Sunset Villa Healthcare
Inspection Findings
F-Tag F0677
F 0677 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
chronic combined systolic and diastolic heart failure (a condition where the heart's ability to pump blood is compromised),2. Muscle wasting and atrophy (loss of muscle mass and strength) of left ankle, right thigh, left thigh, right lower leg, left lower leg, right ankle, and right foot, 3. Need for assistance with personal care.J. Record review of R #2's quarterly Minimum Data Set, dated [DATE REDACTED], revealed the following: 1. BIMS score of 15, cognitively intact.2. R #2 requires substantial to maximal assistance to shower or bathe. K. On 09/02/25 at 10:04 am during an interview with R #2, she stated there are times where she doesn't get showered as scheduled. L. Record review of the facility's shower schedule, no date, revealed R #2 is scheduled for a shower on Tuesdays, Thursdays, and Saturdays. M. Record review of R #2's survey documentation report for the month of August 2025 revealed the following: 1. R #2 was showered 08/02/25, 08/05/25, 08/12/25, 08/17/25, 08/19/25, 08/28/25, and 08/30/25. 2. R #2 refused to be showered on 08/14/25 and 08/21/25. 3. The survey documentation report did not contain any documentation to show R #2 was assisted with a bath or shower for seven days from 08/05/25 to 08/12/25. 4. The survey documentation report did not contain any documentation to show R #2 was assisted with a bath or shower for seven days from 08/21/25 to 08/28/25. R #3N. Record review of R #3's admission Record revealed R #3 was admitted to the facility on [DATE REDACTED] with the following diagnoses: 1. Unspecified dementia2. Adult failure to thrive3. Need for assistance with personal careO. Record review of R #3's quarterly Minimum Data Set, dated [DATE REDACTED], revealed the following: 1. BIM score of 07, severe impairment.2. R #3 requires partial to moderate assistance to shower or bathe. P. Record review of the facility's shower schedule, no date, revealed R #3 is scheduled for a shower on Mondays, Wednesdays, and Fridays.Q. Record review of R #3's survey documentation report for the month of August 2025 revealed the following: 1. R #3 was showered on 08/04/25, 08/11/25, and 08/21/25. 2. R #3 refused to be showered on 08/09/25, 08/18/25, 08/21/25, 08/28/25, 08/30/25, and 08/31/25. 3.The survey documentation report did not contain any documentation to show R #3 was offered or assisted with a bath or shower for five days from 08/04/25 to 08/29/25. 4. The survey documentation report did not contain any documentation to show R #3 was offered or assisted with
a bath or shower for seven days from 08/11/25 to 08/18/25. R. On 09/02/25 at 11:02 am during an interview with the Administrator (ADM), she stated her expectation is for the shower schedule to be followed and confirmed it was not.
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If continuation sheet
Sunset Villa Healthcare in Roswell, NM inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 Sunset Villa Healthcare or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.