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Miners Colfax Medical Center

900 South 6th Street, Raton, NM 87740 · Government - State · 37 certified beds · (575) 445-4544 Medicaid only — no Medicare

Call the home — (575) 445-4544 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Resident-funds citation (F0565)
Insights

The public record raises real questions here. Weigh the concerns below carefully.

In its favor
  • a strong health-inspection score (5/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
  • no federal fines or payment denials on record
  • a high payroll-based staffing rating (5/5)
Worth asking about
  • it has a citation for mishandling residents’ money or property (F0565)
  • a high number of inspection citations overall (16) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags

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.

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

Location & what’s nearby

Hospital
Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
911 Robinson Ave · (719) 845-4800 · Call to confirm hours
Pharmacy
1279 S 2nd St · (575) 245-6372 · Call to confirm hours
Grocery
1265 S 2nd St · (575) 445-2331 · Call to confirm hours
Park
Legion Dr · (575) 445-2413 · 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 5 of 5
Long-stay residentspeople who live here 5 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 held steady at 5 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 rating5★
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 increased11.1%11.3%15.4%better
Long-stay residents who lose too much weight2.2%4.0%5.4%better
Long-stay residents with a catheter left in their bladder12.5%0.9%0.9%worse
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 injury1.1%3.5%3.3%better
Long-stay residents whose ability to walk worsened6.8%11.7%16.1%better
Long-stay residents on antianxiety or hypnotic medication4.3%14.7%18.9%better
Long-stay residents given the seasonal flu vaccine100.0%98.7%95.3%typical
Long-stay residents with pressure ulcers2.3%5.2%4.7%better
Long-stay residents with worsening bladder/bowel control9.3%20.0%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table0.0%14.5%17.1%check this — see note marked star below the table

* 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.

Staffing

1.68
RN hours/ resident / day
0.44
LPN hours/ resident / day
2.54
Aide hours/ resident / day
4.66
Total nurse hours/ resident / day
1.16
RN hoursweekends
44.4%
Total nursing turnover
70.0%
RN turnover

How full it usually is: this home is certified for 37 beds and averages 24.3 residents a day — about 66% occupied, or roughly 13 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. 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 4.66 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.68 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.54 is at or above 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 4.14 hrs/resident/day on weekends vs 4.87 on weekdays — 15% thinner on weekends. RN hours go from 1.89 to 1.16 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 44% is about the same as the national median of 45%.

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

Inspection trend

6
deficiencies at the latest standard inspection (2025-05-15)
5
at the previous standard inspection (2024-04-25)

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.

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.

16 citations, most serious first. The 10 most serious are shown; the remaining 6 are one tap away and print in full.

  • Potential for harm · F2025-05-15 · tag F0756 — failed to review each resident's drug regimen — widespread
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure that 5 (R #6, 8, 10, 17, and 22) of 5 5 (R #6, 8, 10, 17, and 22) residents medication regimen was reviewed by a licensed pharmacist. That the licensed pharmacist documented any recommendations or changes to each resident's medication regimen and that the physician reviewed these recommendations and submitted a written response to accept or reject these recommendations. These deficient practices could likely result in residents receiving medications that are no longer necessary and may cause unnecessary drug interactions and adverse side effects. The findings are: R #6 A. Record review of R #6 face sheet dated 05/14/25 revealed he was admitted to the facility on [DATE] with multiple diagnoses. B. Record review of R #6's physician orders revealed multiple medication orders started on various dates. C. Record review of R #6's medical record including his electronic medical record (EMR) and his paper medical record (PMR) from 06/01/24 to 05/15/25…

    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 before2025-05-15 · 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 staff interview, the facility failed to store and serve food under sanitary conditions when staff failed to ensure: 1. Proper labeling and dating of food items in the kitchen freezer. 2. Inadequate food storage practices including leaving box of white rice open to air. 3. Employees wore appropriate hair restraints. These deficient practices are likely to affect all 23 residents listed on the census provided by the Administrator on 05/12/25 and may lead to foodborne illnesses in residents if proper food storage and safe food handling practices are not adhered. A. On 5/12/2025 at 2:00 PM, during an observation of the kitchen revealed one twenty-five-pound box of white rice was left open to air and stored on a shelf in the dry storage area. B. On 05/12/2025 at 2:07 PM during an interview, the Dietary Manager (DM) confirmed that the box of rice was left open and stated it should have been sealed for proper storage. C. On 05/13/2025 at 4:43 PM during an observation of the kitchen revealed two five-pound bags of frozen blueberries stored in freezer #1 without…

    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 · Ecited before2025-05-15 · 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 2 (R #'s 1 and 18) of 2 (R #'s 1 and 18) residents reviewed when staff failed to: 1. Update R #1's plan of care to include skin irritation (itchiness) that required topical skin medication/lotion. 2. Update R #18's plan of care to include Albuterol (medication used to prevent and treat wheezing and difficulty breathing) use via a nebulizer (oral medical device used for producing a fine spray of liquid), and storage of nebulizer. 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 #1: 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 physician orders dated 03/06/25 revealed R #1 was prescribed [NAME] External Lotion 0.5-0.5 % (percent), apply to legs topically as needed for itching. C. Record review of R #1's nursing progress notes…

    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 before2025-05-15 · 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 comprehensive assessment of a resident's functional, medical, psychosocial and cognitive assessment completed by facility staff) was accurate for 1 (R #13) of 1 (R #13) resident reviewed for anticoagulant (blood thinner) medication use. This deficient practice could result in a failure to provide adequate care and treatment of the resident's needs. The findings are: A. Record review of R #13's face sheet revealed R #13 was admitted into the facility on [DATE]. B. Record review of R #13's physician's orders revealed the following: 1. 01/26/24: Aspirin (analgesic medication used to relieve pain) 81 mg (milligram) oral tablet one time a day. 2. 01/26/24: Clopidogrel (antiplatelet used to prevent platelets or blood cells from clumping together to form a clot) 75 mg one time a day. - R #13 was not prescribed an anticoagulant medication. C. Record review of R #13's latest MDS Section O- Special…

    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 before2025-05-15 · 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 observation, record review, and interview, the facility failed to provide a quality care that meets professional standards for 2 (R #3 and R #41) of 2 (R #3 and R #41) residents when the facility failed to: - Obtain physician orders prior to providing oxygen (O2) and having O2 equipment readily available in a resident's room. - Obtain physician orders for over the counter medicaiton (OTC; medications sold to individuals without a prescription) and for the resident to self-administer medication. If the facility is not obtaining physician orders for medications and treatments, then the physician and staff may be unaware of the potential for medication interactions, overdosing, or side effects. The findings are: R #3 A. Record review of R #3's face sheet revealed R #3 was admitted into the facility on [DATE]. B. Record review of R #3's physician orders reviewed on 05/13/25, revealed no physician order for O2 use. C. Record review of R #3's care plan reviewed on 05/13/25, revealed O2 use was not care…

    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 · D2025-05-15 · tag F0761 — failed to label and store drugs safely — isolated
    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, interviews, and record review, the facility failed to ensure medications, including over the counter medications (OTC; medications sold to individuals without a prescription), were not accessible to all residents located on the [NAME] Hall. This deficient practice could result in impairment or decline in a resident's mental or physical condition if a resident came in contact with the medications. The findings are: A. On 05/12/25 at 3:52 PM, during an observation, the cabinet located R #41's room contained the following: - Bacitracin zinc ointment (OTC antibiotic), - Bigeloil topical pain gel (OTC pain relief gel), - Lidocaine ointment (OTC anesthetic.) B. Record review of R #41's physician orders dated May 2025, revealed the following: - The resident did not have orders for bacitracin zinc ointment, Bigeloil topical pain gel, or lidocaine ointment. - The resident did not have an order to self-administer medication. C. On 05/12/25 at 4:51 PM, during an interview, Certified Nurse Aide (CNA)…

    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 · E2024-04-25 · tag F0698 — failed to provide proper dialysis care — pattern
    Provide safe, appropriate dialysis care/services 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 interview and record review, the facility failed to ensure staff communicated and collaborated with the dialysis (clinical purification of blood as substitute for normal kidney functioning) facility regarding dialysis care and services for 2 (R #6 and #12) of 2 (R #6 and #12) residents reviewed for dialysis. If the facility is unaware of the status, condition, or complications that arise during dialysis treatment then residents are likely not to receive the appropriate monitoring and care they need. The findings are: R #6: A. Record review of R #6's face sheet revealed R #6 was admitted into the facility on [DATE]. B. Record review of R #6's physician orders, dated 06/29/22, revealed an order to increase dialysis chair time/treatment duration to 3 hours and 15 minutes starting on 07/01/22. C. Record review of R #6's care plan, dated 04/24/24, revealed the following: - Focus: The resident was very weak after dialysis treatments, and it took away most of the resident's energy for the day. -…

    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 · D2024-04-25 · 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 observation, record review, and interview, the facility failed to develop and implement a comprehensive person-centered care plan for 1 (R #7) of 2 (R #7 and #12) residents reviewed for comprehensive care plans when staff did not develop a care plan for oxygen (O2) use. Failure to develop and implement a resident-centered care plan may result in staff not understanding and implementing the needs and treatments of residents, possibly resulting in decline in abilities. The findings are: A. Record review of R #7's face sheet revealed R #7 was admitted into the facility on [DATE]. B. Record review of R #7's physician orders, dated 10/22/23, revealed an order for O2 at 2 liters per minute (lpm) via nasal cannula (tubing that provides O2 through the nose). Keep O2 saturations at 90 percent (%), as needed (PRN). C. Record review of R #7's care plan, dated 04/24/24, revealed the record did not contain documentation regarding R #7's O2 use. D. On 04/23/24 at 9:50 am during an observation, R #7 did not wear O2,…

    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 before2024-04-25 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to ensure staff revised the care plan for 1 (R #6) of 1 (R #6) residents reviewed when staff failed to update the care plan to reflect new dietary behaviors. These deficient practices are likely to result in residents' care and needs not being addressed if care plans are not updated. The findings are: A. Record review of R #6's face sheet revealed R #6 was admitted into the facility on [DATE]. B. On 04/24/24 at 11:53 am during an interview with Registered Nurse (RN) #1, she stated R #6 would chew his food and spit it in the trash. C. On 04/24/24 at 5:02 pm during a dinner observation, R #6 ate dinner in the dining room with a trash can next to him. R #6 threw food in the trash. D. On 04/24/24 at 5:05 pm during an interview with Certified Nursing Assistant (CNA) #1, she confirmed R #6 threw food in the trash for awhile, and he also did that if he ate in his room. CNA #1 stated everyone knew R #6 threw food in the trash at each meal. E. 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 before2024-04-25 · tag F0658 — failed to meet professional standards of care — isolated
    Ensure services provided by the nursing facility meet professional standards of quality.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interview, the facility failed to meet professional standards of care for 1 (R #4) of 1 (R #4) residents by not obtaining physician's orders for the use of a therapeutic cup. This deficient practice is likely to result in residents receiving assistive devices that are not needed or ordered by the physician. The findings are: A. On 04/24/24 at 5:02 pm during observation of the dinner meal in the dining room, R #4 drank coffee out of a sippy cup (a drinking cup designed to prevent or reduce spills). B. Record review of R #4's physicians orders revealed the record did not contain an order for the use of a sippy cup. C. Record review of R#4's care plan revealed the care plan did not address the use off a sippy cup. D. On 04/24/24 at 5:50 pm, during a interview with CNA #1, she confirmed R#4 drank out of a sippy cup at all meals. E. On 04/24/24 at 5:50 pm, during a interview with Nurse #2, she stated R #4 drank from a sippy cup, but he did not have an order for it. She stated there should be an order for the use of a sippy cup. F. On 04/25/24 at…

    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
Show the remaining 6 citations
  • Potential for harm · D2024-04-25 · tag F0842 — failed to keep accurate, complete medical records — isolated
    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

    Based on record review and interview, the facility failed to meet professional standards for maintaining resident records for 1 (R # 6) of 1 (R #6 ) residents when staff failed to ensure R #6's code status readily viewable in the resident's Electronic Health Record (EHR). This deficient practice is likely to result in residents end-of-life medical care choices not being honored. The findings are: A. Record review of R #6's EHR revealed R #6 was admitted to facility on 07/09/09, but the record did not contain the resident's code status on the EHR on the banner. [The facility's practice was to note the resident code status on the top page that opened first when accessing the resident's EHR. This is called the banner]. B. On 4/25/24 at 9:47 am, during an interview with Director of Nursing (DON), she stated all residents should have an advanced directives in their chart. The DON confirmed R #6's code status was not on the resident's EHR banner, and it should be on the banner. C. On 4/25/24 at 9:58 am, during an interview with the Social Services (SS), she stated she completed all…

    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 · Fcited before2023-03-03 · 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 store and serve food under sanitary conditions by not ensuring food items were stored off of the floor. This deficient practice is likely to affect all 26 residents. If the facility fails to adhere to safe food handling practices, in which residents are likely to be exposed to foodborne illnesses (illness caused by food contaminated with bacteria, viruses, parasites, or toxins). The findings are: A. On 03/03/23 at 8:46 am during an kitchen follow up observation, the following was observed: 1. 1- 30 pound (lb) box of Sysco Margarine was stored on the bare floor by the refrigerator with other boxes stacked on top. 2. 1- 30 lb Sysco Reliance Potato Fry Crinkle Cut box was stored on the bare floor by the refrigerator with other boxes stacked on top. 4. 1- 10 lb Hormel Natural Choice Fully Cooked Pork Sausage Links box was stored on the bare floor by the refrigerator with other boxes stacked on top. B. On 03/03/23 at 8:47 am during an interview with the Assistant Dietary Manager (ADIM), he stated, Normally, we try to get it [food…

    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 · Dcited before2023-03-03 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to ensure that the Matrix (a form used to identify pertinent care categories (relevant) for residents) was accurate by reflecting R #19 was on Transmission Based Precautions (TBP) status. (the second tier of basic infection control and are to be used in addition to Standard Precautions for patients who may be infected or colonized with certain infectious agents for which additional precautions are needed to prevent infection transmission) This deficient practice is likely to result in residents not receiving the appropriate care and treatment they need. The findings are: A. Record review of R #19's face sheet revealed R #19 was admitted into the facility on [DATE] and resided in Room (RM) #106-1. B. Record review of the Matrix provided by the Administrator dated 03/01/23 for the facility revealed that R #19 was on transmission-based precautions. C. On 03/02/23 at 10:37 am during an observation, R #19's room was observed not be on TBP. 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-03-03 · 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 — the official record, unedited, may be distressing

    Based on interview and record review, the facility failed to meet professional standards for 1 (R #16) of 1 (R #16) by not weighing in accordance with the physician's orders. This deficient practice is likely to have residents experience un-noticed weight loss. The findings are: A. Record review of physicians order dated 10/07/21 revealed to obtain weekly weights. B. Record review of R #16 Vital and Weight Sheet, revealed no weekly weight was recorded for the week 02/24/22. C. On 03/02/23 at 4:43 PM during an interview with Licensed Practical Nurse (LPN) #1, she stated that the facility had not conducted R #16's weekly weight as ordered by Physician for the week of 02/24/23. She further stated that R #16 is a Dialysis patient and should be weighed weekly.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-03-03 · tag F0760 — failed to prevent significant medication errors — isolated
    Ensure that residents are free from significant medication errors.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interview, the facility failed to ensure a medication that was placed on hold per physician order was not administered to 1 (R #17) of 6 (R #1,3,7,8,10 and 17) residents reviewed during random observation. This deficient practice is likely to result in adverse health consequences such as excessive dosing. The findings are: A. On 03/02/23 at 7:48 am during random observation of medication administration, Licensed Practical Nurse (LPN) #1 was observed administering one 20 mg (milligram) tab of Xarelto (a medication used to prevent blood clots from forming) when R #17 was presented with the medications R #17 identified the Xarelto tablet and questioned LPN #1 regarding the medication being on hold. LPN #1 confirmed she had handed R #17 the medication to be consumed and she further stated she should not have administered the medication cause it was on hold until 03/04/23. B. Record Review of Progress Notes dated 03/01/23 revealed that medication (Xarelto) was placed on hold following a esophagus [a muscular tube that connects your mouth to your…

    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
  • No harm found · C2023-03-03 · tag F0565 — failed to support the resident council — widespread
    Honor the resident's right to organize and participate in resident/family groups in the facility.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview, the facility failed to give the resident council feedback on their concerns for 4 (R #1, 3, 12 and 15) of 4 (R #1,, 3, 12, and 15) residents reviewed in the resident Council Meeting Minutes. If the facility is not ensuring that the Resident Council grievances are responded to and resolved, then residents are likely to feel that their issues/concerns are not taken seriously. The findings are: A. On 03/01/23 at 9:59 am during an interview with R #15, he stated that all concerns that were brought to the facility resident council meeting were documented by a facility staff and then reviewed at the following months resident council meeting to see if the issues had been resolved. When asked if there was any other follow up after the meeting he stated. No, we don't find out if issues are resolved until the next months meeting. R #3 confirmed that the minutes are taken by a facility staff and the results of that meeting are brought to the next meeting and if they are not resolved at that time then the issues are put in the notes again and brought up at the next months…

    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

“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.

Who owns this facility

Owner / managerTypeRoleSince
Ownership Data Not Available

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

What families pay in NM

Paying with Medicaid

CMS lists this home as Medicaid-certified only — it can accept Medicaid for long-term care, but it is not Medicare-certified, so Medicare will not pay for a short rehabilitation (“skilled nursing”) stay here. 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 32E027. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-05-15, 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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