Home / New Mexico / Belen
Belen Meadows Healthcare and Rehabilitation Center
1831 Camino Del Llano, Belen, NM 87002 · Valencia County · (505) 864-1600
120 certified beds, about 110 residents a day · For profit - Corporation · Medicare and Medicaid since 1992
Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 325068 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on November 18, 2025, inspectors cited 15 health deficiencies (the New Mexico average is 17.9, the national average 9.2).
Of 52 health citations since March 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 2.90 hours per resident per day, against 3.54 across New Mexico and 3.86 nationally. Registered nurses accounted for 0.42 of those hours.
54.0% of nursing staff left within the year CMS measured (New Mexico average 53.3%).
CMS links it to Genesis Healthcare, an affiliated group of 184 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
2403/23
312/23
103/24
506/24
101/25
1511/25
102/26
207/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 52 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
1K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
20D
26E
5F
Potential for minimal harm
0A
0B
0C
July 2, 2026Complaint inspection · 2 citations
- E Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on record review and interviews, the facility failed to notify the resident for several weeks about a significant health-related test result for 1 (R #1) of 1 (R #1) resident. Failure to provide timely notification of a significant health related finding is likely to result in delayed awareness, frustration, and may contribute to delayed or inadequate treatment.
- D Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Inspectors wroteBased on observation, record review, and interviews, the facility failed to provide care consistent with professional standards for 1 (R #1) of 1 (R #1) resident who requires colostomy (a surgical procedure in which the colon is connected to the abdominal wall and an opening (stoma) is created in the abdominal wall created to allow waste to leave the body) care, when the facility nursing staff were unaware of the expectations for colostomy bag (a pouch attached to the body that collects fecal waste) care and insisted R #1 could perform her own colostomy care. If the facility does not provide care consistent with professional standards for a resident with a colostomy, residents are likely to experience frustration from not receiving the care they need.
February 10, 2026Complaint inspection · 1 citation
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on record review and interview, the facility failed to ensure an alleged incident involving an unwitnessed fall with potential injury was reported to the State Agency (SA) for 1 (R #1) of 1 (R #1) resident reviewed for incidents. This failure compromised the State Agency's ability to triage and investigate allegations promptly, which may impact the overall effectiveness of the facility's abuse prevention system.
November 18, 2025Standard inspection, Complaint inspection · 15 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and interview, the facility failed to ensure the filters on the ice machine were replaced timely. This failure had the potential to affect all residents at the facility. This deficient practice could likely cause pollutants to enter the water causing contamination and illness.
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, record reviews and interviews, the facility failed to:-Follow proper infection control practices for handling laundry when staff failed to ensure- laundry was free from used sharps. If staff fail to handle used laundry, then residents could be at risk of development and transmission of disease and infections.- Demonstrate its measures to minimize the risk of Legionella (bacteria naturally found in water that can cause a severe type of lung infection called legionnaires' disease when people inhale tiny water droplets containing the bacteria) in the building's water system, when the Water Management Program (WMP) team failed to develop and implement an adequate LWMP. This deficient practice is likely to lead to outbreaks of legionellosis (legionnaires' disease and Pontiac fever, a milder flu-like illness). [...]
- E Ensure that residents are fully informed and understand their health status, care and treatments.
Inspectors wroteBased on record and interview, the facility failed to allow a resident to choose the time wound care would take place for 1 (R #123) of 1 (R #123) resident. This deficient practice could likely contribute to the resident not receiving wound care, which could cause the wound to worsen or become infected.
- E Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on observations and interviews, the facility failed to maintain a safe, comfortable, and homelike environment when staff failed to: - Maintain the dining room in a homelike manner.- Maintain resident rooms and bathrooms in good repair.-Maintain a resident bathroom free of flies. This failure had the potential to affect all residents who utilized the dining room and all residents in eight resident rooms. If the facility does not ensure resident rooms and common areas are clean, free from pests, and maintained in good repair, then residents are at risk of decreased quality of life, pest infestation, and injury due to unsafe environmental conditions.
- E Ensure medication error rates are not 5 percent or greater.
Inspectors wroteCross reference to F755 Based on observations, record reviews, and interviews, the facility failed to ensure the medication error rate did not exceed 5 percent (%) for 2 (R #55 and R #73) of 2 (R #55, and R #73) residents. Staff administered 26 medications with three errors resulting in a medication error rate of 8.6%. If staff administer medications in error, then residents are likely to experience less than optimal results from their medication regimen (a prescribed systematic form of treatment for a course of drugs).
- E 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.
Inspectors wroteBased on observation and interview, the facility failed to protect a treatment cart (a movable piece of equipment used in healthcare facilities to store, transport, and dispense treatment supplies and tools) from unauthorized access when staff failed to lock the treatment cart while staff were away from the cart. This deficient practice had the potential to affect all residents on the 200 Unit. If staff fails to lock an unsupervised treatment cart, then residents could obtain medical equipment which could result in injury or death.
- E Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Inspectors wroteBased on record reviews, observation, and interviews, the facility failed to honor a resident's dietary preference for 1 (R #12) of 1 (R #12) resident. If the facility failed to serve a resident a vegetarian diet, then resident might receive meat and feel unheard and unimportant.
- E Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on record review and interview, the facility failed to keep accurate and complete resident records for 2 (R #97 and #123) of 2 (R #97 and #123) residents. This deficient practice could likely cause confusion about the resident's care the resident based on the documentation presented in the resident's electronic medical record.
- D PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on record review and staff interview, the facility failed to ensure the PASARR (Preadmission Screening and Resident Review) Level I Identification Screen accurately reflected the resident's diagnosis of major depressive disorder for 1 (R #9) of 1 (R #9) resident. If the facility does not ensure PASARR screenings are completed accurately, then residents with serious mental illness may not receive required evaluations or specialized services, placing them at risk for unmet mental health needs and a decline in psychosocial well-being.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on record review and interview the facility failed to send a resident out to the hospital in a timely manner after the resident had a fall with pain and possible injury for 1 (R #97) of 1 (R #97) resident. This deficient practice could likely cause the resident to be in pain longer than necessary.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure a residents specialized air mattress was properly inflated for 1 (R #12) of 1 (R #12) resident. If the facility fails to ensure the residents' air mattress was properly inflated, then the resident could be at risk of entrapment or of development or worsening of a resident's pressure ulcers.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, and record review, the facility failed to properly maintain respiratory care equipment for 1 (R #6) of 1 (R #6) residents when staff failed to date R #6's oxygen humidifier (to moisturize dry oxygen). If staff fail to date oxygen humidifiers, then residents could be at risk of serious infections.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteCross reference to F759. Based on record review, observation, and interview, the facility failed to ensure pharmaceutical services (the direct, responsible provision of medication-related care) were met when staff failed to dispose of medication after it was completed for 1 (R #55) of 1 (R #55) resident. If staff fail to dispose of completed medications, then residents could be at increased risk of medication errors, receive unnecessary treatments, and medication could be diverted.
- D Provide routine and 24-hour emergency dental care for each resident.
Inspectors wroteBased on record reviews and interviews, the facility failed to ensure residents obtained routine dental care for 1 (R #6) of 1 (R #6) resident reviewed for dental services, when the facility failed to provide documentation to show R #6 received routine dental services at least annually. If staff fail to arrange for residents' dental services, then it could lead to untreated tooth decay (damage to tooth surface), gum disease, and other oral health issues like bad breath, tooth sensitivity, and tooth loss.
- D Keep all essential equipment working safely.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident's wheelchair was maintained in safe operating condition for 1 (R #62) of 1 (R #62) resident. If staff do not maintain resident equipment, then residents are at risk of injury.
January 7, 2025Complaint inspection · 1 citation
- E Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Inspectors wroteBased on interview, the facility failed to inform residents and resident representatives in writing of a room change, including the reason for the change, when residents changed rooms due to a flooding event. for 8 (R #1-8) of 8 (R #1-8) residents that were moved. This deficient practice is likely to result in frustration and confusion for residents.
June 28, 2024Standard inspection · 5 citations
- E 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.
Inspectors wroteBased on record review, observation and interviews, the facility failed to ensure staff documented the medication refrigerator temperatures in the medication storage room. This deficient practice is likely to result in all residents living in the facility, as identified on the census list provided by the Executive Director (ED) on 06/24/24, receiving medication that has lost their potency or effectiveness due to not being stored at the proper temperature.
- E Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Inspectors wroteBased on record review, observation, and interview, the facility failed to ensure that residents received food according to their meal ticket for 3 (R #30, R #62, and R #64) of 4 (R #28, R #30, R #62, and R #64) residents reviewed for dietary services. This deficient practice could likely result in residents not receiving enough food or food that was expected according to the menu.
- D Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on observation and interview, the facility failed to maintain an environment in good condition when staff failed to repair a broken door knob for 1 (R # 52) of 4 (R #'s 10, 52, 100 and 168) reviewed for homelike environment. If the facility fails to maintain the building, then residents could feel uncomfortable in their environment.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on interview and record review, the facility failed to ensure the comprehensive care plan was accurate for 1 (R #37) of 1 (R #37) residents reviewed for care plan accuracy. This deficient practice could likely result in staff not understanding and implementing the most appropriate interventions and treatments for the resident.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on interview and record review, the facility failed to ensure the comprehensive care plan was accurately revised for 1 (R #37) of 1 (R #37) residents reviewed for care plans. This deficient practice could likely result in staff not understanding and implementing the most appropriate interventions and treatments for the resident.
March 14, 2024Complaint inspection · 1 citation
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on record review and interview, the facility failed to meet professional standards of quality by failing to obtain wound care orders for 1 (R #12) of 3 (R #12, 15, and 16) residents reviewed for pressure sores. If the facility does not get wound care orders, it could create confusion on what wound care should be provided, or the residents may not get wound care.
December 14, 2023Complaint inspection · 3 citations
- E Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Inspectors wroteBased on interview and record review, the facility failed to ensure grievance (complaints over something believed to be wrong or unfair) documentation included a summary of the investigation and findings or conclusions regarding the resident's concerns, and no resolution that consisted of education for staff, for 2 (R #2 and R #5) of 3 (R #2, R #5, and R #6) residents reviewed for grievances. The deficient practice could likely result in residents feeling unimportant and/or unsatisfied with the results of the grievance process.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on record review and interview, the facility failed to complete a thorough investigation regarding an injury of unknown origin for 1 (R #6) of 3 (R#2, R #5, and R #6) residents viewed during a compliant investigation. If the facility is not going to conduct investigations, they may be unable to ensure that residents are free from neglect and could likely result in residents being at risk for further injury.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on record review and interview, the facility failed to document a resident assessment when they received a report of a health status irregularity and to document observations of an identified health status irregularity. These deficient practices was found to affect 2 (R #2 and R #6) of 5 (R #1, R #2, R #3, R #4, and R#6) residents reviewed for nursing assessments after a change in condition occurred. This deficient practice could likely result in: 1. Residents not being properly assessed and treated for new concerns and; 2. Staff not having information they need to provide, competent, comprehensive care, and services if vital information is missing from the assessments.
March 16, 2023Standard inspection · 24 citations
- K Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on record review and interview, the facility failed to notify the resident's guardian and the physician of blood sugar fluctuations for 1 (R #298) of 2 (R #34 and R #298) residents reviewed for insulin use and blood sugar management. If the facility is not monitoring for blood sugar fluctuations, then residents are likely at risk of serious harm or death.
- F Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteN. On 03/13/23 at 10:45 am, the following observations were made for the 100 hall: Observation made of 4 call lights on: room [ROOM NUMBER] for R #69 stated she had just turned her call light on. room [ROOM NUMBER] for R #59, she stated that her light had been on a long time. She stated that she needed to be changed. room [ROOM NUMBER] for R #28, her light was observed to be continuously on for 45 minutes. room [ROOM NUMBER] for R #46, his light was observed to be on for thirty minutes, when asked R #46 stated his light had been on longer than thrifty minutes and he needed his urinal dumped. O. On 03/14/23 at 12:05 pm, during an interview with Volunteer Ombudsman, he stated that he does hear complaints from the residents about call lights not being answered, but those complaints have gotten better. [...]
- F Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Inspectors wroteThis is a repeat citation. Based on record review, observation, and interview, the facility failed to maintain menu options by not following the menu and not placing all menu items on a resident's meal tray. This deficient practice has the potential to affect all 103 residents identified on the census list provided by the Administrator on 03/06/23 and could likely result in reduced food intake, weight loss, and a decline in a resident's psychosocial health (the health of someone's emotions, behaviors, and social abilities) due to developing feelings of frustration, anxiety (an excess feeling of fear, dread, and uneasiness), and disappointment.
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on record review, observation and interview, the facility failed to store and serve food under sanitary conditions by not: 1. Ensuring food items in the refrigerator/freezer and dry storage room were dated and labeled. 2. Ensuring that packages of dry food items were closed after opening. 3. Ensuring that dented cans were removed from the to use shelf. 4. Ensuring food in bulk, dry storage bins were dated and labeled. 6. Daily monitoring/logging of food temperatures at meal times. 7. Daily monitoring/logging of water temperature and chemical sanitizer strength on the three- compartment sink log. 8. Ensuring that the plastic display/housing of a digital thermometer does not touch the food item being measured. 9. Covering all food items on a resident's meal tray being transported through the facility for in-room dining. [...]
- E Ensure that residents are fully informed and understand their health status, care and treatments.
Inspectors wroteBased on record review and interview, the facility failed to ensure that residents were aware of and/or understood the risks and benefits of medication they were receiving for 3 (R's #25, 37 and 78) of 3 (R's #25, 37, and 78) residents by not informing residents of why a medication was being prescribed and administered and what diagnoses/condition it was treating. This deficient practice could likely result in residents feeling anxious and potentially receiving unnecessary treatment/medication.
- E Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Inspectors wroteBased on record review and interview, the facility failed to ensure that staff maintain the right for residents to preserve personal items for 2 (R #53 and 247) of 2 (R#'s 53 and 247) residents reviewed for personal items. This deficient practice is likely to cause the resident to feel that their personal possessions are not treated with respect.
- E Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on record review and interview, the facility to ensure the MOST forms were complete for 8 (R #s 25, 53, 57, 58, 62, 63, 88, and 247) of 12 (R #s 25, 53, 57, 58, 62, 63, 69, 73, 79, 88, 197 and 247) resident's records reviewed for Advanced Directives (legal documents that allow you to spell out your decisions about end-of-life care ahead of time) the Medical Orders For Scope of Treatment (MOST) form were: 1. Signed by a physician for R #25, 57, 58, 88, and 247 2. Signed by a resident/Power of Attorney (POA) for R #63 3. Present in R #53 and 62 's records. This deficient practice is likely to affect resident's fulfillment of their end of life medical choices and could result in unnecessary suffering for the resident.
- E Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Inspectors wroteBased on record review and interview, the facility failed to file a grievance for 2 residents (R #53 and #247) out of 2 (R #53 and #247) residents reviewed for personal property. This deficient practice could likely cause residents frustration at not getting their clothing back from the laundry or seeing other residents wear their clothing and that their grievance wasn't taken seriously.
- E Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on record review, observation, and interview, the facility failed to create an accurate Baseline Care Plan within 48 hours of admission for 3 (R #s 25, 62, and 91) of 8 (R #'s 25, 37, 40, 57, 62, 63, 85, and 91) residents reviewed for Baseline Care Plans. This deficient practice could likely result in a decline in the residents condition due to staff not being aware of needed care and/or residents not being able to attain or maintain their highest practicable level of well-being.
- E Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on record review and interview, the facility failed to develop and implement (put into place) a comprehensive person-centered care plan for 2 (R #s 20, and 40) of 7 (R #s 20, 25, 40, 57, 62, 63, and 247) residents reviewed for care plans. This deficient practice could likely result in staff's failure to understand and implement the needs and treatments of the residents.
- E Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Inspectors wroteFindings for R #37 N. On 03/07/23 at 12:33 pm during an interview, R #37 stated, I have had to wait up to three hours for someone to answer my call light and change me after I had a bowel movement. I also waited one time from 5:00 pm until 4:00 am to be changed, I sat in a urine soaked depends for almost 12 hours. They are not cleaning me completely, I've had to call my husband to come and clean me down there because they don't clean me completely. I got a UTI (urinary tract infection - infection of any part of the urinary system) from waiting so long to be changed. O. Record review of Care Plan dated 03/01/23 for R #37 revealed, Focus: [name of R #37] is incontinent of urine with potential for improved control or management of urinary elimination. Goal: [...]
- E Assist a resident in gaining access to vision and hearing services.
Inspectors wroteBased on observation, interview, and record review, the facility failed to offer vision services for 3 (R #55, R #66, and R #299) of 4 (R#'s 55, 66, 298, and R #299) residents reviewed for vision needs. This deficient practice could likely result in an increased frustration and decreased enjoyment for the resident in daily life.
- E Provide appropriate foot care.
Inspectors wroteBased on observation, record review, and interview, the facility failed to arrange foot care services for 2 (R #3 and R #61) of 2 (R #3 and R #61) residents reviewed for toenail overgrowth. This deficient practice could likely result in residents feeling uncomfortable due to: 1. Appearance and/or feel of toenail overgrowth; and 2. Accidental scratching. Findings for R #3: A. Record review of #3's face sheet revealed that she was admitted to the facility on [DATE] with the pertinent diagnosis of type 2 diabetes mellitus without complications (a chronic disease that affects the way the body processes blood sugar). B. On 03/07/23 at 2:20 pm, during an observation of R #3, it was noted that her toenails had grown past her toes. C. [...]
- E Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Inspectors wroteBased on record review and interview, the facility failed to ensure that 3 (R #'s 3, 6, and 66) out 4 (R #'s 3, 6, 53, and 66) residents were seen within 60 days. This deficient practice could likely result in residents not receiving the required medical assessment in a timely manner.
- E 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.
Inspectors wroteBased on observation and interview the facility failed to properly store medications in the medication carts for all the residents on the 200-unit hallway (residents were identified by the Matrix provided by the administrator on 03/06/23) when they failed to store loose medications. This deficient practice could result in residents obtaining medications not prescribed for them and resulting in adverse (unwanted, harmful, or abnormal result) side effects.
- E Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteThis is a repeat citation. Based on observation, record review, and interview, the facility failed to ensure the food was appealing and attractive for 5 (R #9, #19, #54, #70 and #94) of 5 (R #9, #19, #54, #70 and #94) residents sampled for food. This deficient practice could likely result in a decline in the psychosocial health (the health of someone's emotions, behaviors, and social abilities) of the residents due to developing feelings of frustration, anxiety (an excess feeling of fear, dread, and uneasiness), and disappointment and could likely result in resident weight loss, if resident refuses to eat what is served.
- E Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on observation, record review, and interview, the facility failed to accurately document resident information related to Activities of Daily Living (bathing or showering, dressing, getting in and out of bed or a chair, walking, using the toilet, and eating) for 4 (R #'s 46, 53, 84, and 148) of 5 (R#'s 3, 46, 53, 84, and 148) residents reviewed for documentation. This deficient practice could likely result in residents not receiving showers as preferred and/or staff being unaware of resident needs due to a lack of documentation.
- E Provide and implement an infection prevention and control program.
- E Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on interview and record review the facility failed to track and monitor the vaccination status for 3 (R#'s 25, 31, and 60) of 5 (R#'s 25, 31, 37, 60, and 298) residents reviewed for Pneumococcal (lung infections are caused by bacteria with illness range from mild to severe) and/or Influenza (infectious viral disease usually affecting the upper respiratory system, sinus, throat and large airways in lungs) vaccines. This deficient practice could likely result in increased Pneumococcal and Influenza related infections amongst residents.
- D Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on observation and interview the facility failed to ensure sanitary conditions for 1 (R #36) of 1 (R #36) resident reviewed for physical environment by housekeeping not cleaning the residents floor properly leaving smeared juice and food on the floor. If the facility fails to maintain resident rooms in a homelike environment, then residents are likely to feel uncomfortable and could exacerbate (make worse) health issues.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, record review and interview, the facility failed to meet professional standards of quality for 1 (R #78) of 6 (R #9, R #12, R #30, R #51, R #69, and R #78) residents observed for medication administration. This deficient practice could likely lead to the resident having adverse (unwanted, harmful, or abnormal result) side effects.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure resident safety for 1 (R #247) of 1 (R #247) resident reviewed for bed positioning. This deficient practice could likely result in the resident experiencing a fall and discomfort.
- D Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Inspectors wroteBased on record review, observation, and interview, the facility failed to ensure that 1 (R #25) of 1 (R #25) resident reviewed for behavioral health concerns was receiving necessary behavioral health care to meet the resident's need. This deficient practice could likely cause the resident not to receive the mental health care and treatment that she may need to ensure her the highest practicable physical, mental, and psychosocial well-being.
- D Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspectors wroteBased on record review and interview, the facility failed to keep residents free from unnecessary psychotropic medications (a medication that works by adjusting the number of major chemicals in the brain) for 1 (R #87) of 1 (R #87) resident sampled for unnecessary medications, when they: 1. Continued to administer Trazodone (used to treat depression, it is a type of medication called a serotonin modulator that works by increasing the amount of serotonin, a natural substance in the brain that helps maintain mental balance), a psychotropic medication to a resident with a documented refusal and declined consent to psychotropic medication treatment, and 2. Failed to monitor medication effectiveness by not notifying the physician of the resident's repeated refusals of psychotropic medication. [...]
Fire safety inspections
11 fire safety citations on file: 2 on January 7, 2025, 3 on June 28, 2024, 4 on March 16, 2023, 2 on January 6, 2022.
Every fire safety citation11 citations
- D Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- D Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- F Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- F Have simulated fire drills held at unexpected times.
- D Have properly installed hallway dispensers for alcohol-based hand rub.
- F Address subsistence needs for staff and patients.
- F Provide a means of sharing information on occupancy/needs.
- F Install emergency lighting that can last at least 1 1/2 hours.
- E Meet other general requirements.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | New Mexico | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 2.90 | 3.54 | 3.86 |
| Registered nurses | 0.42 | 0.63 | 0.69 |
| All nursing staff on weekends | 2.48 | 3.10 | 3.42 |
| Nurse aides | 1.74 | ||
| Licensed practical nurses | 0.75 | ||
| Nursing staff turnover (share who left in a year) | 54.0% | 53.3% | 45.8% |
| Registered nurse turnover | 36.4% | 53.6% | 42.9% |
| Administrators who left | 2 |
CMS expects 3.43 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.08 on weekdays and 2.48 on weekends, 19% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 14.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 2.96 in April to June 2025 to 2.90 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 2.90 | 0.42 | 3.08 | 2.48 | 14.3% | 1 of 90 | 110 |
| Oct to Dec 2025 | 2.98 | 0.39 | 3.18 | 2.46 | 13.0% | 0 of 92 | 111 |
| Jul to Sep 2025 | 2.94 | 0.44 | 3.18 | 2.35 | 9.4% | 0 of 92 | 115 |
| Apr to Jun 2025 | 2.96 | 0.44 | 3.16 | 2.46 | 11.8% | 0 of 91 | 111 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| New Mexico, Jan to Mar 2026 | 3.52 | 0.60 | 3.69 | 3.10 | 14.2% | 1.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | New Mexico | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 26.0 | 11.3 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.7 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.3 | 0.9 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.7 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 28.1 | 11.7 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 7.4 | 5.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 8.5 | 14.5 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 21.7 | 22.0 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 10.7 | 15.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.4 | 2.8 | 1.8 |
Owners and operators
Legal business name: BELEN MEADOWS HEALTHCARE AND REHABILITATION CENTER, LLC. CMS links this home to Genesis Healthcare, a group of 184 nursing homes averaging 2.3 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Summit Care LLC | 5% or greater direct ownership interest | Organization | 100% | 07/25/2007 |
| Fc-Gen Operations Investment LLC | 5% or greater indirect ownership interest | Organization | 02/02/2015 | |
| Gen Operations I LLC | 5% or greater indirect ownership interest | Organization | 02/02/2015 | |
| Gen Operations II LLC | 5% or greater indirect ownership interest | Organization | 02/02/2015 | |
| Genesis Healthcare Inc | 5% or greater indirect ownership interest | Organization | 07/25/2007 | |
| Genesis Healthcare LLC | 5% or greater indirect ownership interest | Organization | 02/02/2015 | |
| Skilled Healthcare LLC | 5% or greater indirect ownership interest | Organization | 02/02/2015 | |
| Summit Care Parent LLC | 5% or greater indirect ownership interest | Organization | 01/01/2013 | |
| Sun Healthcare Group Inc | 5% or greater indirect ownership interest | Organization | 11/15/2022 | |
| Whitman, Arnold | 5% or greater indirect ownership interest | Individual | 11/15/2022 | |
| Berg, Michael | Corporate officer | Individual | 02/02/2015 | |
| Bridgeford, Laura | Corporate officer | Individual | 06/01/2024 | |
| Mendelson, Avi | Corporate officer | Individual | 06/01/2024 | |
| Noya, Lisa | Operational/managerial control | Individual | 06/01/2024 | |
| Wilson, Emmanuel | Operational/managerial control | Individual | 06/01/2024 | |
| Noya, Lisa | Adp of the SNF | Individual | 03/11/2025 | |
| Wilson, Emmanuel | Adp of the SNF | Individual | 03/11/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 12 problems in this area, most recently on July 2, 2026: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
- When is the care plan meeting, and can family attend it?Inspectors cited 11 problems in this area, most recently on November 18, 2025: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 9 problems in this area, most recently on July 2, 2026: "Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 6 problems in this area, most recently on November 18, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.48 hours per resident per day, below the New Mexico average of 3.10.
- How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.
New Mexico contacts for a concern about a nursing home
These are the official offices in New Mexico. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: New Mexico Health Care Authority, Division of Health Improvement, Health Facility Licensing and Certification, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: New Mexico Long-Term Care Ombudsman Program, Aging and Long-Term Services Department, 866-451-2901. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
Common questions
- What is Belen Meadows Healthcare and Rehabilitation Center's Medicare star rating?
- CMS rates Belen Meadows Healthcare and Rehabilitation Center 2 out of 5 stars overall, with 3 for health inspections, 1 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Belen Meadows Healthcare and Rehabilitation Center get at its last inspection?
- 15 health deficiencies at the standard inspection on November 18, 2025. The New Mexico average is 17.9.
- Has Belen Meadows Healthcare and Rehabilitation Center been fined?
- CMS lists no fines in the last three years.
- Does Belen Meadows Healthcare and Rehabilitation Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Belen Meadows Healthcare and Rehabilitation Center?
- CMS lists 17 owners and managers, and links the home to Genesis Healthcare. Legal business name: BELEN MEADOWS HEALTHCARE AND REHABILITATION CENTER, LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.