Home / New Mexico / Alamogordo
3101 North Florida Avenue, Alamogordo, NM 88310 · Otero County · (575) 286-4457
90 certified beds, about 73 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1992
CMS Care Compare ratings, data as of September 1, 2026 · CCN 325061 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on November 21, 2025, inspectors cited 22 health deficiencies (the New Mexico average is 17.9, the national average 9.2).
None of its 73 health citations since October 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.74 hours per resident per day, against 3.54 across New Mexico and 3.86 nationally. Registered nurses accounted for 0.75 of those hours.
67.7% of nursing staff left within the year CMS measured (New Mexico average 53.3%).
CMS links it to Opco Skilled Management, an affiliated group of 68 nursing homes.
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.
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 73 health citations on file.
Inspectors wroteBased on record review, interview, and observation, the facility failed to ensure the MDS was accurate for 1 (R #18) of 3 (R #16, R #17, and R #18) residents reviewed for pneumonia treatment. This deficient practice could likely result in the facility not having an accurate assessment of the residents' needs.
Inspectors wroteBased on record review, interview, and observation, the facility failed to ensure residents received quality treatment and care for 1 (R #17) of 3 (R #16, R #17, and R #18) residents reviewed for pneumonia care and treatment, when staff failed to: 1. Administer R #17's antibiotic as ordered. 2. Ensure R #17 received all doses of his ordered antibiotic. These deficient practices could likely lead to worsening of resident's medical conditions.
Inspectors wroteBased on record review, interview, and observation, the facility failed to ensure medical records were complete and accurate for 1 (R #18) of 3 (R #16, R #17, and R #18) residents reviewed for pneumonia care and treatment when staff failed to document R #18's change in condition. This deficient practice could likely cause staff to not have the most accurate resident information and adversely impact the care staff provides.
Inspectors wroteF627 S/S E, HB Based on record review and interview, the facility failed to implement an effective discharge planning process for 3 (R #16, R #17, and R #18) of 3 (R #16, R #17, and R #18) residents reviewed for discharge planning, when staff failed to: 1. Conduct discharge planning for R #16 and R #18. 2. Update comprehensive care plans and discharge plans with treatment preferences and needs for R #16, R #17, and R #18. These failures have the potential for unsafe discharge and an increased risk of resident harm.
Inspectors wroteBased on record review and interview, the facility failed to ensure care plan revisions and care plan meeting requirements occurred for 3 (R #1, R #16, and R #18) of 9 (R #1, R #2, R #3, R #16, R #17, R #18, R #19, R #20, and R #22) residents when staff failed to: 1. Ensure the IDT members participated in a care plan meeting within 7 days of the completion of the MDS assessment for R #16 and R #18. 2. Revise the care plan with the most current resident information for R #1. These deficient practices could likely result in the care plan not being updated with the most current resident conditions and appropriate interventions, staff being unaware of changes in care provided, and residents not receiving the care related to changes in their health status or healthcare decisions.
Inspectors wroteBased on record review and interview, the facility failed to ensure residents received quality treatment and care for 4 (R #1, R #19, R #20, and R #22) of 7 (R #1, R #2, R #3, R #17, R #19, R #20, and R #22) residents reviewed for care and treatment, when staff failed to: 1. Ensure staff monitored R #1's blood pressure. 2. Ensure orders for hospice services (specialized, team-based care for individuals with a terminal illness focusing on comfort, pain management, and quality of life rather than curing the illness) were entered timely for R #19 and R #20. 3. Ensure orders for therapy services were discontinued when hospice services were started for R #19 and R #20. 4. Ensure orders were entered correctly into R #22's medical record. These deficient practices could likely lead to resident's needs not being met and/or a worsening of their medical condition and prognosis.
Inspectors wroteBased on record review and interview, the facility failed to provide a written Notice of Medicare Non-Coverage (NOMNC) to 1 (R #16) of 3 (R #16, R #17, and R #18) residents reviewed for beneficiary notices. If residents or their representatives are not provided with the beneficiary notices, then they may not make an informed decision about the services provided to them and could likely result in a decline in health and function.
Inspectors wroteBased on record review and interview, the facility failed to provide the required transfer information in writing for 1 (R #24) of 3 (R #24, R #25 and R #26) residents sampled for hospitalizations when staff failed to: 1. Send a written copy of the Transfer Notice to the Ombudsman (is a government official who investigates and tries to resolve complaints). 2. Ensure resident or their representative received a written notice of the bed hold policy which indicated the duration the bed would be held. These deficient practices could likely result in the residents and/or their representative not knowing the reason for the transfer, the location of the transfer or discharge, their rights to advocate and make informed decisions regarding the residents' healthcare.
Inspectors wroteBased on record review and interview, the facility failed to ensure a comprehensive MDS assessment was completed within 14 calendar days after admission for 1 (R #17) of 3 (R #16, R #17, and R #18) residents reviewed for discharge planning. This deficient practice could likely result in residents' needs not being met.
Inspectors wroteBased on record review and interview, the facility failed to complete a Significant Change (major decline or improvement in the patient's health status) MDS assessment within 14 days after the facility determined a significant change in the resident's physical condition had occurred for 1 (R #20) of 2 (R #19 and R #20) residents reviewed for hospice services. This deficient practice could likely result in residents not receiving the appropriate care and services they need.
Inspectors wroteBased on record review and interview, the facility failed to complete and transmit a MDS assessment within 14 days of the assessment reference date (ARD; last day of the resident observation period for the MDS assessment) for 1 (R #3) of 3 (R #1, R #2 and R #3) residents reviewed for MDS assessments. This failed practice could lead to the facility not reporting information in a timely manner (within 14 days) to the Centers for Medicare & Medicaid Services (CMS).
Inspectors wroteBased on observation, record review, and interview, the facility failed to provide respiratory care in accordance with professional standards for 1 (R #3) of 2 (R #3 and R #22) resident reviewed for implementation of orders when the facility failed to: 1. Ensure staff entered convalescent care orders (CCO's, physician-signed, temporary, medically necessary orders to admit a patient to a skilled nursing facility) for oxygen use into R #3's medical record. 2. Ensure staff followed R #3's physician's order for oxygen use. These deficient practices are likely to result in residents not receiving enough oxygen and can lead to worsening of their condition.
Inspectors wroteBased on record review and interview, the facility failed to create a baseline care plan (minimum healthcare information necessary to properly care for a resident immediately upon their admission to the facility) that include all necessary information for providing care for 1 (R #17) of 3 (R #16, R #17 and R #18) residents reviewed for treatment of wounds. This deficient practice could likely result in residents not receiving the appropriate care upon admission and may place residents at risk of an adverse event (undesirable experience, preventable or non-preventable, that caused harm to a resident because of medical care or lack of medical care) or worsening of current condition.
Inspectors wroteBased on record review and interview, the facility failed to develop an accurate, person-centered comprehensive care plan for 1 (R #16) of 3 (R #16, R #17 and R #18) residents reviewed for treatment of wounds. This deficient practice could likely result in staff being unaware of the current and actual needs of the residents.
Inspectors wroteBased on record review and interview, the facility failed to meet professional standards of practice (established guidelines and expectations that ensure the delivery of high-quality care to residents) for 1 (R #16) of 3 (R #16, R #17 and R #18) residents reviewed for treatment of wounds when staff failed to follow physician's orders. If the facility is not providing care per physician's orders, then residents are likely to experience adverse effects, worsening of their condition, and potential complications from not receiving the care ordered by the physician.
Inspectors wroteBased on record review, and interview, the facility failed to ensure medical records were complete and accurate for 1 (R #16) of 3 (R #16, R #17 and R #18) residents reviewed for treatment of wounds when staff failed to accurately document in the resident's medical record. This deficient practice has the potential to negatively impact the care staff provide to meet residents' needs due to inaccurate records.
Inspectors wroteBased on the record review and interview, the facility failed to ensure RN coverage was provided for 8 consecutive hours a day and for 7 days a week. This failure could potentially affect all 72 residents who lived in the facility (residents were identified by the Resident Matrix provided by the Administrator on 06/23/25. This deficient practice is likely to result in residents not receiving the services they require.
Inspectors wroteBased on record review and interview, the facility failed to ensure residents and/or their representatives were informed in advance of what medications they received and understood the reasons, risks, and benefits of the medications for 1 (R #6) of 5 (R #3, R #5, R #6, R #39, and R #60) residents reviewed for unnecessary medications. If the residents or their representatives are not informed of the risks and benefits of the medication or treatment alternatives, they are not able to make informed decisions regarding residents' care.
Inspectors wroteBased on record review and interview, the facility failed to ensure residents did not receive psychotropic medications (group of drugs that affect behavior, mood, thoughts, or perception) unless there was adequate monitoring for any adverse consequences resulting from the medication for 3 (R #5, R #6, and R #60) of 5 (R #3, R #5, R #6, R #39, and R #60) residents reviewed for unnecessary medications, when staff failed to: 1. Monitor R #5 for side effects of antidepressant (medication used to treat depression) medication. 2. Perform an AIMS (Abnormal Involuntary Movement Scale test used in medicine to assess side effects of antipsychotic medication) for R #6 and R #60. These deficient practices could likely result in residents receiving medications without a medical reason and being at a higher risk of adverse side effects (unwanted, harmful, or abnormal result).
Inspectors wroteBased on record review and interview, the facility failed to provide the required discharge or transfer information to the resident and the resident's representatives in writing for 4 (R #16, R #19, R #83, and R #85) of 4 (R #16, R #19, R #83, and R #85) residents sampled for hospitalizations or discharge when staff failed to: 1. Notify the residents and resident representative(s) of the resident's transfer to the hospital in writing and in a language and manner they understand for R #19 and R #85. 2. Send a written copy of the Discharge or Transfer Notices to the Ombudsman for R #16, R #19, R #83, and R #85. 3. Ensure residents or their representative received a written notice of the bed hold policy which indicated the duration the bed would be held for R #19 and R #83. 4. Complete a discharge summary for R #85. [...]
Inspectors wroteBased on record review and interview, the facility failed to develop an accurate, person-centered comprehensive care plan for 2 (R #5, and R #39) of 7 (R #1, R #2, R #5, R #8, R #39, R #50, and R #60) residents reviewed for comprehensive care plans (plan that has measurable goals and timeframes to meet a resident's medical, nursing, mental health and psychosocial needs). This deficient practice could likely result in staff being unaware of the current and actual needs of the residents.
Inspectors wroteBased on record review and interview, the facility failed to ensure care plan revisions and care plan meeting requirements occurred for 6 (R #2, R #5, R #6, R #19, R #56, and R #60) of 7 (R #2, R #5, R #6, R #16, R #19, R #56, and R #60) residents when the staff failed to: 1. Ensure the Interdisciplinary Team (IDT, team members from different disciplines working collaboratively, with a common purpose, to set goals, make decisions and share resources and responsibilities) members participated in a care plan meeting within 7 days of the completion of the MDS assessment for R #5, R #19, and R #56. 2. Revise the care plan with the most current resident information for R #2, R #5, R #6 and R #60. [...]
Inspectors wroteBased on record review, and interview, the facility failed to maintain acceptable parameters of nutritional status for 1 (R #70) of 3 (R #16, R #52 and R #70) residents reviewed for nutrition maintained acceptable parameters of nutritional status when staff failed to do the following: 1. Weigh R #70 once weekly for 4 weeks, and monthly thereafter 2. Ensure R #70 received his ordered nutritional supplement. These deficient practices could likely result in resident weight loss and adverse effects.
Inspectors wroteBased on record review and interview, the facility failed to ensure the consultant pharmacist's recommendations were reviewed and implemented by the physician and/or the physician provided documentation of a rationale (set of reasons or a logical basis for a course of action) for not following the consultant pharmacist's recommendation for 1 (R #6) of 5 (R #3, R #5, R #6, R #39, and R #60) residents reviewed for unnecessary medications. This deficient practice could likely result in residents receiving medications that are no longer necessary and may cause unnecessary drug interactions (changes to medication action caused by being combined with other foods, beverages, or drugs) or adverse side effects (unwanted, undesirable effects from medication).
Inspectors wroteBased on record review and interview, the facility failed to ensure staff adequately monitored medications for 1 (R #5) of 5 (R #3, R #5, R #6, R #39, and R #60) residents reviewed for unnecessary medications, when they failed to monitor R #5 for side effects (unwanted effects for medication) of anticoagulant (medicines that help prevent blood clots) medications. If the facility does not adequately monitor side effects of anticoagulant medication, the residents are likely to be at risk of bruising and severe bleeding.
Inspectors wroteBased on interview and record review, the facility failed to ensure a resident received dental services for 1 (R #70) of 2 (R #6 and R #70) residents reviewed for dental care. This deficient practice could likely result in residents experiencing tooth decay, tooth pain, and difficulty chewing.
Inspectors wroteBased on interview and record review, the facility failed to ensure a resident received dental services for 1 (R #6) of 2 (R #6 and R #70) residents reviewed for dental care. This deficient practice could likely result in residents experiencing tooth decay, tooth pain, and difficulty chewing.
Inspectors wroteBased on record review, and interview, the facility failed to ensure medical records were complete and accurate for 3 (R #10, R #24, and R #60) of 4 (R #10, R #24, R #50, and R 60) residents reviewed for documentation accuracy when staff failed to do the following: 1. Document R #24's blood sugar levels. 2. Document R #10 and R #60's activity participation. These deficient practices have the potential to negatively impact the care staff provide to meet residents' needs due to missing or inaccurate records and resident information.
Inspectors wroteBased on observation, record review, and interview, the facility failed to have reasonable accommodations for 1 (R #16) of 3 (R #6, R #16, and R #24) residents sampled for accommodation of needs, when they failed to ensure R #16's water was within reach. This deficient practice could likely result in the residents being at risk of accidents and feeling like their preferences and requests are being ignored and lead to feeling like their needs do not matter.
Inspectors wroteBased on interview and record review, the facility failed to ensure the Minimum Data Set Assessment (MDS; federally mandated assessment instrument completed by facility staff) was accurate for 1 (R #16) of 2 (R #2 and R #16) residents reviewed for falls. This deficient practice could likely result in the facility not having an accurate assessment of the residents' needs.
Inspectors wroteBased on record review and interview, the facility failed to create a baseline care plan (minimum healthcare information necessary to properly care for a resident immediately upon their admission to the facility) within 48 hours of admission for 1 (R #83) of 3 (R #19, R #49 and R #83) residents reviewed for baseline care plans. This deficient practice could likely result in residents not receiving the appropriate care upon admission and may place residents at risk of an adverse event (undesirable experience, preventable or non-preventable, that caused harm to a resident because of medical care or lack of medical care) or worsening of current condition.
Inspectors wroteBased on record review, observation, and interview, the facility failed to provide activities of daily living (ADL) assistance for 1 (R #24) of 1 (R #24) resident reviewed for ADL care when staff failed to: 1. Assist R #24 with nail care. 2. Assist R #24 back to his room after his meal. These deficient practices are likely to affect the dignity and health of the residents.
Inspectors wroteBased on record review and interview, the facility failed to ensure there was a system in place for the nursing staff to immediately determine code status [the residents choice as to whether or not they would like to be provided cardio- pulmonary resuscitation (CPR) in the event that they stopped breathing and/or their heart stopped] for 2 (R #16 and R #55) of 4 (R #16, R #39, R #55, and R #70) residents reviewed for code status. This deficient practice is likely to delay potentially lifesaving measures or cause residents to undergo CPR against their wishes, causing unnecessary suffering.
Inspectors wroteBased on interview and record review, the facility failed to ensure residents received proper treatment to maintain hearing for 1 (R #1) of 1 (R #1) resident reviewed for vision and hearing. This deficient practice could likely result in residents losing some independence if they cannot hear, which would compromise their quality of life.
Inspectors wroteBased on interview and record review, the facility failed to ensure a resident received restorative rehabilitation (focuses on maximizing an optimal level of functioning, enabling clients to regain/retain their independence following the debilitating effects of illness or injury) services as ordered by the physician for 1 (R #20) of 1 (R #20) resident reviewed for rehabilitation services. This deficient practice is likely to result in a decrease in residents' functional mobility.
Inspectors wroteBased on interview and record review, the facility failed to ensure that residents with a diagnosis of urinary tract infection (UTI) received appropriate treatment for 1 (R #8) of 2 (R #8 and R #70) residents reviewed for urinary catheters (hollow, flexible tube that helps drain urine from the bladder) and UTI when they failed to ensure that a resident received antibiotic treatment for a UTI. This deficient practice could result in residents being susceptible to worsening infection or becoming septic (potentially life-threatening when the body responds to infection by damaging its own tissues)
Inspectors wroteBased on observation, record review, and interview, the facility failed to provide respiratory care in accordance with professional standards for 1 (R #5) of 1 (R #5) resident reviewed for respiratory care when the facility failed to: 1. Ensure R #5 wore their nasal cannula (a thin, flexible tube that wraps around your head, typically hooking around your ears) correctly. 2. Ensure staff followed the physician's order for oxygen use. These deficient practices are likely to result in residents receiving too much or not enough oxygen and can lead to worsening of their condition.
Inspectors wroteBased on interview and record review, the facility failed to complete performance reviews at least every 12 months for 1 (CNA #1) of 3 (CNA #1, CNA #2, and CNA #3), CNA's sampled for annual performance review. This deficient practice could likely result in staff being undertrained and providing inadequate care.
Inspectors wroteBased on observation, and interview, the facility failed to secure medications in a medication cart and a treatment cart for all 61 residents (residents were identified by the census list provided by the Administrator on 07/09/25). This deficient practice could result in residents obtaining medication not prescribed to them resulting in adverse side effects.
Inspectors wroteBased on record review and interview, the facility failed to ensure care plan revisions occurred for 1 (R #1) of 3 (R #1, R #2 and R #3) residents when staff failed to revise the care plan with the most current resident information. This deficient practice could likely result in the care plan not being updated with the most current resident conditions and appropriate interventions, staff being unaware of changes in care provided, and residents not receiving the care related to changes in their health status or healthcare decisions.
Inspectors wroteBased on record review and interview, the facility failed to notify the provider of R #25's blood pressure medication was not available and had a high blood sugar level greater than 400 (normal range of blood sugar levels of 80-130) for 1 (R #25) of 3 (R #1, R #16 and R #25) residents reviewed for neglect. This deficient practice could likely result in residents not receiving necessary care or worsening medical conditions due to lack of or changes in treatment.
Inspectors wroteRecite from 08/15/24 Based on observation and interview, the facility failed to provide a homelike environment that was in good condition for 1 (R #1) of 1 (R #1) resident randomly sampled by not repairing the wall behind R #1's bed, ensuring electrical outlets have covers, and removing Velcro stuck onto wall. Failure to maintain and provide a comfortable environment is likely to result in residents feeling unimportant and undervalued.
Inspectors wroteRecite from 08/15/24 Based on record review and interview, the facility failed to develop an accurate, person-centered comprehensive care plan for 1 (R #16) of 6 (R #1, R #2, R #3, R #16, R #25, and R #26) residents reviewed for comprehensive care plans (plan that has measurable goals and timeframes to meet a resident's medical, nursing, mental health and psychosocial needs). This deficient practice could likely result in staff being unaware of the current and actual needs of the residents.
Inspectors wroteBased on record review and interview, the facility failed to meet professional standards of practice for 2 (R #16 and R #25) of 3 (R #1, R #16 and R #25) residents reviewed for neglect, when staff failed to: 1. Enter an order for urinalysis (a test of your urine. It is often done to check for a urinary tract infection, kidney problems, or diabetes) and urine culture (a test healthcare providers use to check for a urinary tract infection (UTI) by seeing if bacteria or fungi can grow from a sample of your pee. A urine culture test can also identify bacteria or yeast causing a UTI and which drugs work best to treat the infection) for R #16. 2. Collect urine for urinalysis and urine culture for R #16. 3. Administer R #25's blood pressure medication and insulin as ordered by the physician. [...]
Inspectors wroteBased on record review and interview, the facility failed to provide activities of daily living (ADL; activities related to personal care such as bathing, showering, dressing, walking, toileting, and eating) assistance for baths or showers for 1 (R #16) of 3 (R #16, R #25, and R #26) residents reviewed for ADL care. This deficient practice is likely to affect the dignity and health of the residents.
Inspectors wroteBased on record review and interview, the facility failed to ensure medical records were complete and accurate for 1 (R #16) of 1 (R #1, R #16, and R #25) residents reviewed for neglect. This deficient practice has the potential to negatively impact on the care staff provide to meet residents' needs due to missing or inaccurate records and resident information.
Inspectors wroteBased on document review, interviews, and facility policy review, the facility failed to ensure Registered Nurse (RN) coverage was provided eight hours a day seven days a week. The failure created the potential for 48 residents, residing in the facility, not to receive appropriate care and oversight.
Inspectors wroteBased on observation, interviews, and facility policy review, the facility failed to ensure a clean, environment for two of four hallways (hall one and hall leading to the dining room) and one resident (Resident (R) 31) room in the sample of 18 by heavily using disinfectant sprays.
Inspectors wroteBased on observation, interviews, record review, review of facility policies and Centers for Disease Control and Prevention guidance, the facility failed 1. to ensure that staff wore appropriate Personal Protective Equipment (PPE) for three of twelve residents (Resident (R) 31, 200, and 41) reviewed for enhanced barrier precautions (EBP) when providing care, 2. to clean and disinfect patient equipment after use for one of eight residents (R15) reviewed for infection control 3. To follow hand hygiene practices during medication pass for one of five residents (R15) reviewed for medication administration. These failures could promote the spread of multi drug resistant organisms (MDROs) throughout the facility.
Inspectors wroteBased on interview, record review, and facility policy review, the facility failed to provide care for one of 18 sample residents (Resident (R) 100) as requested which left R100 feeling undignified and upset. R100 requested a shower prior to a doctor's appointment which was not provided.
Inspectors wroteBased on observation, record review, interviews, and facility policy review, the facility failed to assess one of one (Resident (R)3) resident for self-administration of medication in the sample of 18 residents. This had the potential to affect the residents' medication safety at the facility.
Inspectors wroteBased on observations, record review, interviews, facility policy review, and review of the Resident Assessment Instrument (RAI) Manual, the facility failed to accurately code the Minimum Data Set (MDS) for two of two residents (Residents (R) 10 and R34) receiving hospice services and one of four residents (R17) receiving oxygen therapy of 18 sampled residents. By not ensuring the accuracy of the MDS these failures could potentially place the residents at risk for unmet care needs not being addressed.
Inspectors wroteBased on record review, interviews, and facility policy review, the facility failed to develop a person-centered comprehensive care plan with measurable goals, specific objectives, and interventions for one of two residents (Residents (R)10) receiving hospice services of 18 sampled residents. By not developing a person-centered care plan the resident may not be receiving the appropriate interventions to achieve the highest practicable well-being.
Inspectors wroteBased on observations, record review, interviews, and facility policy review, the facility failed to ensure oxygen (O2) concentrators had dust free filters, and were free of a buildup of heavy lint and dirt on the inlet where the air came into the machine for two of four residents (Residents (R) 21 and R25) receiving oxygen therapy out of a sample of 18 sampled residents. This deficient practice had the potential to allow an increased chance of infection and unnecessary respiratory treatment.
Inspectors wroteBased on record review, interviews, and policy review, the facility failed to provide documentation of behavior monitoring for the continued use of psychoactive medications for two of five residents (Resident (R) 7 and R19) reviewed for unnecessary medications. Failure to provide quantitative data regarding target behavior reduction/management has the potential to affect the resident receiving the lowest dose possible of a psychoactive medication.
Inspectors wroteBased on observation and interview, the facility failed to ensure food was stored properly for all 50 residents who eat food prepared in the kitchen (residents were identified by the Census list provided by the Administrator on 10/01/23), when they failed to label and date food items in the pantry and in the refrigerator. These deficient practices could lead to residents becoming sick from foodborne illnesses.
Inspectors wroteBased on interview and observation, the facility failed to post notice of the availability of the most recent state survey in areas of the facility that were prominent and accessible to residents and the public. This could affect all 50 residents in the facility (residents were identified by the Census Report provided by the Administrator on 10/01/23). If residents are unable to locate the latest survey conducted by State Surveyors, then residents, representatives, and visitors are likely unable to know how the facility is doing and make decisions accordingly.
Inspectors wroteBased on observation and interview, the facility failed to provide a comfortable and homelike environment for the 28 residents on the 100 Unit (Resident were identified by the Census list provided by the DON on 10/01/23), when they failed to keep the 100 unit free from institutional odors. This failed deficient practice could likely lead to an unsanitary and uncomfortable environment.
Inspectors wroteBased on record review and interview, the facility failed to ensure a comprehensive assessment (complete assessment that included not only the traditional care of the resident, but also the prevention and early detection of disease and rehabilitation) was completed and accurate for 3 (R #31, R #46 and R #48) of 6 (R #31, R #46, R #47, R #48, R #49, and R #107) residents reviewed for activities. When they failed to: 1. Complete MDS Section F, Preferences for Customary and Routine activities, for R #31 and R #46; 2. Complete the Interview for Daily Preferences on the MDS for R #48. This deficient practice could likely result in residents' preferences and needs not being met.
Inspectors wroteBased on interview and record review, the facility failed to ensure the MDS assessments were accurate for 3 (R #1, R #30, and R #31) of 4 (R #1, R #30, R #31, and R #48) residents sampled for MDS accuracy. This deficient practice could likely result in residents not receiving the care and treatment they need.
Inspectors wroteBased on record review and interview, the facility failed to create a Baseline Care Plan (Plan that includes the instructions needed to provide effective and person-centered care upon admission) within 48 hours of admission for 1 (R #156) of 3 (R #107, R #109, and R #156) residents sampled for Baseline Care Plans. When they failed to: 1) Develop R #156's baseline care plan within 48 hours after admission, 2) Create a plan of care for R #156's pressure ulcers. This deficient practice could likely result in residents not receiving the appropriate care and services and may place residents at risk of an adverse event (An event, preventable or nonpreventable, that caused harm to a patient as a result of medical care or lack of medical care) or worsening of current condition after admission.
Inspectors wroteBased on record review and interview, the facility failed to develop and implement a comprehensive person-centered care plan for 2 (R #46 and R #107) of 7 (R #1, R #14, R #15, R #31, R #46, R #49 and R #107) residents reviewed for Comprehensive Care Plans. Failure to develop a comprehensive person-centered care plan could likely result in staff's failure to understand the needs, preferences, and treatments for residents to achieve their highest level of well-being.
Inspectors wroteBased on record review and interview, the facility failed to provide an ongoing activity program to support residents in their choice of activities designed to support their physical, mental, and psychosocial well-being for 1 (R #48) of 5 (R #31, R #46, R #47, R #48 and R #49) residents reviewed for activities. If the facility does not ensure that all residents are receiving an ongoing activity program, documenting resident refusals, and making in-room activity accommodations, then residents are likely to demonstrate an increase in isolation and depression and could likely experience a decline in independence.
Inspectors wroteBased on observation and interview, the facility failed to keep residents free from accidents for all 41 residents in the facility (residents were identified by the Census Report provided by the Administrator on 10/01/23), when they failed to secure a treatment cart. This deficient practice could likely result in residents obtaining medical equipment that could be harmful to them resulting in injury.
Inspectors wroteBased on interview and record review, the facility failed to ensure appropriate treatment and services for Foley catheter tubing and collecting bag (soft plastic or rubber tube that is inserted into the bladder to drain the urine and is connected to a collecting bag) care for 1 (R #47) of 1 (R #47) resident sampled for urinary catheter, when they failed to complete Foley catheter care and flushes as ordered. This deficient practice could likely result in residents getting infections.
Inspectors wroteBased on record review and interview, the facility failed to ensure staff acted upon pharmacy recommendations when they failed to: 1. Have the physician review and sign off on the pharmacy recommendations for residents reviewed by the consult pharmacist for medication regimen reviewed in July 2023. 2. Follow the pharmacist recommendation for maximum recommended dose for R #15's acetaminophen. This deficient practice could affect all 50 residents in the facility (residents were identified on the resident matrix provided by the Administrator on 10/01/23). This deficient practice could likely result in residents being at a higher risk of adverse (undesired harmful effect resulting from medication) side effects.
Inspectors wroteBased on record review and interview, the facility failed to provide a drug regimen that was free from unnecessary medication for 1 (R #25) of 1 (R #25) residents reviewed for anticoagulants (a group of medications that decrease your blood's ability to clot) when they prescribed R #25 an anticoagulant for hypertension (when the pressure in your blood vessels is too high). This deficient practice could likely cause R #25 to receive medication he does not need or no longer needed.
Inspectors wroteBased on observation and interview, the facility failed to properly store medications, when they failed to: 1. Dispose of loose tablets stored in the medication carts for the 300 unit. 2. Properly label open bottles of medications stored in the medication carts for the 100 and 300 units. 3. Ensure medication was not expired in the Pyxis (medication management software and medication dispensing machine). This could affect all 41 residents in the 100 unit and 300 unit of the facility (Residents were identified by the resident matrix provided by the Administrator on 10/01/23). These deficient practices could likely result in residents obtaining medications that are no longer effective or that are not prescribed to them resulting in adverse side effects.
Inspectors wroteBased on interview and record review, the facility failed to notify the resident representative of resident change in condition which required a hospice consult for 1 (R #30) of 1 (R #30) residents reviewed for notification of change. This deficient practice could likely result in the resident representative being unable to provide advocacy and make medical decisions when needed.
Inspectors wroteBased on interview and record review, the facility failed to complete a significant change (major decline or improvement in the patient's health status) MDS in a timely manner (within 14 days after the facility determines, or should have determined, there has been a significant change in the resident's physical or mental condition) for 1 (R #30) of 1 (R #30) residents sampled for hospice (care that focuses on alleviating symptoms of the terminally ill). This deficient practice could likely result in the resident not receiving the appropriate care and services they need.
Inspectors wroteBased on record review and interview, the facility failed to develop an effective discharge plan for 1 (R #54) of 1 (R #54) residents reviewed for discharge planning (the process of transitioning a resident from one level of care to the next). This deficient practice could likely result in complicated and/or unsafe transitions from the facility to the residents' post-discharge settings.
Inspectors wroteBased on record review and interview, the facility failed to ensure a discharge summary that included a recapitulation (a summary describing the resident's course of treatment while residing in the facility) was completed for 1 (R #54) of 1 (R #54) residents sampled for discharge from the facility. This deficient practice could likely lead to the receiving facility or hospital not knowing what the current care needs and significant medical history are for the resident.
Inspectors wroteBased on record review and interview, the facility failed to ensure residents were treated with respect and dignity for 28 (R #1, R #2, R #3, R #6, R #7, R #8, R #11, R #13, R #14, R #15, R #18, R#19, R #22, R #23, R #24, R #26, R #27, R #28, R #31, R #32, R #35, R #36, R #37, R #43, R #45, R #46, R #48, R #49) of 28 (R #1, R #2, R #3, R #6, R #7, R #8, R #11, R #13, R #14, R #15, R #18, R#19, R #22, R #23, R #24, R #26, R #27, R #28, R #31, R #32, R #35, R #36, R #37, R #43, R #45, R #46, R #48, R #49) residents randomly sampled, when the facility failed to: 1. Refer to residents in a dignified manner, 2. Provide privacy for R #48 to use his urinal. This deficient practice could likely to result in residents feeling embarrassed, angry, and that their feelings and preferences are unimportant to the facility staff.
15 fire safety citations on file: 8 on August 15, 2024, 4 on October 10, 2023, 3 on October 11, 2022.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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) | 3.74 | 3.54 | 3.86 |
| Registered nurses | 0.75 | 0.63 | 0.69 |
| All nursing staff on weekends | 3.32 | 3.10 | 3.42 |
| Nurse aides | 2.13 | ||
| Licensed practical nurses | 0.85 | ||
| Nursing staff turnover (share who left in a year) | 67.7% | 53.3% | 45.8% |
| Registered nurse turnover | 69.2% | 53.6% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.64 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 3.91 on weekdays and 3.32 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.49 in April to June 2025 to 3.74 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 | 3.74 | 0.75 | 3.91 | 3.32 | 0.2% | 0 of 90 | 73 |
| Oct to Dec 2025 | 3.42 | 0.54 | 3.55 | 3.08 | 4.5% | 0 of 92 | 72 |
| Jul to Sep 2025 | 3.27 | 0.73 | 3.41 | 2.93 | 7.5% | 1 of 92 | 65 |
| Apr to Jun 2025 | 3.49 | 0.67 | 3.63 | 3.13 | 0.2% | 0 of 91 | 54 |
| 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.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| New Mexico, all employers | |||
| CNAs (nursing assistants) | $18.94 | $17.94 to $21.83 | 4,750 |
| LPNs and LVNs | $28.52 | $18.93 to $35.14 | 2,460 |
| Registered nurses | $45.36 | $38.92 to $49.40 | 17,980 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
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 | 7.4 | 11.3 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.3 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.9 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.0 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.9 | 1.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 4.8 | 11.7 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 9.5 | 5.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 14.5 | 14.5 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 26.4 | 22.0 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 33.3 | 15.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.9 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 4.4 | 2.8 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Betty Dare Wellness & Rehabilitation LLC's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (53.8% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
53.8% this home
No different from the national rate
US median of homes 51.5% · New Mexico: 15 better, 4 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 142 eligible stays.
12.2% this home
No different from the national rate
US median of homes 10.7% · New Mexico: 0 better, 2 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 161 eligible stays.
7.2% this home
No different from the national rate
US median of homes 7.1% · New Mexico: 0 better, 0 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 88 eligible stays.
71.0% this home
Median of homes: New Mexico66.5% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 69 residents counted.
0.0% this home
Median of homes: New Mexico0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 96 residents counted.
2.5% this home
Median of homes: New Mexico2.5% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 96 residents counted.
91.5% this home
Median of homes: New Mexico97.2% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 47 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: BETTY DARE WELLNESS & REHABILITATION LLC. CMS links this home to Opco Skilled Management, a group of 68 nursing homes averaging 2.3 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| 3101 Nm Holdings, LLC | 5% or greater direct ownership interest | Organization | 100% | 11/01/2024 |
| Cerulean Nm Trust | 5% or greater indirect ownership interest | Organization | 61% | 11/01/2024 |
| Periwinkle Nm Trust | 5% or greater indirect ownership interest | Organization | 31% | 11/01/2024 |
| Davidovich, Niv | 5% or greater indirect ownership interest | Individual | 11/01/2024 | |
| Sternshein, Jennifer | 5% or greater indirect ownership interest | Individual | 11/01/2024 | |
| 3101 N Florida Ave Nm, LLC | 5% or greater mortgage interest | Organization | 11/01/2024 | |
| 3101 Nm Realty, LLC | 5% or greater mortgage interest | Organization | 11/01/2024 | |
| Byzantine Nm Trust | 5% or greater mortgage interest | Organization | 11/01/2024 | |
| Esdov Investments LLC | 5% or greater mortgage interest | Organization | 11/01/2024 | |
| First Sweetzer Holdings LLC | 5% or greater mortgage interest | Organization | 11/01/2024 | |
| Hatteras Investments, LLC | 5% or greater mortgage interest | Organization | 11/01/2024 | |
| Talia Nm Trust | 5% or greater mortgage interest | Organization | 11/01/2024 | |
| Garetz, David | 5% or greater mortgage interest | Individual | 11/01/2024 | |
| Hagins, Elizabeth | 5% or greater mortgage interest | Individual | 11/01/2024 | |
| Kaplan, Esther | 5% or greater mortgage interest | Individual | 11/01/2024 | |
| Kaplan, Mosha | 5% or greater mortgage interest | Individual | 11/01/2024 | |
| Mindle, Adam | 5% or greater mortgage interest | Individual | 11/01/2024 | |
| Garetz, David | Corporate officer | Individual | 11/01/2024 | |
| Jshp Holdings, LLC | Operational/managerial control | Organization | 11/05/2024 | |
| Garetz, David | Operational/managerial control | Individual | 11/06/2024 | |
| Washington, Derek | Operational/managerial control | Individual | 11/01/2024 | |
| Sternshein, Jennifer | Trustee of the SNF | Individual | 11/01/2024 | |
| 3101 N Florida Ave Nm, LLC | Adp of the SNF | Organization | 12/20/2024 | |
| 3101 Nm Realty, LLC | Adp of the SNF | Organization | 12/20/2024 | |
| Byzantine Nm Trust | Adp of the SNF | Organization | 12/20/2024 | |
| Talia Nm Trust | Adp of the SNF | Organization | 12/20/2024 | |
| Stolarczyk, Lisa | Adp of the SNF | Individual | 12/20/2024 | |
| Washington, Derek | Adp of the SNF | Individual | 12/20/2024 |
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.
Chosen from this home's own inspection record.
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