Aztec Healthcare

Location & what’s nearby

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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

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.

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.

44.7% 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 96 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 72.0% 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 50 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 0.24 therapist hours per resident per day in 2026Q1 — more than 33% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 5% 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.

Staffing

How full it usually is: this home is certified for 112 beds and averages 106.1 residents a day — about 95% occupied, or roughly 6 beds typically open. It runs fairly full. 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 2.75 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.33 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.83 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 2.62 hrs/resident/day on weekends vs 2.80 on weekdays — 7% thinner on weekends. RN hours go from 0.35 to 0.29 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 72% is well above the national median of 45%. 1 administrator has left in the past year.

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

Deficiencies are more than at the previous inspection — worsening. 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.

This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.

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.

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.

37 citations, most serious first. The 16 most serious are shown; the remaining 21 are one tap away and print in full.

• Immediate jeopardy · Jcited before2026-04-09 · tag F0578 — failed to honor advance directives / code status — isolated
  Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
  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 advanced directives (code status; documents providing an individual's wishes for emergency and lifesaving care) were accurate within the Electronic Health Record (EHR) for 1 (R #21) of 2 (R #16 and #21) residents reviewed for advance directives, when: The facility failed to ensure R #21's advance directive forms and EHR contained matching and consistent information regarding the residents' end-of-life wishes.The facility staff did not update the resident's advanced directives in the EHR after the resident completed their Medical Orders for Scope of Treatment (MOST; a legal document which outlines the care the resident wants when they become incapacitated and unable to speak for themselves) form. The facility staff failed to honor R #21's do not resuscitate (DNR; lifesaving measures are not desired) status, performed cardiopulmonary resuscitation (CPR; an emergency procedure that combines chest compression with artificial ventilation) for 17…

  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
• Immediate jeopardy · J2024-12-18 · 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 PAST NOT COMPLIANCE Based on record review and interview, the facility failed to notify the physician, for 1 (R #7) of 1 (R #7) resident reviewed, of the results of the resident's ordered chest X-ray, complete blood count (CBC; a blood test that measures the number and type of cells in the blood), and comprehensive metabolic panel (CMP; a group of tests to measure various substances in the blood) following a change in condition. This deficient practice likely resulted in delayed treatment for pneumonia (a lung infection that makes it difficult for a person to breathe) and likely contributed to R #7's death. The findings are: A. Record review of R #7's hospital discharge report, dated 10/31/24, revealed R #7 was a [AGE] year old male with history of liver cirrhosis (chronic liver damage leading to scarring and liver failure), esophageal varices (abnormal veins that usually develop when the blood to the liver is blocked) and chronic left arm deformity, presenting with concern for gastrointestinal (GI; digestive…

  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 · Past Non-Compliance
• Immediate jeopardy · J2024-12-18 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY PAST NON-COMPLIANCE Based on record review and interview, the facility failed to notify the physician, for 1 (R #7) of 1 (R #7) resident reviewed, of the results of the resident's ordered chest X-ray, complete blood count (CBC; a blood test that measures the number and type of cells in the blood), and comprehensive metabolic panel (CMP; a group of tests to measure various substances in the blood) following a change in condition. This deficient practice likely resulted in delayed treatment for pneumonia (a lung infection that makes it difficult for a person to breathe) and likely contributed to R #7's death. The findings are: A. Record review of R #7's hospital discharge report, dated 10/31/24, revealed R #7 was a [AGE] year old male with history of liver cirrhosis (chronic liver damage leading to scarring and liver failure), esophageal varices (abnormal veins that usually develop when the blood to the liver is blocked) and chronic left arm deformity, presenting with concern for gastrointestinal (GI; digestive…

  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 · Past Non-Compliance
• Actual harm · Gcited before2026-01-28 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure residents received the necessary treatment and services to prevent the development and worsening of pressure ulcers (PU; an injury to skin and underlying tissue resulting from prolonged pressure on the skin) for 1 (R #1) of 1 (R #1) resident when staff failed to: Begin wound care after identification of a coccyx (tailbone area; base of spine) wound.Administer wound care for R #1's coccyx pressure ulcer as ordered.Notify the facility Wound Care Nurse (WCN) and administrative nursing staff of R #1's worsening pressure ulcer and of the development of a new pressure wound on R #1's left ischial (hip bone) in a timely manner. These deficient practices likely resulted in R #1's pressure ulcer worsening with necrotic tissue (dead tissue) which required hospitalization for advanced wound care treatment. The findings are: A. Record review of R #1's Minimum Data Set (MDS; a federally mandated assessment instrument completed by facility staff), dated…

  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
• Actual harm · G2024-06-07 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  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 keep residents free from abuse for 4 (R #27, R #28, R #56 and R #134) of 5 (R #20, R #27, R # 28, R #54 and R #134) residents reviewed for abuse when staff failed to: 1. Prevent emotional trauma as a result of not immediately removing the deceased body of R #27's roommate or moving R #27 from the room while waiting for the funeral home. 2. Physical abuse by the same Certified Nurse Aide (CNA) for R #27, 38, 56, and 134. The findings are: Findings for R #27 A. Record review of R #27's face sheet, dated [DATE], revealed she was admitted to the facility on [DATE] for multiple diagnoses including but not limited to: - Need for assistance with personal care. - Lack of coordination. - Morbid obesity (severe) due to excess calories (imbalance between the number of calories consumed and the number of calories burned). B. Record review of R #27's quarterly Minimum Data Set (MDS; a federally mandated assessment instrument completed by facility staff), dated…

  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
• Actual harm · Gcited before2023-02-10 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure that residents received necessary treatment and service to prevent development and promote healing of pressure wounds (damaged skin caused by pressure, shear or friction) for 1 (R #19) of 3 ( R #11, 19, and 125) residents reviewed for pressure ulcers. This deficient practice likely resulted in a facility acquired pressure wound becoming necrotic (death of living tissue) before treatment was initiated. The findings are: A. Record review of R# 19's medical record revealed that resident was admitted to the facility on [DATE] and diagnoses indicated the following: Hypertension (high blood pressure), Benign Prostatic Hyperplasia (the prostate is enlarged), Altered Mental Status (brain malfunction that affects behavior and awareness), Malignant Neoplasm of Prostate (prostate cancer), Parkinson's disease (is a condition that affects the brain and causes problems with movement, balance, and coordination), Depression (persistent sadness and a lack of…

  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 · Dcited before2026-04-09 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews, observations, and interviews, the facility failed to meet professional standards of practice for 2 (R #1 and R #2) of 2 (R #1 and R #2) residents, when: R #1 was administered oxygen (O2) without a physician's order. R #2 used a foley catheter (a thin, sterile tube inserted into the bladder to drain urine) without a physician's order. These deficient practices are likely to result in residents not maintaining their optimal health as planned by their medical provider. The findings are: R #1: A. Record review of the facility's Oxygen Administration Policy, dated 06/2020, revealed the following: A physician's order is required to initiate O2 therapy, The order should include the O2 flow rate, method of administration, usage of therapy, and indication for use. B. Record review of R #1's face sheet revealed R #1 was admitted into the facility on [DATE] with the following diagnoses: Malignant neoplasm of brain (cancerous tumor of the brain), Epilepsy (a seizure disorder). C. Record review of R…

  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 before2026-04-09 · tag F0880 — failed to prevent and control infections — isolated
  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, record review, and interviews, the facility failed to maintain an infection prevention and control program designed to provide a safe and sanitary environment (to prevent the development and transmission of communicable diseases and infections) for 1 (R #4) of 1(R #4) residents, when: The facility failed to follow the required Enhanced Barrier Precautions (EBP; an infection control intervention designed to reduce transmission of multidrug-resistant organisms that employs targeted gown and glove use during high contact resident care activities) by not wearing appropriate personal protective equipment (PPE; protective clothing, face masks, goggles, or other garments or equipment designed to protect the wearer's body from injury or infection) when providing direct care to the resident.This deficient practice is likely to result in repeated and ongoing exposure of residents to increased risk of infection, cross-contamination, and injury. The findings are: A. Record review of the facility's Enhanced Precautions Infection Policy, dated 04/01/2024, 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-01-28 · 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 Minimum Data Set (MDS; a federally mandated assessment instrument completed by facility staff) was accurate for 1 (R #2) of 1 (R #2) resident reviewed for MDS accuracy. 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 #2's face sheet, undated, revealed the resident was admitted into the facility on [DATE] with the following diagnoses: Unspecified dementia, unspecified severity, with other behavioral disturbance (a group of conditions characterized by impairment of at least two brain functions, such as memory loss and judgment), Unspecified symptoms and signs involving cognitive functions and awareness (problems with thinking, memory, or awareness that are noticed). B. Record review of R # 2's MDS, dated [DATE], revealed the following: Staff documented a Brief Interview for Mental Status (BIMS; screening for cognitive…

  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 · D2024-09-10 · tag F0676 — failed to keep up residents' daily-living abilities — isolated
  Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
  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 assist 1 (R #3) out of 3 (R #1, 2 and 3) residents reviewed for activities of daily living (ADLs; activities related to personal care such as bathing, showering, dressing, walking, toileting, and eating). This deficient practice could likely cause a resident to feel like they are a burden and embarrassed. The findings are: A. Record review of the face sheet for R #3 revealed the resident was admitted to the facility on [DATE] and discharged on 07/17/24. The resident had the following diagnoses: - Left lower foot amputation, - Type II diabetes (affects how your body uses insulin), - Circulatory issues (diseases that can affect your heart and blood vessels), - Diabetic neuropathy (type of nerve damage that can occur when you have diabetes), - Stomach cancer. - This is not an all inclusive list. B. Record review of the admission Minimum Data Set (MDS; standardized, comprehensive assessment of an adult's functional, medical, psychosocial, and cognitive…

  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 · Past Non-Compliance
• Potential for harm · E2024-06-07 · tag F0609 — failed to report abuse allegations — pattern
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility staff failed to report incidents to the State Agency (SA) in which the management received an allegation of employee-to-resident abuse/neglect and submit a five day follow-up report (a report detailing the facility's investigation, conclusion, and corrections for incidents reported to the SA) for 5 residents (R #28, #45, #56, #133, and #134) of 7 (R #20, #27, #28, #45, #56, #133 and #134) residents reviewed for abuse. If the facility fails to report incidents and follow-ups to the SA, then it could likely impact the safety and well-being of the residents. The findings are: Resident #133 A. Record review of the nursing progress notes for R #133, dated on 01/08/24, indicated Nurse #7 informed Nurse #8 she could not find R #133 in the facility. Nurse #8 notified the Assistant Director of Nursing (ADON) that R #133 was missing for several hours. R #133 entered the facility smelling of alcohol. A blood alcohol content (BAC; a test to determine the amount of alcohol in a person's bloodstream. A blood alcohol content of 0.08% or greater…

  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 · Ecited before2024-06-07 · tag F0658 — failed to meet professional standards of care — pattern
  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 record review and interview, the facility failed to meet professional standards of quality for any of the residents who resided on 100, 200 hallways.This deficient practice could cause any of the residents on those two hallways to not have their needs met, which could cause issues like skin breakdown, infections, falls, and dehydration. The findings are: A. Record review of the nursing progress notes for R #133, dated on 01/08/24, indicated Nurse #7 informed Nurse #8 she could not find R #133 in the facility. Nurse #8 notified the Assistant Director of Nursing (ADON) that R #133 was missing for several hours. R #133 entered the facility smelling of alcohol. A blood alcohol content (BAC; a test to determine the amount of alcohol in a person's bloodstream. A blood alcohol content of 0.08% or greater would indicate legally intoxicated) was completed, and R #133 had a BAC of 0.209%. Nurse #8 also notified the Assistant Director of Nursing (ADON) that Certified Nursing Assistant (CNA) #5 was missing for several hours. B. Record review of a statement by CNA #8, dated 01/08/24,…

  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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-06-07 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to keep residents free from accidents for 2 (R #14 and R #58 ) of 2 (R #14 and R #58) residents reviewed when staff failed to: 1. Ensure R #14's fall mat (a safety feature placed along the side of the bed to prevent injury) was picked up when the resident was not in bed. 2. Ensure staff checked placement of the wanderguard for R #58. These deficient practices could likely result injury or death to residents due to tripping on the floor mats and eloping from the facility. The findings are: A. Record review for R #14's face sheet, dated 06/04/24, revealed she was admitted to the facility on [DATE] for multiple diagnoses including but not limited to: - Cerebral infarction due to thrombosis of right posterior cerebral artery (Stroke due to a blood clot). - Abnormal posture (rigid body movements and chronic abnormal positions of the body). - Unsteadiness on feet. - Muscle weakness. - Pain, unspecified. - Wedge compression fracture of T9 T10…

  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 · Dcited before2024-06-07 · tag F0554 — isolated
  Allow residents to self-administer drugs if determined clinically appropriate.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based observation, record review, and interview the facility failed to have the Interdisciplinary Team (IDT; a facility team composed of various professionals who review and determine resident needs and abilities) determine if residents could self-administer medication for 1 (R #73) of 1 (R #73) residents randomly sampled. This deficient practice is likely to result in residents self-administering medication inappropriately or incorrectly which could cause harm. The findings are: A. Record review of R #73's care plan, dated 05/05/24, revealed the plan did not state the resident could self-administer medication. B. Record review of R #73's active physician's orders, as of 06/04/24, revealed the resident did not have an order for self-administering medications. C. On 06/04/24 at 8:55 am, during an observation, R #73 ate her breakfast while lying in bed. R #73 took a medication cup with five tablets in it and swallowed the medication one at a time. Further observation revealed staff members were not present inside the resident's room or outside her door. D. On 06/04/24 at 9:00 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-06-07 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  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 develop a comprehensive, person-centered plan which included information about fall interventions used for 1 (R #14) of 1 (R #14) residents reviewed for care plans. This deficient practice could likely result in residents not receiving the care needed to reach their highest practicable level of wellbeing. The findings are: A. Record review for R #14's face sheet, dated 06/04/24, revealed she was admitted to the facility on [DATE] for multiple diagnoses including but not limited to: - Cerebral infarction due to thrombosis of right posterior cerebral artery (Stroke due to a blood clot). - Abnormal posture (refers to rigid body movements and chronic abnormal positions of the body). - Unsteadiness on feet. - Muscle weakness. - Pain, unspecified. - Wedge compression fracture of T9 T10 vertebra (a type of compression fracture that occurs when one side of your vertebrae collapses and creates a wedge shape). - Wedge encounter compression fracture of T9 T10…

  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 · Ecited before2024-03-05 · tag F0880 — failed to prevent and control infections — pattern
  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 when staff failed to ensure collection bags are kept off the floor for 2 (R #1 and R #2) of 3 (R #1, R #2, and R #3) residents. If the facility is not using proper infection control practices the residents are likely to acquire infections. The findings are: A. Record review of the facility policy, Catheter-Care of, revised 06/20, revealed staff instructed to take care to ensure the collection bag does not touch the floor at any time. B. Record review of labs of R #1's cultures obtained of his urine revealed pseudomonas putida (an uncommon cause of skin and soft tissue infections. It is often associated with trauma or immunocompromised state) and enterococcus faecalis (species can cause a variety of infections, including urinary tract infections) organisms grew in his urine. C. Record review of R #1's physician orders revealed R #1 an order, dated 03/02/24, for ciprofloxacin HCI (antibiotic that treats infections) oral tablet, 500 milligrams (MG), twice daily for seven…

  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

“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.

Fines & penalties

$105,228 in federal fines across 4 penalties. 1 Medicare payment denial on record.

• $19,615 — penalty dated 2026-04-09
• $17,345 — penalty dated 2025-09-18
• $15,931 — penalty dated 2024-12-18
• $52,337 — penalty dated 2024-06-07
• Medicare payment denial — starting 2025-12-09 for 37 days

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 →

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

CMS files one row per role, so the 29 rows in the source record cover these 24 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.

15 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.

About 77% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $3.3M paid to related parties — landlords or management companies under common ownership — equal to about 26% 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

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