No sales calls · nothing personal collected unless you ask us to · no facility pays to be here
Text size
Contrast

Odelia Healthcare

1509 University Boulevard Ne, Albuquerque, NM 87102 · For profit - Corporation · 119 certified beds · (505) 243-2257 Medicare & Medicaid certified

Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0602) — cited Sep 20241 immediate-jeopardy citation$4,088 in federal fines
Insights

This home has serious findings on its record. Read them closely before you consider it.

In its favor
  • a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
Worth asking about
  • it has an abuse, neglect, or exploitation citation (F0602), cited Sep 2024
  • inspectors cited 1 immediate-jeopardy problem — the most serious level
  • a high number of inspection citations overall (31) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $4,088 in federal fines (most recent 2024-05-02)
  • about 25% of its spending goes to commonly-owned related companies

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

4/5
CMS overall
4 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 4 of 5
StaffingFrom payroll records (PBJ) 3 of 5
Quality measuresSelf-reported by the facility 4 of 5

Location & what’s nearby

Hospital
★★ 2/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
1617 University Blvd NE · (505) 341-4148 · Call to confirm hours
Pharmacy
1209 University Blvd NE · (505) 272-2308 · Call to confirm hours
Grocery
1136 Broadway Blvd NE · (505) 242-8601 · Call to confirm hours
Park
801 Odelia Rd NE · Typically dawn to dusk
Place of worship

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Overall quality measures 4 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 3 of 5

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 5 to 4 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating4★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased6.6%11.3%15.4%better
Long-stay residents who lose too much weight1.5%4.0%5.4%better
Long-stay residents with a catheter left in their bladder0.0%0.9%0.9%better
Long-stay residents with a urinary tract infection1.0%0.9%2.0%worse than state — see note marked double-dagger below the table
Long-stay residents with depressive symptoms0.4%2.0%6.5%better than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.0%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury2.8%3.5%3.3%better
Long-stay residents whose ability to walk worsened6.4%11.7%16.1%better
Long-stay residents on antianxiety or hypnotic medication1.9%14.7%18.9%better
Long-stay residents given the seasonal flu vaccine98.8%98.7%95.3%typical
Long-stay residents with pressure ulcers2.7%5.2%4.7%better
Long-stay residents with worsening bladder/bowel control22.5%20.0%21.2%typical
Long-stay residents who got an antipsychotic medication — see the note below the table6.7%14.5%17.1%better
Short-stay residents who newly got an antipsychotic medication0.1%1.1%1.4%better
Short-stay residents given the seasonal flu vaccine95.1%86.4%79.4%better
Short-stay residents rehospitalized after admission30.9%22.0%22.6%worse
Short-stay residents with an outpatient ER visit12.2%15.7%12.0%typical
Long-stay hospitalizations per 1,000 resident days1.371.651.67better
Long-stay outpatient ER visits per 1,000 resident days2.302.811.80worse

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

51.8% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 211 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

51.8%U.S. median 51.5%
Got home and stayed home
12.8%U.S. median 10.7%
Went back to hospital
55.3%U.S. median 56.6%
Met the expected recovery
0.41U.S. median 0.31
Therapy hours / resident / day
0.21hours / resident / day
Physical therapy
0.18hours / resident / day
Occupational therapy
0.03hours / resident / day
Speech therapy

Met the expected recovery: 55.3% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 85 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.41 therapist hours per resident per day in 2026Q1 — more than 71% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 20% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF51.8%CMS range 43.5–58.451.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF12.8%CMS range 10.1–16.610.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge55.3%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge45.9%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge61.2%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened2.3%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization9.4%CMS range 6.2–13.87.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.001.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.74
RN hours/ resident / day
0.68
LPN hours/ resident / day
1.76
Aide hours/ resident / day
3.18
Total nurse hours/ resident / day
0.68
RN hoursweekends
47.6%
Total nursing turnover
43.5%
RN turnover

How full it usually is: this home is certified for 119 beds and averages 115.8 residents a day — about 97% occupied, or roughly 3 beds typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.18 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.74 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.76 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.76 hrs/resident/day on weekends vs 3.35 on weekdays — 17% thinner on weekends. RN hours go from 0.76 to 0.68 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 48% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

9
deficiencies at the latest standard inspection (2025-05-30)
9
at the previous standard inspection (2024-01-12)

Deficiencies are unchanged from the previous inspection. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

ABCDEFGHIJKL

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

31 citations, most serious first. The 11 most serious are shown; the remaining 20 are one tap away and print in full.

  • Immediate jeopardy · J2022-09-26 · tag F0580 — failed to tell family and doctor about changes — isolated
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observation, and interview the facility failed to recognize a resident's deteriorated (to become worse) health status and immediately notify the Medical Provider of a change in condition for 1 (R #33) of 1 (R #33) resident reviewed for a change in condition. If the facility it not actively monitoring resident changes and notifying the Medical Provider in a timely manner, then residents are likely to not receive the care and interventions needed to maintain their highest practical well-being. The findings are: A. Record review of the face sheet for R #33 revealed, she was admitted to the facility on [DATE] with a primary diagnosis of Fibromyalgia [disorder that affects muscle and soft tissue characterized by chronic pain], and secondary diagnoses that included, a need for assistance with personal care [assistance with activities of daily living such as bathing, grooming and toileting] and Bipolar Disorder [mental health condition that results in mood swings that include emotional highs and…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-09-03 · tag F0552 — isolated
    Ensure that residents are fully informed and understand their health status, care and treatments.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record reviews and interviews, the facility failed to provide a qualified interpreter for 1 (R #7) of 1 (R #7) residents reviewed. If a facility fails to provide interpreter services, then residents with limited English proficiency may not be able to fully understand their care plan, ask questions about their treatment, or communicate their needs effectively to staff. The findings are:A. Record review of the facility's Interpreter Services policy, dated 2003, revealed all nursing home staff with a second language ability will be identified and utilized as interpreters, as needed, to ensure non-English speaking residents can convey their needs and preferences. B. Record review of R #7's admission Record revealed an admission date of 06/14/2025. C. Record review of R #7's Care Plan, dated 06/27/2025, revealed the resident had a communication problem related to Spanish speaking. D. On 08/27/2025, at 2:33 PM, during an interview, R #7's daughter stated her father was primarily Spanish-speaking, and the facility did not provide interpreter services for her father. The daughter…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-09-03 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record reviews and interviews, the facility failed to ensure the resident's MDS (MDS; a federally mandated assessment instrument completed by facility staff) was accurately coded for 1 (R #7) of 1 (R #7) residents reviewed. If the facility fails to ensure the Federally mandated MDS is accurately coded for residents, then the facility cannot develop appropriate care plans or provide individualized treatment, which places residents at risk for unmet needs, delayed interventions, and adverse health outcomes.The findings are: A. Record review of R# 7's Hospital Discharge Orders, dated 06/14/2025, revealed the following: -Resident to receive wound care for hematuria (presence of blood in the urine). -Resident to receive physical occupational therapy for hematuria. B. Record review of R #7's admission Record, dated 06/14/2025, revealed the following: -admission date of 06/14/2025. -Diagnosis of metabolic encephalopathy (a reversable brain disorder of the body's chemicals). -The record did not include a diagnosis of hematuria. C. Record review of R #7's admission MDS (MDS; a…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-09-03 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on a record review and interviews, the facility failed to ensure a resident received care for a diagnosis included on their hospital discharge paperwork for 1 (R #7) of 1 (R #7) residents. If the facility fails to ensure all admitting diagnoses are included in the resident's plan of care, then staff may fail to monitor and treat the condition which could lead to the adverse outcomes or re-hospitalization. The findings are: A. Record review of R# 7's Hospital Discharge paperwork, dated 06/14/2025, revealed the following: - Diagnoses of hematuria (blood in the urine) attributed to traumatic Foley catheter insertion (injury or damage to the urethra, bladder, or surrounding tissue during Foley catheter)and urinary tract infections with hematuria.- Referrals to physical and occupational therapy.-Resident to receive care for hematuria (presence of blood in the urine). B. Record review of R #7's admission Record, dated 06/14/2025, revealed the following: -admission date of 06/14/2025. -Diagnosis of metabolic encephalopathy (a reversable brain disorder of the body's chemicals). -The…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2025-05-30 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews, and record review, the facility failed to maintain the kitchen in a sanitary manner when staff failed to: - Maintain the air gap on the ice machine in a manner to prevent contamination and foodborne illness, - Properly store open food with labels and dates to prevent cross contamination and outdated usage, - Sanitize dishes when staff did not maintain the dish washing machine at 120 degrees (°) Fahrenheit (F), per manufacturer's instructions, - Wash, rinse, and sanitize the food preparation sink between uses to prevent cross-contamination and the growth of food-borne pathogens, - Maintain the kitchen environment in a clean and sanitary manner, - Store clean dishes and single use plasticware in a manner to prevent contamination, - Thaw frozen food by submerging in cold running water. These failures had the potential to result in cross contamination, the growth of foodborne pathogens, and foodborne illnesses. This failure had the potential to affect all residents who ate food from…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-05-30 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to maintain the facility in a homelike manner when staff piled various items in an enclosed outside area near the facility. This failure had the potential to affect all residents who utilized the South 4 hallway, the Activities Room, and a courtyard near the Activities Room. If staff fail to maintain the facility in a homelike manner, then residents could feel unimportant and sad. The findings are: A. On 05/29/25 at 10:30 am, observation revealed a gated area located on the backside of the building which contained the following items: - Several metal frame beds with wooden headboards. - Wooden framed cage with metal wire. - A rolled up carpet. - Two new, still in box, hospital beds. - Two new, still in box, hospital bed mattresses. - Five cardboard boxes. - Metal scraps, buckets, medical equipment, and other items. The outside storage area was unkept and was not stored in an orderly manner. B. On 05/29/25 at 10:30 am, during an interview, the Maintenance Director (MD) stated the facility had a contractor which…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2025-05-30 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review, observation, and interview, the facility failed to place caution signs on the floor when the floor was wet. This failure had the potential to affect any resident who wanted to walk down the hallway. If staff fail to post caution signs on a wet floor, then residents could slip, fall, and injure themselves. The findings are: A. Record review of the facility's Housekeeping Safety Precautions, last revised on August 2020, revealed the following: - Wet mop one side of the corridor or floor at a time and make sure the first side dried before mopping the other side. - Post a Wet Floor warning sign on both ends of the wet side of the floor. B. On 05/29/25 at 10:25 am, observation revealed the floor technician used the rotary floor machine (used to clean and shine floors) in the area between the main hallway and a section of resident rooms. The floor was wet, and there were not any caution signs posted. Two unknown staff members tiptoed across the wet section of the floor. C. On 05/29/25 at 10:25 am, during an interview with one of the unknown staff members, she…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-05-30 · tag F0756 — failed to review each resident's drug regimen — pattern
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interviews, the facility failed to implement pharmacist recommendations for 1 (R #26) of 3 (R #9, #26 and #67) residents reviewed for unnecessary medications when staff failed to ensure R #26 had lab work completed. This deficient practice is likely to result in more than minimal harm because if residents lab work is not current then residents are likely to reach toxic levels of lithium (a mineral) or may not be receiving the correct dosage for therapeutic effects. The findings are: A. Record review of R #26's face sheet revealed an initial admission date of 07/20/15 and included the following diagnoses: - Mood disorder. - Bipolar disorder (a mental health condition characterized by significant mood swings). - Major depressive disorder (a serious mental health condition characterized by persistent feelings of sadness, loss of interest in activities, and a range of emotional and physical problems). - Obsessive-compulsive behavior (a mental health condition characterized by uncontrollable, recurring thoughts and behaviors that the individual feels compelled…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-05-30 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure the Minimum Data Set (MDS; a federally mandated assessment instrument completed by facility staff) was accurate for 1 (R #37) of 1 (R #37) resident reviewed for MDS assessments. This deficient practice could result in failure to provide adequate care and treatment of the resident's needs. The findings are: A. Record review of R #37's face sheet revealed an admission date of 10/18/23 and included the following diagnoses: - Fracture (break of a bone.) -Muscle weakness (reduction in the power exerted by muscles.) B. Record review of R #37's care plan, dated 01/26/25, revealed R #37 was at a high risk for falls. C. Record review of R #37's MDS, dated [DATE], revealed health condition of injury (not major injury.) D. Record review of R #37's progress note, dated 01/21/25, revealed resident was found on the floor outside the bathroom. R #37's fall resulted in injury, and the resident was sent to the emergency room (ER). E. Record review of R #37's ER…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-05-30 · tag F0645 — isolated
    PASARR screening for Mental disorders or Intellectual Disabilities
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview, the facility failed to ensure the Preadmission Screening and Resident Review (PASRR; a federal requirement to help ensure individuals who have a mental disorder or intellectual disabilities are not inappropriately placed in nursing homes for long term care) was accurate for 1 (R #31) of 1 (R #31) resident reviewed for PASRR accuracy. This deficient practice is likely to result in the facility not providing the services needed by residents. The findings are: A. Record review of R #31's face sheet revealed an admission date of 05/18/18 with the following diagnoses: - Alcohol dependence with alcohol induced persisting dementia, primary admitting diagnosis. - Major depressive disorder, recurrent severe without psychotic disturbances. B. Record review of R #31's baseline care plan, dated 05/27/18, revealed R #31 used an antidepressant for depression. C. Record review of R #31's PASRR Level 1 Screening, dated 05/18/18, revealed staff documented R #31 did not have a diagnosis of or a suspicion of a serious mental illness. Further review revealed the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-05-30 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
    Provide enough food/fluids to maintain a resident's health.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview the facility failed to ensure staff administered a resident's tube feeding (feeding tube; a medical device used to provide nutrition to individuals who cannot eat or drink normally) according to physician's orders for 1 (R #23) of 1 (R #23) resident. This failure could potentially cause a resident not to receive enough daily nutrition and lose weight. The findings are: A. Record review of R #23's face sheet revealed the resident was admitted on [DATE] with a traumatic brain injury (TBI; injury to the brain caused by an outside force, usually a violent blow to the head) and used a feeding tube for nutrition. B. Record review of R #23's physician orders, dated 11/25/24, revealed the following: - Order for Glucerna 1.5 (nutrition) every shift continuously by feeding tube. - Administer 80 milliliters (ml) per hour for 20 hours [resident's tube feeding should run for 20 hours continuously and off for four hours per day]. - Continuous every shift via pump. - Flush 65…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
Show the remaining 20 citations
  • Potential for harm · D2025-05-30 · tag F0755 — failed to provide safe pharmacy services — isolated
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record reviews and interviews, staff failed to request a new provider medication order and to ensure drug records were accurate for 1 (R #45) of 1 (R #45) residents. This deficient practice is likely to lead to potential drug misuse or diversion (medical and legal concept involving the transfer of any legally prescribed controlled substance from the individual for whom it was prescribed to another person for any illicit use). The findings are: A. Record review of the facility's Medication Administration Policy, undated, revealed the following: - Nursing staff will keep in mind the seven rights of medication when administering medication which includes: - The right medication, - The right amount, - The right resident, - The right time, - The right route, - The right indication, - The right outcome. - Compare the licensed practitioner's order with the Medication Administration Record (MAR; first check). - Compare the licensed practitioner's order with the pharmacy label on the medication package (second check). - Compare the pharmacy label and MAR (third check).…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-05-30 · tag F0804 — failed to serve food at safe, palatable temperature — isolated
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review, observation and interview, the facility failed to ensure meals were served at an appetizing temperature for 2 (R #59 and R #33) of 2 (R #59 and R #33) resident reviewed for meal quality. This deficient practice may decrease the resident's quality of life and have the potential to cause weight loss due to the food not being the proper temperature. The findings are: A. Record review of the facility's Food Temperatures Policy, dated 01/01/25, revealed the following: - At start of meal services hot food should be served above 135 degrees (°) Fahrenheit (F) and cold food should be served below 41° F. - If a hot food item is below 135° F, remove items and reheat on stove or in oven to bring the internal temperature above 165° F for 15 seconds. The reheating process can be done twice before food product should be discarded. B. Record review of the facility's Food and Nutrition Services Trayline/ Dining Observation, dated 05/22/25, revealed the Dietary Manager (DM) conducted an internal audit during lunch service and revealed the following: - The DM measured the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-05-30 · tag F0802 — failed to prepare enough nourishing food — pattern
    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to provide sufficient support staff to carry out the functions of food and nutrition services at the facility. This deficient practice is likely to result in longer waits for meal service for any resident receiving a room tray during the three meals served at the facility. A. Record review of the facility's meal times revealed the following: - Breakfast 7:00 am to 8:30 am. - Lunch 12:00 pm to 1:30 pm. - Dinner 5:00 pm to 6:30 pm. B. On 05/27/25 at 2:46 pm, during an interview, R #28 stated meals were served late to his room three to four times a week. R #28 stated staff served meals up to an hour late sometimes. R #28 stated staff served the dinner room trays around 7:00 pm on 05/26/25. C. On 05/28/25 at 11:52 am, during an interview with R #24 and R #25, R #25 stated the food came out cold a lot of the time. R #24 stated staff served dinner around 7:30 pm on 05/27/25. R #25 stated sometimes staff served lunch around 1:30 or 2:00 pm. R #25 stated she was late for an activity in the past because staff served…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-09-17 · tag F0602 — failed to protect residents from theft of their belongings — isolated
    Protect each resident from the wrongful use of the resident's belongings or money.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to prevent staff to resident exploitation when a staff member used a resident's bank debit card to make an unauthorized (without the account holders permission) money withdrawal or purchases for 1 (R #1) of 1 ( R #1) resident looked at for abuse, neglect, and misappropriation. This deficient practice caused undue stress and anxiety for the resident when it was discovered they had money missing. The findings are: A. Record review of a complaint received by the State Agency, dated 05/17/24, revealed allegations of misappropriation (wrongful use of another's belongings, money, etc.) of property. The alleged Perpetrator (a person who commits an illegal or harmful act) was the Transport Driver for the facility, and he allegedly stole up to $480 from the alleged victim, R #1. B. On 09/17/24 at 9:15 am, during an interview with the facility Administrator, she stated she was contacted by R #1 on 05/14/24, and the resident told her the Transport Driver took $480 US dollars from his checking account without his permission on 05/12/24.…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-05-02 · tag F0622 — isolated
    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to readmit 1 (R #1) of 1 (R #1) resident back to the facility after being sent to the hospital for evaluation and treatment. This deficient practice is likely to result in a resident experiencing anxiety, confusion, and despair over not being allowed to return to their residence. The findings are: A. Record review of the facility face sheet, dated 05/02/24, for R #1 revealed she was admitted on [DATE] with an admitting diagnoses of broken left leg, high blood pressure, gastro-esophageal reflux disease (GERD; heart burn), and generalized muscle weakness. B. Record review of the facility census showed R #1 was transported to the hospital on [DATE] after a fall in the facility. C. Record review of the hospital discharge paperwork, dated 02/28/2024, for R #1 revealed R #1 did not sustain an injury in her fall at the facility that required her to be admitted to the hospital, and it was recommended she return to the facility. D. Record review of the hospital…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-05-02 · tag F0623 — isolated
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure residents, resident representatives, and Ombudsman received a written notice of transfer as soon as practicable for 1 (R #1) of 1 (R #1) residents sampled for being discharged . This deficient practice could likely result in the resident representatives not knowing the reason for discharge, location of the resident, and when the resident can return to the facility. The findings are: A. Record review of R #1's administration progress note, dated 02/28/24, revealed R #1 was admitted to a hospital on [DATE]. B. Record review of R #1's discharge Minimum Data Set (MDS; a federally mandated assessment instrument completed by the facility staff), dated 02/28/24, revealed the resident had an unplanned discharge to a short-term general hospital. C. Record review of R #1's hospital discharge notes written by the hospital social worker, dated 02/28/24, showed the hospital social worker called the facility on 02/28/24 at 11:42 pm to arrange R #1's…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2024-01-12 · tag F0761 — failed to label and store drugs safely — widespread
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations and interviews the facility failed to: 1. Ensure the medication carts did not contain loose medications. 2. Ensure expired supplies were not kept with unexpired supplies. 3. Ensure all medication carts were locked when not in use. These deficient practices are likely to result in all 114 residents, identified on the census list provided by the Executive Director (ED) on [DATE], receiving expired medication, having expired medical supplies used in their treatments, and allowing access to medication carts to unauthorized personnel. The findings are: Findings for loose medications found in medication carts. A. On [DATE] at 9:00 am, during observation of the north 2 medication cart, one loose white oval tablet lay under the medication cards (vertical cardboard and foil cards pre-filled with prescription medications for easy storage and dispensing) in the drawer of the cart. B. On [DATE] at 9:05 am, during an interview with registered nurse (RN) #1, she stated staff should have found the loose…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2024-01-12 · tag F0880 — failed to prevent and control infections — widespread
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to maintain proper infection prevention measures by: 1. Not performing hand hygiene between resident medication pass. 2. Not performing hand hygiene between collecting resident breakfast trays and passing out resident breakfast trays. This deficient practice could likely result in the spread of infectious agents (viruses and bacteria) for all of the 114 residents who resided at the facility. The findings are: Hand hygiene at medication pass A. On 01/10/24 at 7:28 am, during observation of the medication pass on the north hallway, licensed practical nurse (LPN) #1 passed medications to an unknown resident and did not perform hand hygiene when he left the resident's room. LPN #1 went directly to his medication cart and got the medication ready for R #96. LPN #1 then walked into R #96's room and administered his medication. LPN #1 did not perform hand hygiene before he prepared or administered R #96's medication. B. On 01/10/24 at 8:00 am,…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-01-12 · tag F0558 — failed to accommodate residents' needs and preferences — pattern
    Reasonably accommodate the needs and preferences of each resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview, the facility failed to provide accommodation of residents' needs for 3 (R #1, R #11, and R #111) of 3 (R #1, R #11, and R #111) residents reviewed for call lights within reach. This deficient practice is likely to result in residents being unable to request assistance, with activities of daily living, transfers after falling, or other acute distress. The findings are: A. Record review of the facility's policy titled Communication Call System, revision date 10/24/22, stated call cords will be placed within the resident's reach in the resident's room. Findings for R #11: B. On 01/10/24 at 12:37 pm, during an observation and interview, Licensed Practical Nurse (LPN) #2 brought R #11 to his room. The resident sat in his wheelchair, in front of his television set. R #11 stated he needed help to adjust his table tray. Further observation showed R #11's call button was on the floor, on the far side of his bed next to the wall. R #11 was not able to reach the call light. C. On 01/10/24 at 12:42 pm, Certified Nursing Assistant, CNA #1 confirmed the call…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-01-12 · tag F0684 — failed to provide proper treatment and quality of care — pattern
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to provide quality care for 2 (R #65 and #115) of 2 (R #65 and 115) residents by not following physician orders to get STAT (immediately) x-rays. These deficient practices could likely cause a medical concern to go unidentified and untreated, causing the medical condition to worsen. The findings are: R #65 A. Record review of the physician orders for R #65 indicated an order, dated 12/11/23, for abdomen x-ray STAT to rule out an obstruction, for abdominal distention. B. Record review of a physician note for R #65, dated 12/11/23, indicated there was a concern of mild distention to abdomen. The note stated the resident's abdomen was soft and non-tender. C. Record review of a follow-up physician note for R #65, dated 12/13/23, indicated the following, I had also ordered an ABD (abdominal) Xray on Monday which was not completed so I ordered it again stat today and nurse is calling to get it done. D. Record review of the physician orders for R #65 indicated an order, dated 12/13/23, for an abdomen KUB (kidneys, ureters, bladder)…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-01-12 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — pattern
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interview, the facility failed to ensure a resident wore protective boots while in bed to prevent pressure wounds (damaged skin caused by pressure, shear, or friction) for 1 (R #96) of 4 (R #10, 26, 50, and 96) residents reviewed for pressure ulcers. This deficient practice could likely result in the wound on the resident's heel to worsen. The findings are: A. Record review of the physician orders for R #96 indicated an order, dated 12/26/23, for offloading (to minimize or reduce pressure on feet and heels) boots while in bed every day and night shift. B. On 01/10/24 at 8:00 am, during an interview, R #96 stated he wore a boot on for his pressure wound at night, but it falls off. The resident said his heel hurt when it rested on the bed. C. On 01/10/24 at 8:00 am, an observation revealed R #96 lay in bed without heel protective boots on, and the resident did not have anything under his legs or feet to raise his heels off the bed. D. On 01/11/24 at 1:41 pm, an observation revealed R #96 lay in bed without heel protective boots on, and the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-01-12 · tag F0695 — failed to provide proper breathing / tracheostomy care — pattern
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews, and record review, the facility failed to provide the recommended humidified oxygen (a device used to increase the level of moisture) for resident's comfort for 2 (R #1 and R #64) of 2 (R #1 and R #64) residents reviewed for oxygen therapy. This deficient practice of not providing humidified oxygen to a resident may likely result in a moisture deficit that naturally occurs when breathing through the nose and mouth and in a feeling of discomfort from irritation of throat and nose caused by administration of pure oxygen. The findings are: Findings for R #1 A. Record review of R #1's care plan, completion date 12/14/23, revealed R #1 received oxygen therapy related to chronic respiratory failure. The care plan directed staff to maintain humidified oxygen at 2 liters per minute as needed to keep R #1's oxygen saturation level (the amount of oxygen you have circulating in your blood) above 89%. B. On 01/09/24 at 1:48 pm, during an observation and interview, R #1 lay in bed and received oxygen therapy via nasal cannula (a device that delivers extra…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-01-12 · tag F0583 — failed to protect personal privacy — isolated
    Keep residents' personal and medical records private and confidential.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation and interview, the facility failed to safeguard clinical record information when they left protected health information (PHI; protected health information) unattended. This deficient practice had the potential to affect 1 (R #44) of 1 (R #44) (residents were identified by the Resident Census List provided by the Administrator on 01/09/24). If resident's clinical information is not adequately safeguarded, resident's PHI is likely to be accessed by unauthorized residents, visitors, or staff. The finding are: A. On 01/10/24 at 8:00 am, during observation of the south hall, PHI was observed on the nurses station desk, which was in open view of anyone who walked by the desk. An 8 inch by 11 inch piece of white paper lay on the desk with four labels which contained Resident (R) #44's first name, last name, and medication name on them. On top of the document was a handwritten note to reorder medications. B. Record review the Resident Census List provided by the Administrator on 01/09/24 revealed R #44 was a current resident at the facility.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-01-12 · tag F0658 — failed to meet professional standards of care — isolated
    Ensure services provided by the nursing facility meet professional standards of quality.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interview, the facility failed to meet professional standards of quality care when staff failed to disconnect, flush, and clamp a PICC line (peripherally inserted central catheter; a long, thin tube that is inserted through a vein in the arm and passed through to the larger veins near your heart) after an antibiotic (medication used to treat infections) infusion (putting the medication into the body through the PICC line) for 1 (R #96) of 1 (R #96) resident sampled for PICC lines. This deficient practice could likely result in the PICC becoming occluded (blocked), which would not allow medications to be infused, and the resident would not receive needed medications. The findings are: A. Record review of R #96's medication administration record (MAR) revealed an order for staff to administer Cefazolin (antibiotic) injection, to be infused three times a day, from 01/03/24 thru 01/26/24, for treatment of sepsis (infection). The order also instructed staff to flush the PICC with 10 milliliters of normal saline before and after the infusion of the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-01-12 · tag F0687 — failed to care for feet properly — isolated
    Provide appropriate foot care.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview, the facility failed to provide proper foot care for 1 (R#42) of 1 (R#42) resident reviewed for foot care. This deficient practice is likely to cause pain, tenderness, and complications in foot health. The findings are: A. Record review of R #42's health record revealed an intitial admission date of 11/17/23 with the following relevant diagnosis: other chronic pain, gout (a painful form of arthritis caused by uric acid crystals, a normal body waste product, that form in and around the joints), osteoarthritis (a degenerative joint disease, in which the tissues in the joint break down over time), difficulty walking, other reduced mobility and need for assistance with personal care. B. On 01/10/24 at 11:52 am, during an interview, R #42 stated he had an ingrown toenail that grew into the skin of his toe. The resident said it was painful, and he could not put on shoes. Observation of R #42's right foot revealed the toenail on his 3rd toe was excessively long and measured approximately ½ inch in length. Observation also showed the toenail grew in a…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2022-09-26 · tag F0880 — failed to prevent and control infections — widespread
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to provide proper infection control practices by: 1. Not covering clean linens (microfiber cloths, bed comforters and covers) and physical therapy harnesses/slings (adaptive equipment used to safely lift a person or parts of their body during physical therapy). 2. Staff transporting soiled (dirty) linens carried in arms and pressed against staff's uniform, 3. Transporting soiled linen through a clean area, 3. Mixing soiled linen with clean linen, 4. Allowing build-up and accumulation of dust and lint on air conditioning vent of laundry folding room, and 5. Using torn cover on a clothing rolling garment rack. These deficient practices could likely affect all 117 residents in the facility as identified on the census list provided by the Administrator on 09/19/22. Failure to practice proper infection control standards could likely cause the spread of infections and illness to residents and staff within the facility. The findings are: A. On 09/26/22 at 1:32 pm, the Maintenance Director (MD) provided a tour of the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2022-09-26 · tag F0921 — failed to keep a safe, functional, sanitary building — widespread
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview, the facility failed to ensure that cleaning products were inaccessible to residents and that bottles were appropriately labeled according to the product inside the bottle. This deficient practice has the potential to effect all 117 residents per the facility census provided by the Administrator on 09/19/22, by putting residents at risk of harming themselves by accessing harmful chemicals and cleaning solutions. The findings are: A. On 09/26/22 at 2:02 pm, during an observation of an unattended housekeeping cart located in the South 3 hallway revealed that the upper compartment where cleaning supplies were stored, including spray bottles of cleaning products, was unlocked and easily accessible. Further observation of the housekeeping cart revealed that 3 of the spray bottles contained cleaning products that did not match the label on the bottle: 1. A bottle labeled for a hydrogen peroxide cleaning product contained a quat solution (a disinfectant cleaning solution usually composed of benzalkonium chloride). 2. A second bottle labeled for a hydrogen…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2022-09-26 · tag F0677 — failed to help fully-dependent residents with daily care — pattern
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility failed to provide Activities of Daily Living (ADL) care for 3 ( R # 8, #21 and #82) of 4 (R #8, #21, #30, and #82) residents reviewed for ADL care by not providing: 1. Eating assistance for R #8. 2. Grooming care of the fingernails for R #21. 3. Showers per resident choice for R #82. These deficient practices could likely cause weight loss due to needing assistance with eating, increased infections caused by tears in the skin from long and unclean fingernails, and increased infections and feelings of anger and depression from not being able to shower, according to resident's preference. The findings are: Resident #8 A. On 09/20/22 at 7:45 am, during an interview with Registered Nurse (RN) #2, he stated that they have several residents who need assistance with eating. When asked about R #8 needing assistance to eat, he stated that she does need assistance with eating. B. On 09/20/22 at 11:16 am, during an interview with Family Member #8, she stated…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-09-26 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to update the care plan for 1 (R #76) of 1 (R #76) resident reviewed for care planning following a fall. This deficient practice may likely result in staff confusion regarding best practices for the care of a resident who was at risk for falls and also preventing the resident from reaching their highest level of well-being. The findings are: A. Record review of nursing progress note for R #76, dated 08/20/22 at 12:10 pm, revealed, R #76 was admitted on [DATE] with a diagnosis of cutaneous [skin] abscess [purulent/pus filled mass due to infection] of head, also revealed, resident has an unsteady gait (shakiness or wobbling when walking) requiring supervision. B. On 09/19/22 at 10:45 am, during an observation and interview with R #76, she stated she had fallen on an escalator (moving staircase) prior to her admission and that is how she obtained the wound that resulted in the diagnosis of cutaneous abscess on the right side of the back of her…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-09-26 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, and record review the facility failed to re-assess 1 (R #56) of 1 (R #56) resident for safe smoking. This deficient practice could likely contribute to an accident if residents are not being re-assessed to be safe to smoke without supervision. The findings are: A. On 09/19/22 at 10:04 am, during an interview with R #56, he stated you can go smoke whenever you want to go smoke. He stated you (residents) are allowed to keep your smoking materials on you. B. Record review of the Smoking assessment dated on 08/02/22 (also R #56's admission date) indicated that R #56 needed supervision to smoke. C. Record review of the Smoking List (for residents) located at the nursing station revealed that R #56 was noted to be independent with smoking. D. On 09/21/22 at 7:57 am, during an interview with Registered Nurse (RN) #2, he stated that R #56 was supervised for smoking when he arrived to the facility, but he was independent now. E. On 09/26/22 at 10:03 am, during an interview with the Assistant Director…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

$4,088 in federal fines across 1 penalty.

  • $4,088 — penalty dated 2024-05-02

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to OPCO SKILLED MANAGEMENT — 66 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 4 of 52.3+1.7 vs chain
Health inspection 4 of 52.2+1.8 vs chain
Staffing 3 of 51.7+1.3 vs chain
Quality measures 4 of 54.3-0.3 vs chain
The other 65 homes this chain runs (chain average 2.3★, per CMS)
1 of 5Bluebird Wellness And RehabilitationSaint Louis, MO 1 of 5Brentwood Place ThreeDallas, TX 1 of 5Broadway Nursing & RehabilitationSan Antonio, TX 1 of 5Cameron Nursing CenterCameron, MO 1 of 5Carmel Hills Wellness & RehabilitationIndependence, MO 1 of 5Casa Arena Healthcare LLCAlamogordo, NM 1 of 5Casa Maria HealthcareRoswell, NM 1 of 5Forest Park Nursing & RehabilitationDallas, TX 1 of 5Fort Worth Wellness & RehabilitationFort Worth, TX 1 of 5Glenview Wellness & RehabilitationNorth Richland Hills, TX 1 of 5Highland Pines Nursing HomeLongview, TX 1 of 5Ivy Creek Wellness & RehabilitationWaco, TX 1 of 5Las Cruces Village Nursing & Rehabilitation LLCLas Cruces, NM 1 of 5Magnolia Wellness CenterSaint Louis, MO 1 of 5Maple Grove Wellness & RehabilitationFenton, MO 1 of 5Mineola Gardens Wellness & RehabilitationMineola, TX 1 of 5Pine Grove ManorSaint Louis, MO 1 of 5Rehab Of Kansas City SouthKansas City, MO 1 of 5The Hillcrest Of North DallasDallas, TX 1 of 5West Side Campus Of CareWhite Settlement, TX 1 of 5Willow Ridge Wellness & RehabilitationFort Worth, TX 1 of 5Willowcreek Wellness & RehabilitationFlorissant, MO 2 of 5Arbor Lake Nursing & Rehabilitation, LLCFort Worth, TX 2 of 5Aztec HealthcareAztec, NM 2 of 5Betty Dare Wellness & Rehabilitation LLCAlamogordo, NM 2 of 5Blue Springs Wellness & RehabilitationBlue Springs, MO 2 of 5Cypress Springs Wellness & RehabilitationMount Vernon, TX 2 of 5Fiesta Park Wellness & RehabilitationAlbuquerque, NM 2 of 5Hilltop At Blue River, TheKansas City, MO 2 of 5La Vida Buena HealthcareLas Vegas, NM 2 of 5Los Alamos Wellness & RehabilitationLos Alamos, NM 2 of 5McGregor Wellness & RehabilitationMc Gregor, TX 2 of 5Monarch Springs Wellness & RehabilitationUniversity City, MO 2 of 5Northrise Wellness & RehabilitationLas Cruces, NM 2 of 5Prescott Valley Nursing & RehabilitationPrescott Valley, AZ 2 of 5Prescott Village Nursing & RehabilitationPrescott, AZ 2 of 5Rehabilitation Center Of Independence, TheIndependence, MO 2 of 5San Antonio Wellness & RehabilitationSan Antonio, TX 2 of 5Skyline Nursing CenterDallas, TX 2 of 5Sunny Springs Nursing & RehabSulphur Springs, TX

Showing 40 of 65; lowest-rated first.

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

Owner / managerTypeRoleSince
1509 ODELIA OPCO HOLDINGS, LLCOrganizationDIRECT OWNERSHIP INTERESTsince 04/24/2025
ALAMOSA HC TRUSTOrganizationINDIRECT OWNERSHIP INTERESTsince 05/07/2019
OXFORD SQUARE LLCOrganizationINDIRECT OWNERSHIP INTERESTsince 05/07/2019
RIMPAU HOLDINGS TRUSTOrganizationINDIRECT OWNERSHIP INTERESTsince 05/07/2019
SASEM INVESTMENTS LLCOrganizationINDIRECT OWNERSHIP INTERESTsince 05/07/2019
WELLINGTON HC PARTNERS LLCOrganizationINDIRECT OWNERSHIP INTERESTsince 05/07/2019
GARETZ, DAVIDIndividualCORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROLsince 05/07/2019
PANNELL, CATHERINEIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 05/07/2019
STOLARCZYK, LISAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 09/01/2023
DAVIDOVICH, NIVIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 07/23/2025
GURWITZ, SOLOMONIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 07/23/2025
HAGINS, ELIZABETHIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 07/23/2025
KAPLAN, ESTHERIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 07/23/2025
KAPLAN, MORDECHAIIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 07/23/2025
MINDLE, ADAMIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 07/23/2025
STERNSHEIN, JENNIFERIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 07/23/2025
UNGER, JEFFREYIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 07/23/2025
ZIMMERMAN, CAROLINEIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 07/23/2025
1509 UNIVERSITY BLVD NM, LLCOrganizationADP OF THE SNFsince 05/07/2019
ADIRONDACK TRUSTOrganizationADP OF THE SNFsince 05/07/2019
BIGHORN TRUSTOrganizationADP OF THE SNFsince 05/07/2019
BLUE RIDGE HC TRUSTOrganizationADP OF THE SNFsince 05/07/2019
CONTINUUM REHAB GROUP LLCOrganizationADP OF THE SNFsince 05/07/2019
FTNM PROPCO HOLDINGS, LLCOrganizationADP OF THE SNFsince 05/07/2019
GIBRALTAR TRUSTOrganizationADP OF THE SNFsince 05/07/2019
HANSEN HUNTER LLCOrganizationADP OF THE SNFsince 04/01/2024
OPCO CA SKILLED MGMT INC.OrganizationADP OF THE SNFsince 05/07/2019
OPCO NM SKILLED MGMT, LLCOrganizationADP OF THE SNFsince 05/07/2019
THE WRIGHT GROUP CONSULTING, LLCOrganizationADP OF THE SNFsince 04/01/2024

CMS files one row per role, so the 32 rows in the source record cover these 29 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

17 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

$17.5M
Net patient revenuemost recent cost report
-9.0%
Operating marginrevenue minus expenses
$4.7M
Related-party expense25% of expenses
Who pays — share of resident-days
Medicaid 63%Medicare 9%Other / private 28%

This home reported $4.7M paid to related parties — landlords or management companies under common ownership — equal to about 25% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

$465per resident / day
operating cost
$14,132per month
≈ monthly operating cost
$426per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2024). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in NM

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the New Mexico Medicaid page.

Typical monthly cost in New Mexico
$9,125/mo
Nursing home (semi-private)
$10,633/mo
Nursing home (private)
$5,950/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 325060. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-05-30, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

What to do next