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Lovington Healthcare LLC

1600 West Avenue I, Lovington, NM 88260 · For profit - Corporation · 62 certified beds · (575) 396-5212 Medicare & Medicaid certified

Call the home — (575) 396-5212 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0602) — cited Jan 2024
Insights

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

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • no federal fines or payment denials on record
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • it has an abuse, neglect, or exploitation citation (F0602), cited Jan 2024
  • a high number of inspection citations overall (32) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its payroll-based staffing rating is low (2/5)
  • nursing-staff turnover (58%) runs well above the national median (45%)
  • about 27% 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.

3/5
CMS overall
3 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 2 of 5
Quality measuresSelf-reported by the facility 4 of 5

Location & what’s nearby

Hospital
Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
511 E Madison Ave · (575) 396-8984 · Call to confirm hours
Pharmacy
123 W Avenue A · (575) 396-2311 · Call to confirm hours
Grocery
1101 W Avenue O
Park
Avenue D @ 7th St · 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 4 to 2 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 rating2★
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 increased7.0%11.3%15.4%better
Long-stay residents who lose too much weight3.2%4.0%5.4%better
Long-stay residents with a catheter left in their bladder0.8%0.9%0.9%better
Long-stay residents with a urinary tract infection0.0%0.9%2.0%better than state — see note marked double-dagger below the table
Long-stay residents with depressive symptoms0.0%2.0%6.5%check this — see note marked star 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 injury1.9%3.5%3.3%better
Long-stay residents whose ability to walk worsened4.1%11.7%16.1%better
Long-stay residents on antianxiety or hypnotic medication19.9%14.7%18.9%typical
Long-stay residents given the seasonal flu vaccine100.0%98.7%95.3%typical
Long-stay residents with pressure ulcers4.3%5.2%4.7%typical
Long-stay residents with worsening bladder/bowel control21.5%20.0%21.2%typical
Long-stay residents who got an antipsychotic medication — see the note below the table9.6%14.5%17.1%better
Short-stay residents who newly got an antipsychotic medication0.0%1.1%1.4%better
Short-stay residents given the seasonal flu vaccine100.0%86.4%79.4%better
Short-stay residents rehospitalized after admission24.5%22.0%22.6%typical
Short-stay residents with an outpatient ER visit20.2%15.7%12.0%worse
Long-stay hospitalizations per 1,000 resident days1.571.651.67typical
Long-stay outpatient ER visits per 1,000 resident days4.642.811.80worse

* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.

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.

44.1% 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 53 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

44.1%U.S. median 51.5%
Got home and stayed home
13.0%U.S. median 10.7%
Went back to hospital
80.0%U.S. median 56.6%
Met the expected recovery
0.37U.S. median 0.31
Therapy hours / resident / day
0.26hours / resident / day
Physical therapy
0.11hours / resident / day
Occupational therapy
0.01hours / resident / day
Speech therapy

Met the expected recovery: 80.0% 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 30 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 0.37 therapist hours per resident per day in 2026Q1 — more than 63% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 28% 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 SNF44.1%CMS range 31.4–55.151.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF13.0%CMS range 9.3–18.310.7%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 discharge80.0%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 discharge76.7%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 discharge73.3%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 identified85.5%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 dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay1.9%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 worsened3.7%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 hospitalization8.2%CMS range 5.0–12.27.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.591.02Oct 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

0.38
RN hours/ resident / day
0.98
LPN hours/ resident / day
1.70
Aide hours/ resident / day
3.06
Total nurse hours/ resident / day
0.24
RN hoursweekends
57.7%
Total nursing turnover
33.3%
RN turnover

How full it usually is: this home is certified for 62 beds and averages 56.0 residents a day — about 90% 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 3.06 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.38 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.70 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 2.70 hrs/resident/day on weekends vs 3.20 on weekdays — 16% thinner on weekends. RN hours go from 0.44 to 0.24 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 58% 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

7
deficiencies at the latest standard inspection (2025-05-07)
14
at the previous standard inspection (2024-03-29)

Deficiencies are fewer than at the previous inspection — improving. 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.

32 citations, most serious first. The 10 most serious are shown; the remaining 22 are one tap away and print in full.

  • Potential for harm · Fcited before2025-11-25 · tag F0732 — widespread
    Post nurse staffing information every day.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview, the facility failed to post nurse staffing data on a daily basis at the beginning of the shift that included the following: 1. Facility name. 2. The current date. 3. The total number and the actual hours worked by the following categories of licensed and unlicensed nursing staff directly responsible for resident care per shift: 1. Registered nurses. 2. Licensed practical nurses. 3. Certified nurse aides. 4. Resident census. This deficient practice has the potential to affect all 58 residents as identified by the census provided by the Administrator on 11/25/25 and could likely result in residents and visitors not having the staffing information readily available. The findings are: A. On 11/25/25 at 10:48 AM, during observation of the main entrance, the nurse staffing data was dated 11/24/25 and was not posted for the current day. B. On 11/25/25 at 10:50 PM, during an interview with the Minimum Data Set (MDS; a federally mandated assessment instrument completed by facility staff) Coordinator, she confirmed the nursing staff data should be posted…

    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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2025-11-25 · tag F0761 — failed to label and store drugs safely — pattern
    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 — the official record, unedited, may be distressing

    Based on observation and interview, the facility failed to ensure safe medication storage practices by not ensuring the medication cart was locked while unattended. This deficient practice has the potential to affect all 17 residents residing on the 300 hall as identified by the census provided by the Administrator on 11/25/25. If the facility does not ensure safe storage practices, then residents are at risk for unauthorized persons to have access to medications and adverse effects due to improper storage. The findings are: A. On 11/25/25 at 12:15 pm, during an observation of the facility, the medication cart located near the 300 hall was found unlocked and unattended.B. On 11/25/25 at 12:17 pm, during an interview with the facility scheduler, she confirmed the medication cart near nursing station was not locked and should be locked anytime it is unattended.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2025-11-25 · tag F0921 — failed to keep a safe, functional, sanitary building — pattern
    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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interview, the facility failed to ensure the hallway in the 300 hall was accessible for residents. This deficient practice is likely to affect all 17 residents residing on the 300 hall as identified on the resident census provided by the Administrator on 11/25/25. This deficient practice could likely result in residents living in an unsafe environment, could increase their risk for injuries, and decrease their quality of life. The findings are: A. On 11/25/25 at 10:30 am, a random observation of the 300 hall revealed the following: 1. Three large boxes (one with a picture of a toilet on it) piled on top of each other with other pieces of cardboard and what appeared to be packaging material sticking out of the top and sides in the hall near room [ROOM NUMBER].2. A large box with a picture of a toilet on it, on the floor in the hall near room [ROOM NUMBER].3. A toilet on the floor in the hall near room [ROOM NUMBER]. B. On 11/25/25 at 10:41 am, during an interview with the facility…

    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 · Fcited before2025-05-07 · 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

    Based on observation and interview, the facility failed to ensure food was prepared and served under sanitary conditions when staff failed to: 1. Follow safe food handling practices. 2. Properly label food items in the refrigerator. 3. Properly wear hair nets while in the kitchen. These deficient practices are likely to affect all 59 residents listed on the resident census list provided by the Administrator on 05/03/25 and are likely lead to foodborne illnesses in residents if safe food handling practices are not adhered to and stored properly. The findings are: A. On 05/03/25 at 12:35 pm, an observation of dining revealed transportation personnel (TP) #1 improperly serving residents cups by touching the rim with his bare hands. B. On 05/03/25 at 12:40 pm, during an interview with the MDS Coordinator (MDS), she confirmed TP #1 should not handle residents cups by the rim, the expectation is that staff serve and handle cups by gasping around the sides and avoiding to touch the rim. C. On 05/03/25 at 11:00 am, an observation of the kitchen revealed a drink pitcher filled with brown…

    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 · E2025-05-07 · tag F0657 — failed to keep the care plan current — pattern
    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, record review, and interview, the facility failed to ensure staff revised the care plan for 5 (R #4, R #10, R #14, R #15, and R #28) of 5 (R #4, R #10, R #14, R #15, and R #28) residents reviewed when staff failed to: 1. Revise R #4's care plan to include information regarding mobility bars (safety devices designed to provide additional support and stability for people with limited mobility or balance), 2. Revise R #10's care plan to include information regarding positioning rails (rails used to assist in maintaining an object's location or position), 3. Revise R #14's care plan to remove information regarding positioning rails, 4. Revise R #15's care plan to remove information regarding pain interventions, 5. Revise R #28's care plan to remove information regarding psychotropic medication when the medication was discontinued. These deficient practices are likely to result in residents' care and needs not being addressed if care plans are not updated. The findings are: R #4 A. Record review…

    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 before2025-05-07 · tag F0921 — failed to keep a safe, functional, sanitary building — pattern
    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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interview, the facility failed to ensure the hallway in the 100 hall was accessible for residents. This deficient practice is likely to affect all 22 residents residing on the 100 hall as identified on the resident census provided by the Administrator on 05/03/25. This deficient practice could likely result in residents living in an unsafe environment, could increase their risk for injuries, and decrease their quality of life. The findings are: A. On 05/03/25 at 1:00 pm during a random observation of the 100 hall revealed the following: 1. A mechanical lift on the right side of the hallway near rooms [ROOM NUMBERS], 2. A mechanical lift on the left side of the hallway near rooms [ROOM NUMBERS], 3. A housekeeping cart on the right side of the hallway near the shower room and room [ROOM NUMBER], 4. A medication cart on the left side of the hallway near rooms [ROOM NUMBERS]. B. On 05/04/25 at 9:00 am during a random observation of the 100 hall revealed the following: 1. A mechanical lift on…

    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 · D2025-05-07 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure the Pre-admission Screening and Resident Review (PASRR; a screening to help ensure that individuals are not inappropriately placed in nursing homes for long term care) assessment was accurate for 1 (R #36) of 2 (R #36 and R #40) residents reviewed for PASRR accuracy. This deficient practice is likely to result in the residents not receiving the services they need. The findings are: A. Record review of R #36's face sheet revealed R #36 was admitted to the facility on [DATE] with the following diagnoses: 1. Major depressive disorder (depression; a mood disorder that causes a persistent feeling of sadness and loss of interest), 2. Post-traumatic stress disorder (PTSD; a mental health condition triggered by a terrifying event, causing flashbacks, nightmares, and severe anxiety), 3. Schizoaffective disorder (a mental condition that causes both psychosis and mood problems), bipolar type (a disorder associated with episodes of mood swings). B. Record…

    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 before2025-05-07 · 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, observation, and interview, the facility failed to develop comprehensive a care plan for 1 (R #214) of 1 (R #214) resident reviewed when staff failed to develop a comprehensive care plan for oxygen therapy. This deficient practice is likely to result in staff not being aware of the residents' care needs and preferences, and residents not receiving the needed care. The findings are: A. Record review of R #214's face sheet revealed she was admitted to the facility on [DATE] with the following diagnoses: 1. Chronic Obstructive Pulmonary Disease with (Acute) Exacerbation (a progressive lung disease that makes it difficult to breathe with worsening symptoms, typically lasting for several days, requiring changes in treatment), 2. Pleural Effusion (a condition where excessive fluid accumulates the area between the lungs and the chest wall), 3. Acute And Chronic Respiratory Failure with Hypoxia (respiratory failure involving a condition where the body doesn't get enough oxygen), 4. Anxiety…

    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 · D2025-05-07 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observation, and interview, the facility failed to provide respiratory care in accordance with professional standards for 1 (R #214) of 2 (R #23, and R #214) residents reviewed for respiratory care when the facility failed to ensure there was a physician order for use of oxygen. This deficient practice is likely to result in residents' care and needs not being met if staff are not aware of the indication for use. The findings are: A. Record review of R #214's face sheet revealed she was admitted to the facility on [DATE] with the following diagnoses: 1. Chronic Obstructive Pulmonary Disease with (Acute) Exacerbation (a progressive lung disease that makes it difficult to breathe with worsening symptoms, typically lasting for several days, requiring changes in treatment), 2. Pleural Effusion (a condition where excessive fluid accumulates the area between the lungs and the chest wall), 3. Acute And Chronic Respiratory Failure with Hypoxia (respiratory failure involving a condition where 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 · Dcited before2025-05-07 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to maintain proper infection prevention measures by not changing the oxygen tubing and cannula as ordered and having unbagged oxygen tubing and cannulas on the floor and on the back of wheelchairs for 2 (R #5 and R #21) of 3 (R #5, R #21, and R #35) residents reviewed. This deficient practice could likely cause the spread of infections and illnesses to the residents. The findings are: R #5 A. Record review of R #5's admission record revealed that he was admitted to the facility on [DATE] with the following diagnoses: 1. Chronic Obstructive Pulmonary Disease (COPD; respiratory disease), 2. Anxiety Disorder (fear and worry that interferes with daily activities), 3. Anemia (not enough hemoglobin (a protein in red blood cells that carries oxygen to the lungs to breathe) to carry oxygen to the body's tissues. B. On 05/02/25 at 10:30 am, during an observation of R #5 the oxygen tubing date and time were missing on the concentrator tubing 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
Show the remaining 22 citations
  • Potential for harm · D2025-04-10 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
    Reasonably accommodate the needs and preferences of each 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 observation, record review, and interview, the facility failed to provide reasonable accommodation for resident needs and preferences for 1 (R #1) of 1 (R #1) resident reviewed by not ensuring R #1 had access to his call light and was able to use call light. These deficient practices are likely to result in residents being unable to request assistance, such as needing help with activities of daily living (ADL's) or other acute distress. The findings are: A. Record review of R #1's face sheet revealed R #1 was admitted into the facility on [DATE]. B. Record review of R #1's Electronic Health Record (EHR), revealed R #1 was admitted with the following diagnoses: 1. Unspecified sequelae (condition which is the consequence of a previous disease or injury) of cerebral infarction (stroke). 2. Hemiplegia (condition characterized by paralysis (loss of voluntary muscle control) on one side of the body) and hemiparesis (weakness or paralysis on one side of the body) following cerebral infarction affecting right…

    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 · D2025-02-13 · tag F0583 — failed to protect personal privacy — isolated
    Keep residents' personal and medical records private and confidential.
    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 privacy during personal care for 1 (R #1) of 1 (R #1) residents reviewed for privacy when staff failed to pull the privacy curtain closed allowing his roommate full view of R #1's body parts. This deficient practice likely caused R #1 to feel ashamed and embarrassed. The findings are: A. Record review of R #1's care plan dated 01/24/25 revealed R #1 has a reopened pressure ulcer stage (PU; an injury to skin and underlying tissue resulting from prolonged pressure on the skin), Stage 3 (full thickness skin loss that extends into deeper tissue and fat but not into muscle, tendon, or bone) to his right buttock. B. On 02/13/25 at 2:10 pm, during an interview with R #1's daughter, she stated that her father was always a proud man and would be embarrassed with other people, like his roommate, seeing his body parts. C. On 02/13/25 at 4:07 pm, a wound care observation with R #1 revealed the following: 1. Registered Nurse (RN) #1 entered R #1's room and closed the door behind her. 2. R #1's roommate was in 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 Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-05-16 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to meet professional standards of quality for 1 (R #1) of 1 (R #1) residents when staff failed to: 1. Reposition R #1 in accordance with her care plan. 2. Communicate among staff and document when R #1 was repositioned. If the facility is not repositioning a resident per their care plan then residents are likely to not receive the therapeutic benefits and care needed. The findings are: A. Record review of R #1's face sheet revealed R #1 was admitted into the facility on [DATE] with the following diagnoses: 1. Stroke. 2. Muscle weakness. 3. Dysphagia (condition with difficulty in swallowing food or liquid). B. Record review of R #1's care plan, dated 05/15/24, revealed the following: - Focus: The resident had potential/actual impairment to skin integrity related to fragile skin. - Interventions: Educate resident/family/caregivers of causative factors and measure to prevent skin injury. Turn resident using the clock for repositioning. C. On…

    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 · E2024-05-16 · tag F0842 — failed to keep accurate, complete medical records — pattern
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted 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 record review and interview, the facility failed to ensure the medical record was accurate for 2 (R #1 and #2) of 2 (R #1 and #2) residents reviewed, when staff failed to document when a resident's tube feeding solution was changed and when a resident was provided hydration via a tube feed. This deficient practice is likely to result in staff confusion as to the services and treatment provided. The findings are: R #1: A. Record review of R #1's face sheet revealed R #1 was admitted into the facility on [DATE] with the following diagnoses: 1. Stroke (a medical emergency that can cause brain damage and disability). 2. Muscle weakness. 3. Dysphagia (condition with difficulty in swallowing food or liquid). B. Record review of R #1's physician orders, dated 02/09/24, revealed the following: - An order for enteral (involving or passing through the intestine, either naturally via the mouth and esophagus, or through an artificial opening) feed every shift. Jevity 1.5 (specialized nutritional formula) at 55…

    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 · D2024-05-16 · tag F0697 — failed to manage pain — isolated
    Provide safe, appropriate pain management for a resident who requires such services.
    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 effectively manage pain for 1 (R #3) of 1 (R #3) residents reviewed for pain when staff did not provide pain treatment. This deficient practice likely resulted in R #3 experiencing long periods of pain without sufficient relief. The findings are: A. Record review of R #3's face sheet revealed R #3 was admitted to the facility from the hospital on [DATE] at approximately 7:00 pm and was discharged home on [DATE] at 11:40 am. B. Record review of R #3's hospital discharge orders, dated 05/09/24 at 2:24 pm, revealed a discharge medication order for hydrocodone-acetaminophen tablet (opioid pain medication), 5-325 milligram (mg). One tablet, orally, every eight hours as needed. C. Record review of R #3's physician orders, dated 05/09/24 at 7:15 pm, revealed an order for hydrocodone-acetaminophen, 5-325 mg. Give one tablet by mouth every eight hours as needed for pain. D. Record review of R #3's pain evaluation form, dated 05/09/24 at 11:29 pm, revealed 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2024-03-29 · tag F0732 — widespread
    Post nurse staffing information every day.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review, observations, and interview the facility failed to: 1. Update the staffing sheets at the beginning of each shift or in a timely manner to reflect the staff working that day. This deficient practice could likely prevent the public as well at the 56 residents identified on the facility census list provided by the Administrator on 03/25/24 from having access to accurate, current, and previous staffing information. The findings are: A. Record review of the posted staffing sheet, on 03/25/24 at 3:49 PM, revealed the following: - Staff documented RN-1 LPN -1 CMA-1 CNA-5 for the day shift; - The data was not in a clear and readable format; -Staff did not update the document with the evening shift staff. B. On 03/26/24 at 8:03 AM, 12:20 PM, and 5:07 PM, record review of the posted staffing sheet remained the same as the staffing sheet on 03/25/24, and the evening shift was not filled out. The staffing post sheet was not updated to reflect the current date. C. On 03/27/24 at 8:00 AM, record review of the posted staff sheet revealed it was dated 03/26/24. D. On…

    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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2024-03-29 · 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 observation and interviews the facility failed to: 1. Ensure opened and accessed (has been used) insulin flex pens (an injectable diabetes medicine that helps control blood sugar levels. This medication helps the pancreas produce insulin more efficiently) were dated as to when they were initially opened by nursing staff. 2. Ensure all expired supplies were not kept with unexpired supplies. These deficient practices are likely to result in all 56 residents, identified on the census list provided by the Executive Director (ED) on [DATE], receiving expired medication that may have lost their potency or effectiveness. The findings are: Findings for Insulin Pens A. On [DATE] at 3:42 pm, an observation of medication cart 100 revealed the following: - A Basagler flex pen (a long-acting insulin that starts to work several hours after injection and keeps working evenly for 24 hours), 100 unit/milliliter (ML) was 1/3 full and belonged to R #7. The insulin pen did not have an open date written on it. - An Ozempic…

    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 before2024-03-29 · 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

    Based on observation, interview, and record review, the facility failed to store and serve food under sanitary conditions in accordance with professional standards of food service safety when staff failed to monitor the internal temperature of food to ensure it is safe for consumption. This failure could likely affect all 56 residents in the facility (residents were identified by the resident matrix provided by the Administrator on 03/25/24) who eat food prepared in the kitchen. The findings are: A. Record review of the posted menu for lunch meal, dated 03/26/24, revealed staff to serve the following: 1. Breaded pork chop with onions, 2. Parslied buttered pasta, 3. [NAME] beans, 4. Garlic toast, 5. Chocolate chip cake, 6. Beverage/Water. B. On 03/26/24 at 12:15 PM, observation of food temperatures taken by the dietary aide (DA) of the lunch meal trays revealed the pork chops measured 129 degrees (°) Fahrenheit (F). C. Record Review of the U.S. Food and Drug Administration (FDA) Food Code, 2022 edition, revealed staff should serve hot foods at an internal temperature of 135° F or…

    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 · Fcited before2024-03-29 · 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, record review, and interview the facility failed to maintain proper infection prevention measures when: 1. Staff did not sanitize hands before or after medication administration to 3 (R #4, 37, 41) of 6 (R #4, 24, 31, 37, 41, 49) residents . 2. Staff did not sanitize blood pressure cuff after using on each 5 (R #4, 24, 31, 37, 49) of 6 (R #4, 24, 31, 37, 41, 49) residents. 3. Oxygen cannula (tubing that is placed in the nostrials that delivers oxygen) on the floor for 1 (R #54) of 1 (R #54) residents. If the facility does not adhere to infection control practices, then residents are likely to be at risk of infection or disease. The findings are: Staff did not sterilize hands during medication pass. A. On 03/26/24 at 08:30 AM during observation of medication administration, Licensed Practical Nurse (LPN) #1 prepared medication for R #4. LPN #1 did not sanitize her hands before preparing the medication or entering residents' room. The LPN entered R #4's room, touched the resident on the arm while applying blood pressure cuff. LPN #1 exited the room and began to…

    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 · F2024-03-29 · tag F0908 — failed to keep essential equipment working — widespread
    Keep all essential equipment working safely.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation and interview, the facility failed to ensure kitchen equipment was in safe operating condition. This failure is likely to cause all residents to not receive meals as scheduled or served food at unappetizing temperatures. The findings are: A. On 03/26/24 at 12:15 PM during observation of the steam table, one section of the steam table did not function. The steam table light was not on, the well dial was set to high, but the water in the steam well was cool to touch. There was not steam in the water well. A pan of pork chops placed in the well measured 129 degrees (°) Fahrenheit (F). B. On 03/25/24 at 1:30 PM, during an interview with the Dietary Director (DD), he confirmed the problems with the steam table.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-03-29 · tag F0623 — pattern
    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 — the official record, unedited, 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 #52) of 1 (R #52) residents sampled for being discharged . This deficient practice could likely result in the Ombudsman not knowing the reason for transfer or location to which the resident was discharged . The findings are: A. Record review of R #52's administration progress note, dated 02/17/24, revealed R #52 was admitted to a hospital on [DATE]. B. Record review of R #52's Discharge Minimum Data Set (MDS; a federally mandated assessment instrument completed by the facility staff), dated 02/17/24, revealed the resident had an unplanned discharge to a short term general hospital. C. On 03/29/24 at 11:23 am during an interview with the DON she confirmed they did not have documentation to show the staff notified the Ombudsman of the resident's transfer from facility.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-03-29 · tag F0755 — failed to provide safe pharmacy services — pattern
    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, interview, and record review, the facility failed to maintain records of controlled substances (drugs subject to strict government control because they may cause addiction) on each medication cart. This deficient practice could cause the likelihood of controlled substances being diverted (a medical and legal concept including the transfer of any illegal prescribed controlled substance from the individual for whom it was prescribed to another person for any illicit use). The findings are: A. On 03/24/24 at 4:05 pm, an observation of the 200 medication cart revealed staff did not sign the narcotic book [a book used to manually track inventories of prescribed medications, tracks the resident's prescription administration, and records when the facility received the medication for each schedule 2 controlled substance (medication with a high potential for abuse and/or addiction) from the pharmacy] to show they counted the medication blister pill cards (single dose pack that have the medication name, pill information, and expiration dates and allows one to count 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-03-29 · tag F0757 — failed to avoid unnecessary drugs — pattern
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    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 they monitored for side effects of medication for 2 (R #56 and R #111 ) of 2 (R #56 and R #111) residents reviewed for unnecessary medications. If the facility is not adequately monitoring for the side effects of the medications prescribed to their residents then residents are likely to be at risk of adverse outcomes. The findings are: R #56 A. Record review of R #56's current physician's orders revealed an order, dated 02/08/24, for clopidogrel bisulfate oral tablet (prevents platelets in the blood from sticking together to form an unwanted blood clot that could block an artery), 75 milligram (MG). Give 75 MG via G-tube (gastro intestinal tube inserted directly into the stomach to provide nutrion) one time a day related to stroke (a brain lesion in which a cluster of brain cells die when they do not get enough blood.) B. Record review of R #56's electronic Treatment Administration Records (ETAR) revealed the following: - February, 2024: Staff did not document they monitored the resident's enoxaparin sodium, an…

    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 · D2024-03-29 · 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 the facility staff) was accurate for 2 (R #25 and R #51) of 2 (R #25 and R #51) residents reviewed for MDS accuracy. This deficient practice could likely result in the facility not having an accurate assessment of resident's care needs. The findings are: R #25 A. Record review of the quarterly MDS for R #25, dated 02/02/24, identified R #25 took an anticoagulant (medication that slows down the process of making blood clots). B. Record review of the Electronic Health Record (EHR) for R #25 revealed the record did not contain an order for an anticoagulant since the resident was admitted to the facility on [DATE]. C. On 03/29/24 at 10:24 am, during an interview with the MDS Coordinator, she stated the MDS for R #25 indicated the resident took an anticoagulant. The MDS Coordinator stated this was an error. She stated R #25 did not have a physician's order R #25 to…

    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 before2024-03-29 · 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 — the official record, unedited, may be distressing

    Based on record review and interview, the facility failed to ensure a comprehensive care plan was developed and implemented within 21 days of readmission for 1 (R #52) of 1 (R #52) residents reviewed for care plans. This deficient practice could likely result in the facility not providing appropriate care and treatment to meet the needs of the residents. The findings are: A. Record review of R #52's care plan, dated 03/22/24, revealed staff marked all items listed as resolved or cancelled. B. On 03/29/24 at 10:24 am, the Minimum Data Set (MDS; a federally mandated assessment instrument completed by the facility staff) Coordinator stated she did not know why staff marked all items in R #52's care plan as resolved or cancelled. The MDS Coordinator stated all items in a care plan should still be effective since they were still pertinent to the resident.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-03-29 · 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 review, observation, and interviews, the facility failed to provide services that meet professional standards when staff failed to: 1. Update diagnosis for the use of a medication ordered for R #47. 2. Follow physicians order regarding liquid consistencies for R #54 These deficient practices are likely to cause residents to aspirate if ordered liquid consistencies are not followed and residents are likely to receive the wrong use of medications if diagnosis are not updated. The findings are: R #47 A. Record review of R #47's face sheet reveals R#47 was admitted to the facility on [DATE] with a diagnosis of anxiety (feeling of worry or unease.) B. Record review of R #47's physician orders, dated 03/20/24, revealed an order for alprazolam oral tablet (a medication used to treat anxiety and panic disorder), 0.5 milligram (mg). Give one tablet via percutaneous endoscopic gastrostomy (PEG) tube (a tube placed in the abdomen to provide nutrition and medications) for the use of insomnia and anxiety. C.…

    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 · D2024-03-29 · tag F0790 — failed to provide dental care — isolated
    Provide routine and 24-hour emergency dental care for each resident.
    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 ensure a resident received dental services for 1 (R #46) of 1 (R #46) residents reviewed for dental care. This deficient practice could likely result in residents experiencing tooth decay, tooth pain, and difficulty chewing. The findings are: A. During an interview with R #46 on 03/26/24 at 10:07 am, she stated her top dentures have been missing, and she told the facility's administrator but could not remember when she told her. B. During an observation on 03/26/24 at 10:01 am, R #46 had several missing teeth and did not wearing dentures. C. Record review of R #46's care plan, revised on 10/09/23, stated the resident had upper and lower dentuers and was at risk for difficulty chewing, malnutrition, and dehydration. D. Record review of R #46's electronic health record revealed a dental note, dated 12/12/23, which stated a follow-up appointment was needed for upper mouth dentures. E. On 03/29/24 at 10:46 am during an interview, the Social Services Director (SSD) stated the resident should have went to 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 · D2024-03-29 · tag F0805 — failed to prepare food in a form residents can eat — isolated
    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
    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 that 1 (R #40) of 3 (R #40, R #46 and R #48) residents reviewed for food and drink were provided food and drink prepared in a form designed to meet the residents needs. This deficient practice is likely to negatively impact a resident not eating or having trouble with swallowing during mealtimes. The findings are: R#40 A. Record review of R #40's medical record revealed the resident had a diagnosis of dysphagia (difficulty with swallowing foods or liquids). B. On 03/25/24 at 5:00 PM, during an observation of the Dining Room, R#40 sipped his drink through a straw and had difficulty swallowing. The Occupational Therapy Director (OTD) noticed the consistency of the drink and added more thickener (a powder substance that thickens the consistency of liquids in order to prevent choking and it is recommended for residents who have difficulty with swallowing) to the drink. C. On 03/25/24 at 5:20 PM during an interview with the OTD, she stated R #40 had an order for extremely thick, pudding like drink…

    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 · D2024-03-29 · tag F0887 — isolated
    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
    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 staff offered COVID-19 (a highly infectious viral disease) vaccinations to 3 (R #7, R #50, and R #34) out of 5 (R #7, R #50, R #34, R #20, and R #46) residents reviewed for COVID-19 vaccines. This deficient practice could likely result in residents at risk for exposure to COVID-19 related infections. The findings are: R #7 A. Record review of R #7's Electronic Health Record (EHR) revealed staff did not offer the resident a COVID-19 vaccination. B. On 03/29/24 at 9:36 am during an interview with Director of Nursing (DON), she stated R #7 declined the vaccination, but she was unable to provide documentation of the declination. C. On 03/29/24 at 11:06 am during an interview, R #7 stated she did not decline the COVID-19 vaccination. She said she never said that. R #50 D. Record review of R #50's EHR revealed the resident received the first dose of the COVID-19 vaccine on 10/05/23. The EHR did not indicate R #50 received a second dose. E. During an interview on 03/29/24 at 9:36 am with the DON and the Infection…

    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 · D2024-01-09 · 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

    Past Non-Compliance Based on record review and interview the facility failed to prevent misappropriation of resident's money for 1 (R #1) of 1 ( R#1) resident reviewed for exploitation when R #1 had $200 go missing from his jacket pocket after he observed Certified Nurse Aide (CNA) unzipping his jacket pocket. This deficient practice likely resulted in the resident feeling frustrated and having anxiety of his personal belongings not being safe in his room. The findings are: A. Record review of R #1's face sheet revealed R #1 was admitted to facility on 06/03/22. B. Record review of the facility incident report dated 11/13/23 revealed On the night of 11/11/2023, the resident [R #1] was in his room, waiting to be laid down. The resident states he had $110 cash in his jacket pocket, his license, and 2 credit cards. The resident states after the aide removed his jacket, he saw her in his mirror messing around with his jacket. The resident states the aide laying him down unzipped his jacket pocket, he asked her to zip it back up. On 11/12/2023, the resident noticed the money and credit…

    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 · Past Non-Compliance
  • No harm found · Ccited before2023-02-23 · tag F0732 — widespread
    Post nurse staffing information every day.
    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: 1) Post the staffing form in a prominent place that is readily accessible to residents and visitors for the facility's Posted Staffing List. 2) Update the list within 2 hours of the beginning of each shift to reflect the staff actually working and not just scheduled. These deficient practices could likely prevent the public as well as the 62 (1 - 62) residents identified on the facility census list provided by the Administrator on 02/19/23 to not have access to accurate, current and previous staffing information. The findings are: A. During entrance of the facility on 02/19/23 at 9:30 am, it was observed that the staffing list was only in the entrance area of the building; it was filled out for the complete day (both shifts: 7 am to 7 pm and 7 pm to 7 am) to reflect staff who had not come on shift yet; and did not reflect any Registered Nurses (RN) for either shift. B. Record review of the Nursing Schedule for 02/19/23 revealed 1 Licensed Practical Nurse (LPN) and 1 Certified Medication Aide (CMA) listed on…

    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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • No harm found · C2023-02-23 · tag F0868 — widespread
    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
    What the surveyor found here — the official record, unedited, may be distressing

    Based on record review and interview, the facility failed to have the necessary minimum committee members (Medical Director, Administrator, Director of Nursing, Infection Preventionist, and two other staff) for 1 of the 4 required Quality Assurance Performance Improvement (QAPI) meetings. This failure could likely affect all 62 (1 - 62) residents identified on the census presented by the Administrator on 02/19/22. By not having the required committee members at the quarterly QAPI meetings, issues may not be discovered or may be delayed in the care and improvements for the residents. The findings are: A. Record review of facility 3rd quarter 2022 meeting sign-in sheet revealed that the facility failed to have an Infection Preventionist attend the meeting. B. On 02/23/23 at 12:20 pm, during an interview the Administrator stated that the facility did not have an Infection Preventionist during that month of September and therefore was not in attendance during the 3rd quarter QAPI meeting. The Administrator stated that the facility does now have a preventionist on staff.

    Administration Deficiencies · Past Non-Compliance

“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

No federal fines in the current CMS record.

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 3 of 52.3+0.7 vs chain
Health inspection 3 of 52.2+0.8 vs chain
Staffing 2 of 51.7+0.3 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
1600 LOVINGTON OPCO HOLDINGS, LLCOrganizationDIRECT OWNERSHIP INTERESTsince 05/07/2019
BRAZOS 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
HARRISON, CINTHIAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/10/2024
STOLARCZYK, LISAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/07/2024
DAVIDOVICH, NIVIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 07/25/2025
GURWITZ, SOLOMONIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 07/25/2025
HAGINS, ELIZABETHIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 07/25/2025
KAPLAN, ESTHERIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 07/25/2025
KAPLAN, MORDECHAIIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 07/25/2025
MINDLE, ADAMIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 07/25/2025
STERNSHEIN, JENNIFERIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 07/25/2025
UNGER, JEFFREYIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 07/25/2025
ZIMMERMAN, CAROLINEIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 07/25/2025
1600 W AVE I 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.

$8.2M
Net patient revenuemost recent cost report
-8.8%
Operating marginrevenue minus expenses
$2.4M
Related-party expense27% of expenses
Who pays — share of resident-days
Medicaid 82%Medicare 10%Other / private 8%

About 82% 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 $2.4M paid to related parties — landlords or management companies under common ownership — equal to about 27% 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

$418per resident / day
operating cost
$12,707per month
≈ monthly operating cost
$384per 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 325057. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-05-07, 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.

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