26.
Start date of 02/23/26, Dorzolamide HCI-Timolol Maleate, instill one drop in the right and left eye, one time per day in the evening.
Physician order was discontinued on 03/04/26.Start date of 03/11/26, Dorzolamide HCI-Timolol Maleate, instill one drop in the right and left eye, one time per day in the evening.
Physician order was discontinued on 04/08/26.
Start date of 03/12/26, Dorzolamide HCI-Timolol Maleate, instill one drop in the right and left eye, one time per day at 5:00 am.
Physician order was discontinued on 04/08/26. C.
Record review of R #2's medication administration record (MAR), dated 03/01/26 through 03/31/26, revealed R #1 was not administered the Dorzolamide HCI-Timolol Maleate eye drops due to an active order no longer being available. D.
Record review of R #2's nursing progress notes, dated 4/28/26, revealed the Dorzolamide HCI-Timolol Maleate eye drops were discontinued on 03/05/26 by the facility without a physician's order to discontinue the eye drops. E. On 04/28/26 at 12:50 pm, during an interview, the Administrator stated R #2's eye drops did get discontinued by accident. He stated R #2's daughter was informed of the missed medication and was upset about it.
The Administrator stated R #2's eye drop medication should not have been discontinued without physician authorization. F. On 04/28/26 at 2:45 pm, during an interview, Licensed Practical Nurse (LPN) #1 stated she accidently discontinued R #2's eye drops, and she did not realize the mistake for five days.
The LPN #1 stated once she realized the error, she called the pharmacist, and they sent over new eye drops for R #2. G. On 04/28/26 at 1:02 pm, during an interview, the Director of Nursing (DON) stated R #2's eye drop medication should not have been discontinued by accident because there was no physician order to discontinue the medication.
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 TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
325113 04/28/2026
Cedar Ridge Inn 800 Saguaro Trail Farmington, NM 87401
and she recalled the family being very upset.
She stated R #1 took her last breath when she arrived at
concentrator was not working properly.
The NP stated she did not know how long R #1's O2
have changed the outcome because R #1's health was already declining.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.