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Complaint Investigation

Silver City Care Center

Inspection Date: November 7, 2025
Total Violations 3
Facility ID 325091
Location Silver City, NM
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Inspection Findings

F-Tag F0583

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0583

Keep residents' personal and medical records private and confidential.

Level of Harm - Minimal harm or potential for actual harm

Based on observation and interview, the facility failed to safeguard resident's personal privacy and medical

record information for 3 (R #12, R #13 and R #24) of 3 (R #12, R #13 and R #24) residents sampled for privacy and confidentiality of records when the facility failed to do the following: 1. Repair the privacy curtain between R #12 and R #13's room. 2. Keep resident's vital signs and name confidential for R #24. These deficient practices could likely result in the residents feeling that their privacy is not valued and their information could be viewed by unauthorized residents, visitors, and staff. The findings are:

Residents Affected - Few

A. On 11/05/25 at 10:03 AM, during an observation of R #12 and R #13's room, the privacy curtain had a section that was off track, leaving an open gap at the top of the curtain.

B. On 11/06/25 at 10:06 AM, during an interview, Nurse Aide (NA) confirmed the privacy curtain in R #12 and R #13's room was off track and not completely closed. The NA stated that the curtain had been like that for several months.

C. On 11/06/25 at 11:12 am, during an interview, LPN #8 confirmed the privacy curtain was off the track.

LPN #8 stated that it had been off the track for a couple of months.

D. On 11/05/25 at 11:17 AM, during an observation of the 100 Unit outside of R #24's room, a paper towel with R #24's name and vital signs was found on a wheelchair and staff were not present.

E. On 11/05/25 at 11:20 AM, during an interview LPN #25 stated R #24's private information should not be exposed in the hallway for everyone to see.

R #24 F. On 11/05/25 at 11:17 AM, during observation of the 100 Unit outside of R #24's room, a paper towel with R #24's name and vital signs was found on a wheelchair and staff were not present.

G. On 11/05/25 at 11:20 AM, during an interview LPN #25 stated R #24's private information should not be exposed in the hallway for everyone to see.

H. On 11/10/25 at 10:51 AM, during an interview with the DON, she confirmed that resident name and vital signs should not be written on a paper towel. DON stated there is a vital sheet that is covered and protected that is used by staff to protect residents' privacy.

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:

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

11/07/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Silver City Care Center

3514 Fowler Avenue Silver City, NM 88061

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

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F-Tag F0880

Infection Control Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0880

Provide and implement an infection prevention and control program.

Level of Harm - Minimal harm or potential for actual harm

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on

record review, observation, and interview, the facility failed to maintain proper infection prevention measures when staff failed to ensure facility staff follow transmission-based precautions (actions to prevent

the spread of infectious agents from individuals who are suspected to be infected, such as (gloves, facemasks, and gowns) for residents diagnosed with COVID-19 (an acute respiratory disease in humans characterized mainly by fever and cough and capable of progressing to severe symptoms and in some cases death, especially in older people and those with underlying health conditions) for 1(R #24) of 1(R #24) resident reviewed. Failure to adhere to an infection control program could likely cause the spread of infections and illness to all 72 residents in the facility (residents were identified by the resident census provided by the administrator on 11/05/25) when staff failed to properly dispose of a disposable isolation gown. The findings are: A. Record review of R #24's face sheet, no date revealed R #24 was admitted to the facility on [DATE REDACTED]. B. On 11/05/25 at 11:17 AM, during an observation of the 100 unit outside of R #24's room, a yellow disposable gown was left hanging on rail in hallway and a sign posted outside the room which indicated the room was under droplet/covid precautions, (is infection control measures designed to prevent the spread of infectious diseases), and staff should wear N95 mask, (respirators and surgical masks are examples of personal protective equipment that are used to protect the wearer from particles or from liquid contaminating the face) gown, and face shield or goggles to enter. C. On 11/05/25 at 11:17 AM,

during an interview with LPN #25, she stated R #24 was positive for COVID. The gown should not be hanging on the rails exposed. LPN #25 stated it should be disposed of after it is used and thrown away in

the bin. D. On 11/10/25 at 10:51 AM, during an interview with the DON, she stated that gowns, gloves, goggles, and N95 masks are to be worn in resident room when on precautions for COVID. R #24 was isolated to his room for 14 days when R #24 contracted COVID here at the facility when he returned for the hospital. DON stated her expectation is that staff follow infection control and remove their PPE inside of residents' room before exiting to main hall.

Residents Affected - Many

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

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

11/07/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Silver City Care Center

3514 Fowler Avenue Silver City, NM 88061

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

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F-Tag F0908

Environmental Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0908

Keep all essential equipment working safely.

Level of Harm - Minimal harm or potential for actual harm

Based on observation and interview, the facility failed to ensure the griddle, essential equipment (vitally important; absolutely necessary) was in safe operating condition for 69 residents of 72 residents who eat food from the kitchen (residents were identified by the resident matrix provided by the Administrator on 11/05/25) when the facility failed to ensure the kitchen griddle had knobs to control the gas burners. If knobs are not in working order, then it could likely affect temperature range, making it difficult or impossible to adjust the heat. The findings are:A. On 11/05/25 at 1:58 PM, during an observation of the facility kitchen revealed four out of four knobs on the gas griddle were missing. B. On 11/05/25 at 2:02 PM, during an interview, the Dietary Manager (DM) confirmed that the knobs were missing.

Residents Affected - Many

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

Event ID:

Facility ID:

If continuation sheet

📋 Inspection Summary

Silver City Care Center in Silver City, 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 Silver City, 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 Silver City Care Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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