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405 W COUNTRY CLUB ROAD ROSWELL, NM 88201 | Proprietary

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Health deficiencies are assigned during inspections that assess compliance with rules related to patient health and safety. Examples include violations of patients' rights and safety standards, as well as the administration of drugs and other treatments.

Life Safety deficiencies are assigned during inspections that assess a facility's compliance with National Fire Protection Association codes related to life safety in health care facilities. They are often conducted in tandem with health inspections. Examples include faulty or improperly maintained fire suppression and electrical systems.

Emergency Preparedness deficiencies can be cited during either a health or life safety inspection and relate to violations of CMS' Emergency Preparedness Rule. Examples include a lack of emergency plans, inadequate staff training and insufficient emergency supplies.

Complete reports and deficiency counts

Report date	Health Deficiencies	Life Safety	Emergency Preparedness	Total
May 29, 2024	1	0	0	1	Read full report
Deficiencies cited in this report: BLOOD TRANSFUSIONS AND IV MEDICATIONS
Nov 29, 2023	1	0	0	1	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: GRIEVANCES
Mar 14, 2023 Follow-up to inspection on 2022-08-24*	1	0	0	1	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: INFORMED CONSENT
Dec 13, 2022 Follow-up to inspection on 2022-08-24*	5	0	0	5	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: INFORMED CONSENT PATIENT RIGHTS: RESTRAINT OR SECLUSION STAFFING AND DELIVERY OF CARE PATIENT CARE ASSIGNMENTS
Aug 24, 2022	15	0	0	15	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: GRIEVANCES PATIENT RIGHTS: INFORMED CONSENT PATIENT RIGHTS: INFORMED DECISION PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT USE OF RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION NURSING SERVICES STAFFING AND DELIVERY OF CARE NURSING CARE PLAN PATIENT CARE ASSIGNMENTS SUPERVISION OF CONTRACT STAFF INFECTION CONTROL SURVEILLANCE, PREVENTION
Aug 18, 2021	4	0	0	4	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: PERSONAL PRIVACY SECURE STORAGE INFECTION CONTROL SURVEILLANCE, PREVENTION
Apr 9, 2021	2	0	0	2	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: NOTICE OF RIGHTS Provisional or Admitting Diagnosis
Apr 22, 2015	17	0	0	17	Read full report
Deficiencies cited in this report: GOVERNING BODY PATIENT RIGHTS PATIENT RIGHTS: NOTICE OF RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING QAPI QAPI PERFORMANCE IMPROVEMENT PROJECTS QAPI GOVERNING BODY, STANDARD TAG MEDICAL STAFF RESPONSIBILITIES - H&P CRITERIA FOR MEDICAL STAFF PRIVILEGING NURSING SERVICES STAFFING AND DELIVERY OF CARE ADMINISTRATION OF DRUGS INFECTION CONTROL PROGRAM ANESTHESIA SERVICES DELIVERY OF ANESTHESIA SERVICES INTEGRATION OF OUTPATIENT SERVICES INTEGRATION OF EMERGENCY SERVICES
Apr 15, 2015	0	4	0	4	Read full report
Deficiencies cited in this report: No Description Available No Description Available No Description Available No Description Available
Jan 30, 2015	6	0	0	6	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: GRIEVANCE REVIEW TIME FRAMES PATIENT RIGHTS: NOTICE OF GRIEVANCE DECISION PATIENT RIGHTS: INFORMED CONSENT PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT
Sep 12, 2013	1	0	0	1	Read full report
Deficiencies cited in this report: MEDICAL SCREENING EXAM
Feb 15, 2012 Follow-up to inspection on 2011-11-04*	6	0	0	6	Read full report
Deficiencies cited in this report: ORDERS FOR DRUGS AND BIOLOGICALS DETERMINATIONS OF MEDICAL NECESSITY REVIEW OF PROFESSIONAL SERVICES INFECTION CONTROL PROFESSIONAL PREPARATION OF RADIO PHARMACEUTICALS DIRECTOR OF RESPIRATORY SERVICES
Nov 4, 2011	10	0	0	10	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT QAPI No Description Available ORDERS FOR DRUGS AND BIOLOGICALS DETERMINATIONS OF MEDICAL NECESSITY REVIEW OF PROFESSIONAL SERVICES INFECTION CONTROL PROFESSIONAL PREPARATION OF RADIO PHARMACEUTICALS DIRECTOR OF RESPIRATORY SERVICES
Nov 2, 2011	0	6	0	6	Read full report
Deficiencies cited in this report: No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available
Jan 13, 2011	2	0	0	2	Read full report
Deficiencies cited in this report: EMERGENCY ROOM LOG MEDICAL SCREENING EXAM

Some state health departments and regional offices of the Centers for Medicare and Medicaid Services sometimes did not upload their inspection reports into a central computer system that could then be shared by us. In such cases, CMS identified the dates of the missing inspections and the number of deficiencies identified. You can request the actual reports from CMS or your state health department.

* Deficiencies cited in follow-up inspections are not counted toward a facility's total deficiency count.

HospitalInspections.org

EASTERN NEW MEXICO MEDICAL CENTER

Complete reports and deficiency counts