Home / New Mexico / Las Cruces
Casa Del Sol Center
2905 East Missouri Avenue, Las Cruces, NM 88011 · Dona Ana County · (575) 522-0404
62 certified beds, about 57 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1997
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 325108 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 18, 2025, inspectors cited 22 health deficiencies (the New Mexico average is 17.9, the national average 9.2).
None of its 55 health citations since November 2022 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 3.52 hours per resident per day, against 3.54 across New Mexico and 3.86 nationally. Registered nurses accounted for 0.69 of those hours.
62.3% 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.
1211/22
1112/23
2303/25
311/25
101/26
503/26
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 55 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
29D
23E
3F
Potential for minimal harm
0A
0B
0C
March 10, 2026Complaint inspection · 5 citations
- E Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Inspectors wroteBased on record review and interview the facility failed to promote and facilitate resident's right to choose, when the facility failed to:Allow residents to eat breakfast in the dining room for all 49 resident who eat in the dining room (residents were identified by the Resident Matrix provided by the Administrator on 03/09/26). Allow R #5 to continue to smoke after a new smoking agreement and procedure was implemented at the facility. This deficient practice could likely result in residents becoming depressed and anxious because their right to choose is not being honored.
- 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 have medical record complete and accurate for 2 (R #2 and R #3) of 3 (R #2, R #3, and R #4) resident sampled for foley catheters, when staff failed to have physician's orders for R #2's and R #3's foley catheters. This deficient practice could likely result in staff being unaware of the residents' needs and foley catheter care not being performed.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on observation, interview, and record review the facility failed to have an accurate MDS assessment for 1 (R #4) of 3 (R #2, R #3, and R #4) resident sampled for foley catheters, when staff failed to accurately assess that R #4 did not have a foley catheter. This deficient practice could likely result in staff being unaware of the residents' needs.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on record review and interview, the facility failed to provide quality of care in accordance with professional standards of practice for 1 (R #1) of 3 (R #1, R #7, and R #8) residents sampled for hospitalization, when staff failed to send R #1 to the hospital for several hours after receiving an order to send her. This deficient practice could likely result in resident's condition worsening and cause impairment or death.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review the facility failed to follow proper infection control practices for 1 (R #2) of 3 (R #2, R #3, and R #4) resident sampled for foley catheters, when staff failed to place signs and PPE (protective clothing, helmets, goggles, or other garments/equipment designed to protect from injury or infection) for R #2's enhanced barrier precautions (an infection control strategy in nursing homes requiring staff to wear gowns and gloves during high-contact care for residents). This deficient practice could likely result in residents who are susceptible to infection being exposed to staff and visitors who are not wearing the proper PPE increasing the risk of infections.
January 14, 2026Complaint inspection · 1 citation
- E Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on record review and interview, the facility failed to provide a discharge summary for 2 (R # 1 and R #2) of 3 (R #1, R #2, and R #3) resident sampled for discharge. This deficient practice could likely result in the resident and/or their representative not knowing the services that the resident received while at the facility, the resident's current health status, or the resident's current medications leading to adverse outcomes for the resident.
November 18, 2025Complaint inspection · 3 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 observation and interview, the facility failed to assure medications were secured and inaccessible to unauthorized staff, visitors, and residents. This deficient practice has the potential to affect all 14 residents residing on the 300 hall as identified on the resident census provided by the Administrator on 09/08/25. Improperly stored medications could result in a resident, staff member, or visitor taking the medications not prescribed to them.
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observation and interview, the facility failed to provide reasonable accommodation of resident needs for 2 (R #2 and R #3) of 2 (R #2 and R #3) residents reviewed for mobility throughout the facility when the facility failed to ensure that the ramp to the outdoor gazebo was accessible to residents who use wheelchairs and/or walkers. This deficient practice could result in frustration or making the residents feel like their feelings don't matter, leaving them at risk of accidents and falls, and feeling unimportant.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on record reviews and interviews, the facility failed to meet professional standards of practice for 1 (R #1) of 3 (R #1, R #2 and R #3) residents reviewed for physician's orders when staff failed to collect a urinalysis sample (urine sample sent to laboratory for testing) as ordered. If the facility is not completing physician's orders and providing care that meets professional standards of practice, then residents are likely to experience adverse effects, worsening of their condition, and potential complications from not receiving the care ordered by the physician.
March 18, 2025Standard inspection, Complaint inspection · 23 citations
- F 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, when staff failed to: 1. Dispose of a loose tablet stored in the medication chart for the D Unit. 2. Ensure open medication had an open date for B Unit Medication Cart 3. Document temperatures for the medication refrigerators. This could affect all 57 residents in the facility (Residents were identified by the resident matrix provided by the Administrator on 03/10/25). 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.
- F Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture.
Inspectors wroteBased on observation and interview, the facility failed to provide sufficient space for dining. This failure has the potential to affect all 57 (as listed on the Resident Census provided by the Administrator on 03/10/25) and could likely hinder safe movements and disrupt residents dining experience.
- E 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 record review and interview, the facility failed to ensure care plan requirements were met for 6 (R #8, R #15, R #18, R #49, R #56, and R #162) of 10 (R #7, R #8, R #13, R #15, R #18, R #20, R #32, R #49, R #56, and R #162) residents reviewed for care plans when staff failed to: 1. Have the required 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 participate in the care plan meeting for R #15 and R #49. 2. Ensure the care plan meeting was held after the completion of the admission Minimum Data Set Assessment (MDS; a standardized, comprehensive assessment of an adult's functional, medical, psychosocial, and cognitive status) when creating the care plan for R #8, R #15, R #18, R #49, R #56, and R #162. 3. [...]
- E Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Inspectors wroteBased on interview and record review, the facility failed to ensure the CNA's are able to demonstrate competency in skills and techniques necessary to care for residents' needs for 3 (CNA #8, CNA #9, and CNA #16) of 3 (CNA #8, CNA #9, and CNA #16) CNAs reviewed for competent nursing staff, when they failed to: 1. Have a competency evaluation (the facility's way to measure an individual's knowledge and skills as related to safe, competent performance through demonstration of those skills) for CNA #8, CNA #9, and CNA #16 at the time of hire before they start to work with residents. 2. Have a competency evaluation for CNA #8, CNA #9, and CNA #16 routinely after hire. These deficient practices could likely result in CNA's working with residents without adequate knowledge to do so; likely resulting in injury or inappropriate care being provided to the residents.
- E Observe each nurse aide's job performance and give regular training.
Inspectors wroteBased on interview and record review, the facility failed to complete performance reviews at least every 12 months for 2 (CNA #10 and CNA #16) of 3 (CNA #8, CNA #10, and CNA #16) CNAs sampled for 12 hours of annual training. This deficient practice could likely result in staff being undertrained and providing inadequate care.
- E 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 resident free from psychotropic medications (antidepressants, anti-anxiety medications, stimulants, antipsychotics, and mood stabilizers) for 3 (R #13, R #15, and R #19) of 4 (R #13, R #15, R #19 and R #20) residents reviewed for unnecessary psychotropic medications when they failed to: 1) Have the consents of resident/representative for psychotropic medications for R #13 and R #15. 2) R #19 did not receive psychotropic medications unless the medication was necessary to treat a specific psychiatric diagnosis and was documented in the medical record. 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).
- E Provide or obtain dental services for each resident.
Inspectors wroteBased on record review and interview the facility failed to ensure residents obtained dental services for 2 (R #18 and R #23) of 3 (R #18, R #23 and R #46) residents sampled for dental services, when they failed to ensure residents receive routine dental care to include an annual inspection of the mouth for signs of disease, dental cleaning, fillings, or minor partial or full denture adjustments. This deficient practice is likely to cause the resident unnecessary pain, embarrassment over the condition/appearance of teeth, and potential dental or oral complications.
- E 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 serve food under sanitary conditions by professional standards of food service safety for 4 (R #15, R #23, R #42, and R #54) of 4 (R #15, R #23, R #42, and R #54) residents when staff failed to perform hand hygiene prior to assisting residents with eating and drinking. If the facility fails to adhere to safe food handling practices and hygiene practices, residents could likely be exposed to foodborne illnesses (illness caused by food contaminated with bacteria, viruses, parasites, or toxins).
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation and interview, the facility failed to ensure a resident was treated with respect and dignity for 1 (R #23) of 1 (R #23) resident when the staff failed to sit next to the resident while assisting them to eat. This deficient practice could likely result in residents feeling embarrassed, angry, and that their feelings are unimportant to the facility staff.
- 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 provide a homelike environment that was in good condition for 1 (R #18) of 1 (R #18) resident reviewed for a homelike environment by not repairing the trimming on the windowsill in R #18's room. Failure to maintain and provide a comfortable environment is likely to result in residents feeling unimportant and undervalued.
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on record review and interview, the facility failed to notify the resident and the resident's representative(s) of the transfer in writing for 1 (R #35) of 1 (R #35) resident sampled for hospitalization when staff failed to: 1. Notify the resident and resident's representative(s) of the resident's transfer to the hospital in writing and in a language and manner they understand. 2. Send a written copy of the Transfer to the Ombudsman. These deficient practices could likely result in the resident and/or their representative not knowing the reason for a transfer, the location of the transfer, and their rights to advocate and make informed decisions regarding the resident's healthcare.
- D Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Inspectors wroteBased on record review and interview, the facility failed to ensure a comprehensive Minimum Data Set (MDS; a federally mandated assessment instrument completed by facility staff) was completed within 14 calendar days after admission for 1 (R #162) of 4 (R #13, R #17, R #60 and R #162) residents reviewed. This deficient practice could likely result in residents' preferences and care needs not being met.
- D Assess the resident when there is a significant change in condition
Inspectors wroteBased on record review and interview, the facility failed to complete and transmit (electronically sending encoded information) a Significant Change (major decline or improvement in the patient's health status) Minimum Data Set assessment within 14 days after the facility determined a significant change in the resident's physical or mental condition for 1 (R #32) of 1 (R #32) resident reviewed for MDS assessment timing. This deficient practice could likely result in the residents not receiving the appropriate care and services they need.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and interview, the facility failed to ensure the Minimum Data Set Assessment (MDS; a standardized, comprehensive assessment of an adult's functional, medical, psychosocial, and cognitive status) was accurate for 3 (R #13, R #17, and R #60) of 7 (R #7, R #8, R #13, R #17, R #18, R #20 and R #60) residents reviewed for accurate MDS assessments. This deficient practice could likely result in the facility not having an accurate assessment of the residents' needs.
- 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 record review and interview, the facility failed to develop an accurate, person-centered comprehensive care plan for 1 (R #56) of 3 (R #15, R #49, and R #56) residents reviewed for care plans. This deficient practice could likely result in staff being unaware of the current and actual needs of the residents.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on record reviews, and interviews, the facility failed to meet professional standards of quality for 1 (R #49) of 1 (R #49) residents when staff failed to administer medications according to physician's orders. If the facility is not providing care that meets professional standards of quality, then residents are likely to experience adverse effects, worsening of their condition, and potential complications from not receiving the care ordered by the physician.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on record review and interview, the facility failed to provide activities of daily living (ADL) assistance for 1 (R #23) of 1 (R #23) residents reviewed for ADL care when staff failed to assist R #23 with brushing his teeth at night. This deficient practice is likely to affect the dignity and health of the residents.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on record review and interview, the facility failed to ensure wound care orders were obtained and implemented timely for 1 (R #7) of 5 (R #1, R #7, R #34, R #35 and R #49) residents reviewed for pressure ulcers (damage to an area of the skin caused by constant pressure on the area for a long time), when staff failed to: 1. Have wound care orders obtained and implemented for R #7's pressure wound on the sacrum (area of spinal column just above the coccyx) for 2 days after R #7 was admitted . 2. Have wound care orders obtained and implemented for R #7's pressure wounds on the Left and Right heel for 3 days after being admitted . These deficient could likely result in the provider being unaware of the resident's current condition, leading to inconsistent interventions and worsening of pressure ulcers.
- D Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on record review and interview, the facility failed to effectively (use of different techniques and medication to reduce and control the amount of pain a person experiences) manage pain for 1 (R #13) of 2 (R #13 and R #46) residents reviewed for pain when the facility failed to implement orders for treatment of pain for 17 days after R #13's appointment with her provider. This deficient practice could likely result in residents experiencing unnecessary pain.
- D Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Inspectors wroteBased on record review and interview, the facility failed to ensure residents have a written, signed, and dated progress notes at each visit from the provider (physician or nurse practitioner) for 1 (R #7) of 1 (R #7) resident reviewed for physician's visits, when they failed to have R #7's provider: 1. Sign their progress notes at the time of the visit. 2. Provide their progress note at the time of the visit. This deficient practice could likely result in the residents' needs not being met due to facility not having written, signed, and dated progress notes from the provider. A. Record review of R #7's admission record (no date) revealed R #4 was admitted to the facility on [DATE]. B. On 03/13/25 at 10:06 AM, during an interview with Medical Records staff, she confirmed there were no wound care consultation progress notes scanned into R #7's medical record. C. [...]
- 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 ensure medical records were complete and accurate for 1 (R #56) of 2 (R #15 and R #56) residents reviewed for documentation accuracy. This deficient practice has the potential to negatively impact the care staff provide to meet residents' needs due to missing or inaccurate records and resident information.
- D Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Inspectors wroteBased on record review and interview, the facility failed to provide behavioral health training (training that helps staff recognize and respond to various behavioral and mental health issues that residents may present with) for 1 (CNA #8) of 3 (CNA #8, CNA #10, and CNA #11) staff sampled for training. This deficient practice could likely result in residents not receiving the services necessary to attain or maintain their physical, mental, and psychosocial (involving both psychological and social aspects) well-being.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on record review the facility failed to report the results of all the investigations of misappropriation of resident property (the deliberate misplacement, exploitation, or wrongful, temporary, or permanent use of a resident's belongings or money without the resident's consent) and allegations of abuse within five days of the incident to the State Agency for 2 (R #20 and R #58) of 2 (R #20 and R #58) residents reviewed for reporting. If the facility fails to report the results of the investigations to the State Agency within five (5) days, then corrective action may not be taken, and residents may suffer serious bodily injury due to abuse or suffer increased anxiety and financial hardship.
December 15, 2023Standard inspection · 11 citations
- E Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and interview, the facility failed to ensure the Minimum Data Set (MDS; a federally mandated assessment instrument completed by facility staff) accurately reflected the resident's status at the time of the assessment for 1 (R #46) of 3 (R #1, R #46, and R #55) residents sampled for MDS accuracy. This deficient practice could likely result in residents not receiving the care and treatment they need.
- 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 a comprehensive person-centered care plan for 2 (R #1 and R #38) of 5 (R #1, R #4, R #8, R #38 and R #46) 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.
- E 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 record review and interview, the facility failed to revise the care plan for 1 (R #8) of 5 (R #1, R #4, R #8, R #38, and R #46) residents reviewed for care plan revisions. This deficient practice could likely result in staff being unaware of changes in care being provided, and residents not receiving the care related to changes in their health status or healthcare decisions.
- E Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure 2 (R #4 and 18) of 2 (R #4 and 18) residents reviewed received the care necessary to promote the prevention of pressure ulcer/injury development. If the facility is not implementing preventative measures, then residents are likely at risk of the development of pressure injuries.
- E Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Inspectors wroteBased on record review and interview, the facility failed to start restorative services (nursing interventions that promote the resident's ability to adapt and adjust to living as independently and safely as possible and focuses on achieving and maintaining optimal physical, mental, and psychosocial functioning) for 2 (R #8 and R #38) of 6 (R #4, R #5, R #8, R #21, R #38, and R #47) residents reviewed for activities of daily living (ADL's; daily self-care activities such as eating, dressing and using the toilet). This deficient practice could likely result in residents not receiving services as needed or ordered to improve or maintain their physical functional ability.
- E Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on record review and interview, the facility failed to obtain a physician's order for dialysis treatment or monitoring after dialysis treatment for the resident who received dialysis (clinical purification of blood as a substitute for the normal function of the kidney) for 1 (R #7) of 1 (R #7) residents reviewed for dialysis care. This deficient practice could likely result in residents not receiving dialysis treatment or the care and monitoring they need after dialysis treatment.
- E Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspectors wroteBased on observation and interview, the facility failed to ensure there was a functioning call light system that allowed residents to call for assistance for 1 (R #12) of 1 (R #12) residents reviewed for call lights. If the facility does not have a functioning call light system then residents are unlikely to get their immediate needs met by facility staff.
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on record review and interview, the facility failed to inform residents when changes in coverage were made to items and services covered by Medicare and/or by Medicaid for 1 (R #2) of 3 (R #2, R #8, and R #56) residents reviewed for beneficiary notices when they failed to provide R #2 with Form CMS-10055- Skilled Nursing Facility (SNF) Advanced Beneficiary Notice (ABN) of Non-Coverage [form used to inform the beneficiary (resident) about potential non-coverage and the option to continue services with the beneficiary accepting financial liability for those services.] This deficient practice can likely result in confusion for the resident or their representative as to what services they receive or do not have financial coverage for under Medicare and/or Medicaid.
- 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 provide a comfortable and homelike environment for 1 (R #48) of 3 (R #3, R #37, and R #48) residents sampled for environment, when they failed to repaint the walls after repairs. This deficient practice could likely cause residents to feel like they are not living in a comfortable home-like environment and like they are not valued.
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on record review and interview, the facility failed to ensure residents and their representatives received a written notice of transfer as soon as practicable for 1 (R #51) of 1 (R #51) residents reviewed for hospitalization. This deficient practice could likely result in the resident and/or their representative not knowing the reason or location the resident was transferred or discharged .
- D Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Inspectors wroteBased on record review and interview, the facility failed to ensure residents or their representatives received a written notice of the bed hold policy which indicated the duration the bed would be held for 1 (R #51) of 1 (R #51) residents reviewed for hospitalization. This deficient practice could likely result in the resident and/or their representative being unaware of the bed hold policy upon return from the hospital.
November 21, 2022Standard inspection · 12 citations
- F Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Inspectors wroteBased on interview and record review, the facility failed to have 12 hours of annual training that is associated with the facility assessment for 3 (CNA #6, CNA #7, CNA #8) of 3 (CNA #6, CNA #7, and CNA #8) CNAs sampled for 12 hours of annual training. This deficient practice could likely result in staff being under trained and providing inadequate care.
- E Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Inspectors wroteBased on record review an interview the facility failed to have an accurate resident assessment for 1 (R #46) of 1 (R #46) resident review for accuracy of assessment, when they failed to remove R #46's pneumonia infection (an infection that inflames the air sacs in one or both lungs) from the MDS assessment. This deficient practice could likely result in staff being unaware of residents needs if the assessment in not accurate.
- E Assist a resident in gaining access to vision and hearing services.
Inspectors wroteBased on interview and record review, the facility failed to ensure that residents receive proper treatment to maintain vision for 1 (R #36) for 1 (R #36) resident sampled for vision, when they failed to follow up with R #36's eye doctor after he requested from the nurse to know why he not received his eye glasses several days after his appointment. This deficient practice could likely result in resident losing some independence if they cannot see.
- E Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Inspectors wroteBased on interview and record review, the facility failed to ensure that the nurses aides had competencies (is a measurable pattern of knowledge, skills, abilities, behaviors, and other characteristics that an individual needs to perform work roles or occupational functions successfully) in skills necessary to care for resident needs for 2 (CNA #7, and CNA #8) of 3 (CNA #6, CNA #7, and CNA #8) CNAs sampled for competency. This deficient practice could likely result in staff working who are not competent to give care to residents.
- E Observe each nurse aide's job performance and give regular training.
Inspectors wroteBased on interview and record review the facility failed to have performance reviews every 12 months for 2 (CNA #7, and CNA #8) of 3 (CNA #6, CNA #7, and CNA #8) CNAs sampled for 12 hours of annual training. This deficient practice could likely result in staff being under trained and providing inadequate care.
- 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 medication in a medication cart for all 17 residents on 100 hall (residents were identified by the resident matrix provided by the Administrator on 11/15/22) that were randomly sampled, when they failed to lock the medication cart when not in use. This deficient practice could result in residents obtaining medication not prescribed to them resulting in adverse side effects.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to follow proper infection control practices for 2 (R #21 and R #28) of 2 (R #21 and R #28) residents identified during random observation when the facility failed to: 1) Ensure R #21's nasal cannulas (flexible tubing that sits inside the nostrils and delivers oxygen) were not on the floor. 2) Ensure R #28's Nebulizer masks (nebulizer is a device that turns the liquid medicine into a mist which is then inhaled through a mouthpiece or a mask) were covered when not in use. These deficient practices could likely result in the spread of contagious and resistant illnesses to other residents.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, interviews, and record review the facility failed to treat residents with respect and dignity for 1 (R #53) of 1 (R #53) resident sampled for dignity, when they failed to clean R #53, who is dependent on staff for assistance, after breakfast leaving him with food and nasal discharge in the common TV room. This deficient practice could cause resident to become depressed and anxious if residents do not get the help cleaning themselves after meals.
- D 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 observation, the facility failed to make prompt efforts to resolve grievances the resident may have for 1 (R #3) of 1 (R #3) residents sampled for missing property, when staff were made aware of R #3's missing remote for his TV and did not assist him in finding it until the next day. This deficient practice could likely result in emotional anguish for resident whom having missing property and are unable to find them.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on interview and record review, the facility failed to report allegations of abuse to the State Agency within 2 hours for 1 (R #22) of 1 (R #22) residents review for abuse. This deficient practice could likely result in resident continuing to be abuse if allegations go unreported.
- 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 record review, and interview, the facility failed to revise the care plan for 3 (R #14, R #26, and R #36) of 3 (R #14, R #26 and R #36) resident reviewed for care plans, when they failed to: 1) Revise R #14's care plan to discontinue the use of Heperin (an anticoagulant A substance that is used to prevent and treat blood clots in blood vessels and the heart. Used to decrease the clotting ability of the blood and help prevent harmful clots from forming in blood vessels blood thinner). 2) Revise R #26's care plan to add weekly counseling. 3) Revise R #36's care plan to add any ADL(Activities of Daily Living). This deficient practice could likely result in the care plan not reflecting resident's current goals and care needs preventing residents from gaining and/or maintaining their highest practicable level of well-being.
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on record review and interview the facility failed to have the attending physician document his or her rationale in the resident's medical record when responding to the pharmacy recommendations for 1 (R #3) of 5 (R #3, R #14, R #28, R #46, R #47) residents reviewed for unnecessary medications. This deficient practice could likely result in residents receiving medications longer than needed.
Fire safety inspections
12 fire safety citations on file: 5 on March 18, 2025, 3 on December 15, 2023, 4 on November 21, 2022.
Every fire safety citation12 citations
- F Address patient/client population and determine types of services needed.
- F Provide properly protected cooking facilities.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
- E Inspect, test, and maintain automatic sprinkler systems.
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Have properly located and lighted "Exit" signs.
- F Install an approved automatic sprinkler system.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E Have proper medical gas storage and administration areas.
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) | 3.52 | 3.54 | 3.86 |
| Registered nurses | 0.69 | 0.63 | 0.69 |
| All nursing staff on weekends | 2.85 | 3.10 | 3.42 |
| Nurse aides | 2.04 | ||
| Licensed practical nurses | 0.79 | ||
| Nursing staff turnover (share who left in a year) | 62.3% | 53.3% | 45.8% |
| Registered nurse turnover | 80.0% | 53.6% | 42.9% |
| Administrators who left | 2 |
CMS expects 3.44 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 3.78 on weekdays and 2.85 on weekends, 25% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 6.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.32 in April to June 2025 to 3.52 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 | 3.52 | 0.69 | 3.78 | 2.85 | 6.5% | 1 of 90 | 57 |
| Oct to Dec 2025 | 3.24 | 0.25 | 3.44 | 2.76 | 1.0% | 1 of 92 | 58 |
| Jul to Sep 2025 | 3.21 | 0.26 | 3.39 | 2.76 | 0.0% | 0 of 92 | 56 |
| Apr to Jun 2025 | 3.32 | 0.35 | 3.52 | 2.81 | 0.0% | 0 of 91 | 57 |
| 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 | 5.6 | 11.3 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.3 | 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 | 4.0 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.4 | 1.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 4.5 | 11.7 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.0 | 5.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 21.8 | 14.5 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 28.0 | 22.0 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 19.4 | 15.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.3 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.9 | 2.8 | 1.8 |
Owners and operators
Legal business name: PEAK MEDICAL LAS CRUCES LLC. CMS links this home to Genesis Healthcare, a group of 184 nursing homes averaging 2.3 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Peak Medical LLC | 5% or greater direct ownership interest | Organization | 100% | 02/02/2015 |
| 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 | 11/15/2022 | |
| Genesis Healthcare LLC | 5% or greater indirect ownership interest | Organization | 02/02/2015 | |
| Genesis Holdings LLC | 5% or greater indirect ownership interest | Organization | 02/02/2015 | |
| Sun Healthcare Group Inc | 5% or greater indirect ownership interest | Organization | 11/15/2022 | |
| Sunbridge Healthcare LLC | 5% or greater indirect ownership interest | Organization | 12/01/2012 | |
| Whitman, Arnold | 5% or greater indirect ownership interest | Individual | 11/15/2022 | |
| Berg, Michael | Corporate officer | Individual | 03/02/2015 | |
| Bridgeford, Laura | Corporate officer | Individual | 06/01/2024 | |
| Mendelson, Avi | Corporate officer | Individual | 06/01/2024 | |
| Ontiveros, Kristy | Operational/managerial control | Individual | 06/01/2024 | |
| Smith, Wendy | Operational/managerial control | Individual | 06/01/2024 | |
| Ontiveros, Kristy | Adp of the SNF | Individual | 03/11/2025 | |
| Smith, Wendy | 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.
- When is the care plan meeting, and can family attend it?Inspectors cited 15 problems in this area, most recently on March 10, 2026: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
- 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 March 10, 2026: "Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice."
- 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 March 10, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- How many nurses and aides work each shift, nights and weekends included?Inspectors cited 6 problems in this area, most recently on March 18, 2025: "Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.85 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.
Other nursing homes nearby
- Las Cruces Village Nursing & Rehabilitation LLC Las Cruces, 0.7 mi · 1 of 5 stars · 83 citations
- Las Cruces Wellness & Rehabilitation LLC Las Cruces, 1.7 mi · 3 of 5 stars · 59 citations
- Calibre Post Acute, LLC Las Cruces, 1.9 mi · 1 of 5 stars · 90 citations
- Northrise Wellness & Rehabilitation Las Cruces, 3.9 mi · 2 of 5 stars · 71 citations
- Casa De Oro Center Las Cruces, 10.9 mi · 1 of 5 stars · 94 citations
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 Casa Del Sol Center's Medicare star rating?
- CMS rates Casa Del Sol Center 3 out of 5 stars overall, with 3 for health inspections, 2 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Casa Del Sol Center get at its last inspection?
- 22 health deficiencies at the standard inspection on March 18, 2025. The New Mexico average is 17.9.
- Has Casa Del Sol Center been fined?
- CMS lists no fines in the last three years.
- Does Casa Del Sol 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 Casa Del Sol Center?
- CMS lists 17 owners and managers, and links the home to Genesis Healthcare. Legal business name: PEAK MEDICAL LAS CRUCES 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.