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Complaint Investigation

Casa Maria Healthcare

September 11, 2025 · Roswell, NM · 1601 South Main Street
Citations 2
CMS Rating 1/5
Beds 118
Provider ID 325086
Healthcare Facility
Casa Maria Healthcare
Roswell, NM  ·  View full profile →
Inspection Summary

Casa Maria Healthcare in Roswell, NM — inspection on September 11, 2025.

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.

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Inspection Findings

FF0609
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Potential for More Than Minimal Harm

Based on record review and interview, the facility failed to report a suicide attempt where a potential for serious bodily injury can occur within 24 hours to the State Agency (SA) for 1 (R #2) of 1 (R #2) resident reviewed for abuse. If the facility fails to report these incidents to the State Agency, then the State Agency cannot ensure the residents' safety is protected.

The findings are: 1.

Record review of the facility's Initial Incident Report for R #1's suicide attempt on 09/01/25 revealed the initial report was submitted to the SA on 09/10/25. 2. On 09/11/25 at 2:15 pm during an interview with the Regional Nurse Consultant, she confirmed that the report was not submitted timely within 24 hours.

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

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

09/11/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Casa Maria Healthcare

1601 South Main Street Roswell, NM 88203

SUMMARY STATEMENT OF DEFICIENCIES

The survey documentation report did not contain any documentation to show R #3 was offered or assisted with a bath or shower for five days from admission, days from 08/01/25 to 08/06/25.3.

The survey documentation report did not contain any documentation to show R #3 was offered or assisted with a bath or shower for eighteen days, from 08/07/25 to 08/25/25.4.

The survey documentation report did not contain any documentation to show R #3 was offered or assisted with a bath or shower for six days from 08/26/25 to 08/31/25.5.

The survey documentation report revealed R #3 refused a bath or shower on 08/26/25.P. On 09/02/25 at 11:02 am during an interview with the Regional Nurse Consultant (RNC #1), she stated her expectation is for the shower schedule to be followed and confirmed it was not for R #1, R #2, and R #3.

Facility ID:

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 Roswell, 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 Maria Healthcare or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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