Home / New Mexico / Las Cruces
175 N Roadrunner Parkway, Las Cruces, NM 88011 · Dona Ana County · (575) 386-5800
75 certified beds, about 51 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2018
CMS Care Compare ratings, data as of September 1, 2026 · CCN 325132 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on July 2, 2024, inspectors cited 16 health deficiencies (the New Mexico average is 17.9, the national average 9.2).
Of 59 health citations since December 2021, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.02 hours per resident per day, against 3.54 across New Mexico and 3.86 nationally. Registered nurses accounted for 0.55 of those hours.
41.2% 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 59 health citations on file.
Inspectors wroteBased on observation and interview, the facility failed to keep residents free from accidents for all 16 residents who reside on the South Unit (residents were identified by the resident matrix provided by the Administrator on 11/26/25) when they failed to secure a treatment cart (cart with medical supplies and equipment for treatment) when they left it unlocked on the South Unit. This deficient practice could likely result in residents obtaining equipment from the unsecured treatment cart and injuring themselves or others.
Inspectors wroteBased on record review and interview the facility failed to develop a complete baseline care plan for 1 (R #1) of 3 (R #1, R #2, and R #3) residents sampled for enhanced barrier precautions, (an infection control intervention designed to reduce transmission of multidrug-resistant organisms (MDROs) in nursing homes). This deficient practice could likely result in staff being unaware of the residents' needs.
Inspectors wroteBased on record review and interview the facility failed to develop a complete comprehensive care plan for 2 (R #2 and R #3) of 3 (R #1, R #2, and R #3) residents sampled for enhanced barrier precautions, (an infection control intervention designed to reduce transmission of multidrug-resistant organisms (MDROs) in nursing homes). This deficient practice could likely result in staff being unaware of the residents' needs.
Inspectors wroteBased on record review and interview, the facility failed to report an allegation of abuse from CNA #28 to the State Survey Agency regarding CNA #28. This has the potential to affect all 25 of 25 residents in Hallway 1 where CNA #28 worked with (residents were identified by the Census List provided by the DON on 08/04/25). If the facility fails to report incidents of possible abuse to the State Agency, then the State Agency is unable to ensure residents have a safe environment.
Inspectors wroteBased on record review and interview, the facility failed to have evidence that a thorough investigation of an allegation of abuse was conducted and preventive measures to keep residents safe. This has the potential to affect all 25 of 25 residents in Hallway 1 where CNA #28 worked with (residents were identified by the Census List provided by the DON on 08/04/25) residents sampled for abuse, when staff failed to do the following: 1. Staff did not document the facility action, future preventive/corrective action, or conclusion.2. Staff did not document any other witness statements of the events surrounding the allegation's occurrence.3. Staff did not report complaint investigation to State agency. This deficient practice could likely result in residents being at risk of continued abuse if allegations are not thoroughly investigated and preventative measures are not implemented.
Inspectors wroteBased on record review and interview, the facility failed to provide quality of care for resident needs for 1 (R #44) of 3 (R #6, R #43, R #44) residents reviewed for abuse when the facility:1. Failed to ensure call-lights were answered when a resident needed assistance for R #44. This deficient practice could likely result in the residents' needs not being met, leaving them at risk for accidents, incontinence (lack of voluntary control over urination or defecation) and falls.
Inspectors wroteBased on record review and interview, the facility failed to implement the comprehensive care plan for 1 (R #25) of 3 (R #25, R #26, and R #27) residents reviewed for falls. This deficient practice could likely result in residents not receiving the care they need for safety, and result in residents being at risk of serious harm or injury when staff failed to identify and implement interventions to prevent R #25 from falling.
Inspectors wroteBased on record review, and interview, the facility failed to keep residents free from accidents for 1 (R #25) of 3 (R #25, R #26, and R #27) residents reviewed for falls, when staff left R #25 (a cognitively impaired resident who required assistance) unattended in the bathroom to help another resident. This deficient practice could likely result in residents being at risk of serious harm or injury.
Inspectors wroteBased on record review and interview, the facility failed to ensure medical records were complete and accurate for 1 (R #25) of 3 (R #25, R #26, and R #27) residents reviewed for documentation accuracy. This deficient practice has the potential to have a negative impact on the care staff provide to meet residents' needs due to missing or inaccurate records and resident information.
Inspectors wroteBased on record review and interview, the facility failed to notify the provider of missed medication doses for 1 (R #59) of 2 (R #59 and R #96) residents reviewed for urinary tract infection (UTI), when they failed to notify the provider that R #59 missed 10 doses of cefuroxime (prescription medication that treats bacterial infections throughout the body) antibiotic. This deficient practice could likely result in residents not receiving necessary care or worsening of medical condition due to lack of treatment.
Inspectors wroteBased on record review and interview the facility failed to report the results of the investigation within 5 days of the incident to the State Agency for 2 (R #270 and R #271) of 2 (R #270 and R #271) residents sampled for abuse. If the facility fails to report the results of the investigations to the State Agency within five days, then corrective action may not be taken and residents could likely suffer serious bodily injury.
Inspectors wroteBased on record review and interview, the facility failed to notify the resident and resident's representative(s) of the transfer in writing for 4 (R #15, R #109, R #266, and R #269) of 4 (R #15, R #109, R #266, and R #269) residents sampled for hospitalizations when they failed to: 1. Notify the resident's representative(s) of the transfer to the hospital in writing and in a language and manner they understand for R #15, R #109, R #266, and R #269. 2. Include the name, phone number, and address (mailing and email) of the Office of the State Long-Term Care Ombudsman on the transfer notification form. 3. Send a written copy of the Transfer Notices for R #15, R #266, and R #269 to the Ombudsman. [...]
Inspectors wroteBased on record review and interview, the facility failed to ensure that residents and their representatives received a written notice of the bed hold policy which indicated the duration the bed would be held for 4 (R #15, R #109, R #266, and R #269) of 4 (R #15, R #109, R #266, and R #269) 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.
Inspectors wroteBased on record review and interview, the facility failed to create a baseline care plan (healthcare information necessary to properly care for a resident immediately upon their admission to the facility) within 48 hours, that accurately reflected the resident's current condition for 4 (R #59, R #96, R #110, and R #163) of 5 (R #59, R #96, R #110, R #163 and R #266) residents sampled for baseline care plan when staff failed to: 1. Include physician's orders for R #59's antibiotic and use of oxygen. 2. Complete all sections of the baseline care plan and did not include physician's orders for R #96's antibiotic. 3. [...]
Inspectors wroteBased on record review, observation, and interview, the facility failed to ensure care plans were complete for 3 (R #106, R #108, and R #265) of 3 (R #106, R #108 and R #265) residents reviewed for care plans. This deficient practice could likely result in staff being unaware of the needs of the residents.
Inspectors wroteBased on record review, and interview, the facility failed to ensure care plan revision and care plan meeting requirements occurred for 5 (R #1, R #2, R #5, R #74, and R #266) of 5 (R #1, R #2, R #5, R #74, and R #266) when the staff failed to: 1. Revise the care plan with the most current resident information for R #2, R #5, R #74, and R #266. 2. 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, and includes other appropriate staff or professionals in disciplines as determined by the resident's needs) members participate in the care plan meeting for R #1 and R #2. [...]
Inspectors wroteBased on interview and record review, the facility failed to ensure that a resident who enters the facility with diagnosis of urinary tract infection (UTI) received appropriate treatment for 1 (R #59) of 2 (R #59 and R #96) residents reviewed for UTI when they failed to ensure that a resident received all doses of antibiotic as prescribed to treat the UTI. This deficient practice could result in residents being susceptible to worsening of infection or becoming septic (potentially life-threatening when the body responds to infection by damaging its own tissues)
Inspectors wroteBased on record review and interview, the facility failed to ensure residents have a written, signed, and dated progress note from the provider (physician or nurse practitioner) at the time of each visit for 1 (R #15) of 1 (R #15) residents reviewed for physician's visits This deficient practice could likely result in the resident's needs not being met due to facility staff being unaware of resident's status related to lack of written, signed, and dated progress notes at the time of the visit. A. Record review of R #15's Electronic Medical Record (EMR) revealed R #15 was admitted to the facility on [DATE]. B. Record review of R #15's physician's progress notes revealed the following: 1. History and Physical (H&P), dated 04/14/24, revealed the H&P note was a late entry entered on 06/20/24. 2. Provider progress note, dated 04/15/24, revealed the note was a late entry entered on 06/20/24. [...]
Inspectors wroteBased on record review and interview, the facility failed to ensure that residents had a physician visit at least every 30 days for the first 90 days after admission for 1 (R #15) of 1 (R #15) residents reviewed for physician's visits. This deficient practice could likely result in residents not receiving the required medical assessment which could cause a delay in care and treatment of medical conditions.
Inspectors wroteBased on observation, record review, and interview, the facility failed to store medications properly for all 17 residents in rooms 135-151 (residents were identified by the Resident Matrix provided by the Administrator on 06/25/24), when they failed to ensure the medication cart did not contain loose medications. This deficient practice could likely result in residents obtaining or being administered medication not prescribed to them, receiving medications that are less effective and may result in adverse side effects.
Inspectors wroteBased on record review and interview, the facility failed to ensure medical records were complete and accurate for 1 (R #18) of 5 (R #1, R #18, R #109, R #110 and R #111) 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.
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 #266) of 4 (R #15, R #108, R #265, and R #266) residents reviewed. This deficient practice could likely result in residents' preferences and care needs not being met.
Inspectors wroteBased on interview and record review, the facility failed to keep residents free from accidents for 1 (R #266) of 1 (R #266) resident reviewed, when they failed to ensure that skin creams were stored out of resident's reach. These deficient practices could likely result in residents obtaining medical equipment which can cause injury/death.
Inspectors wroteBased on observation, interview, and record review the facility failed to follow proper infection control practices for 1 (R #74) of 2 (R #5 and R #74) residents identified during random observation when the facility failed to ensure resident's nasal cannulas (a device that delivers extra oxygen through a tube and into your nose) were labeled with the date that they were changed. This deficient practice could likely result in the spread of contagious and resistant illnesses to other residents.
Inspectors wroteBased on observation and interview, the facility failed to provide a homelike environment for all 46 residents. Residents were identified by the resident matrix provided by the Administrator on 06/25/24, when they failed to replace the light bulbs in the dining room. If residents do not have a homelike environment, they could likely become depressed and anxious and feel not valued.
Inspectors wroteBased on record review and interview, the facility failed to revise the care plan for 1 (R #11) of 4 (R #11, R #12, R #13, and R #14) resident reviewed for care plans when they failed to revise R #11's care plan to include refusals for offloading (minimizing or removing weight placed on an area to prevent and heal ulcers) and repositioning. This deficient practice could likely result in 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 wroteThe following is a recite from a recertification survey on 03/14/23. Based on record review and interview, the facility failed to ensure residents received treatment and care in accordance with professional standards of practice for 3 (R #1, R #21, and R #23) of 4 (R #1, R #2, R #21 and R #23) when they failed to: 1. Initiate wound care upon admission for R #1 and R #23. 2. Answer call lights in a timely manner for R #21. This deficient practice could likely lead to residents needs not being met and/or a worsening of their condition. R#1 A. Record review of R #1's admission Record (no date) revealed an admission date of 08/01/23 with diagnoses of unspecified open wound (injury involving an external or internal break in the skin which can lead to sharp, stabbing, burning and/or tingling pain) of left thigh and right thigh. B. [...]
Inspectors wroteBased on record review and interview, the facility failed to ensure that the MDS accurately reflected the resident's status at the time of the assessment for 1 (R #1) of 3 (R #1, R #2 and R #11) residents sampled for MDS accuracy. This deficient practice could likely result in residents not receiving the care and treatment they need.
Inspectors wroteBased on interview and record review, the facility failed to keep residents free from abuse and neglect for 2 (R #46 and R #247) of 2 (R #46 and R #247) residents reviewed for abuse neglect, when they failed to: 1. Keep R #247 free from verbal abuse and sexual harassment from LPN #13 when she made inappropriate comments to him in front of his family, and 2. Provide R #46 dinner on the day she was admitted into the facility This deficient practice likely resulted in R #247 having anger, fear, and anxiety as a result.
Inspectors wroteBased on observation and interview the facility failed to properly store medications in the medication carts for all 41 residents (residents were identified by the resident matrix provided by the Administrator on 03/07/23) that were randomly sampled, when they failed to secure the medication carts on both units in the facility. 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 notify residents of changes in treatment for 1 (R #246) of 1 (R #246) residents reviewed for notification of change, when they failed to notify R #246 of a change in her Anticoagulation medication (medicine used to reduce the risk of stroke and blood clots) and medical diagnosis. If the facility does not notify residents of the change in treatments or condition, then they will not have an opportunity to make decisions and/or advocate for treatment or care.
Inspectors wroteBased on interviews, observations, and record reviews, the facility failed to ensure residents were protected from further potential abuse, neglect, exploitation, or mistreatment while the investigation was in progress for 12 (R #1, R#5, R #9, R #16, R #17, R #20, R #21, R #23, R #32, R#248, R #249, and R #250) of 12 (R #1, R#5, R #9, R #16, R #17, R #20, R #21, R #23, R #32, R#248, R #249, and R #250) residents randomly sampled. When the facility failed to remove LPN #13 after an allegation of abuse was made. This deficient practice could likely result in residents being at risk of continued abused.
Inspectors wroteBased on record review and interview, the facility failed to ensure residents, their representatives, or the Ombudsman received a written notice of transfer as soon as practicable for 4 (R #5, R #20, R #40, and R #44) of 4 (R #5, R #20, R #40, and R #44) residents reviewed for hospitalization. This deficient practice could likely result in the resident and/or their representative not knowing the reason or location that the resident was discharged .
Inspectors wroteBased on record review and interview, the facility failed to ensure residents, or their representatives received a written notice of their bed hold policy indicating the duration that the bed would be held for 4 (R #5, R #20, R #40, and R #44) of 4 (R #5, R #20, R #40, and R #44) 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.
Inspectors wroteBased on observation, record review, and interview, the facility failed to meet professional standards of quality for 1 for (R #7) of 4 (R #7, R #19, R #196, and R #197) residents observed during medication administration, when RN #1 held R #7's blood pressure medication without specific parameters (numerical or other measurable factor) from the medical provider. This deficient practice could likely lead to the resident having adverse (unwanted, harmful, or abnormal result) side effects or not receiving the desired therapeutic effect of the medication due to it not being administered.
Inspectors wroteBased on observations, record review, and interviews, the facility failed to ensure activities were implemented for 3 (R #1, R #12 and R # 246) of 3 (R #1, R #12, and R # 246) residents reviewed for activities. This deficient practice could likely cause boredom, isolation, anxiousness and feeling helpless.
Inspectors wroteThe following is a recite from a complaint survey on 10-31-22. Based on record review and interview, the facility failed to ensure call-lights were answered when a resident needed assistance for 3 (R #2, R #46 and R #247) of 3 (R #2, R #46 and R #247) residents reviewed for call-lights. This deficient practice could result in the residents' needs not being met, leaving them at risk for incontinence (lack of voluntary control over urination or defecation) and falls.
Inspectors wroteBased on interview and record review the facility failed to help maintain acceptable parameters of nutritional status, such as usual body weight for 1 (R #20) of 1 (R #20) residents sampled for nutrition, when they failed to conduct weekly weights for R #20 who had: a. a weight loss, b. physicians' orders to weigh weekly, and c. facility policy to weigh weekly. This deficient practice could likely result in residents losing weight without the facility being aware causing physical and mental health issues.
Inspectors wroteBased on record review and interview, the facility failed to provide pain management for 1 (R #46) of 2 (R #1 and R #46) residents reviewed for pain. Having a delay in delivery and administration of needed pain medication for R #46. This deficient practice likely resulted in residents experiencing unnecessary pain.
Inspectors wroteBased on interview and record review, the facility failed to ensure that nurse aides are able to demonstrate competency in skills and techniques necessary to care for residents' needs for 3 (CNA #11, CNA #12, and CNA #13) of 3 (CNA #11, CNA #12, and CNA #13) CNAs randomly sampled for competency. This deficient practice could likely result in staff working who are not competent to give care to residents.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure that the medication error rate was 5% or less for 2 (R #7 and R #196) of 4 (R #7, R #19, R #196, and R #197) residents observed during medication pass, when 1. R #7's blood pressure medication was held, and 2. Physician's orders were not followed for R #7 and R #196 medication administration. This deficient practice could likely result in residents not receiving the desired therapeutic effect and exposing residents to a higher risk of adverse side effects (unwanted, harmful, or abnormal result).
Inspectors wroteBased on record review, and interview, the facility failed to ensure that residents are free of any significant medication errors for 1 (R #1) of 1 (R #1) residents reviewed for receiving medications, when they failed to administer medication per prescribers orders. This deficient practice could likely lead to the resident having adverse (unwanted, harmful, or abnormal result) side effects or not receiving the desired therapeutic effect of the medication due to it not being administered as prescribed.
Inspectors wroteBased on observation, interview, and record review, the facility failed to accurately document resident's records for 2 (R #1 and R #2) of 2 (R #1 and R #2) residents when they failed to document: 1. The administration of pain medication on R #1's Medication Administration Record (MAR) 2. R #2's bruising related to his anticoagulant medication (medication to reduce coagulation of blood) on the MAR. This deficient practice could likely result in staff being unaware of resident's current conditions resulting in injury.
Inspectors wroteBased on record review and interview, the facility failed to ensure that each resident received or was offered Pneumococcal (a bacteria that causes pneumonia infection of the respiratory tract) and Influenza (flu: disease caused by virus infecting the respiratory tract) for 3 for (R #1, R #28, and R #246) of 5 (R #1, R #20, R #28, R #40, and R #246) residents reviewed for immunizations. This deficient practice could likely lead to residents contracting respiratory infections and could result in the spread of infection to other residents.
Inspectors wroteBased on interview and record review, the facility failed to ensure that nursing staff have completed the mandatory Effective Communication training for 6 (CNA #11, CNA #12, CNA #13, LPN #11, LPN #12 and LPN #13) of 6 (CNA #11, CNA #12, CNA #13, LPN #11, LPN #12 and LPN #13) staff randomly sampled for staffing. This deficient practice could likely result in staff being unable to inform residents of their total health status and to provide notice of rights and services.
Inspectors wroteBased on record review and interview, the facility failed to ensure a comprehensive assessment was completed within 14 days of admission for 1 (R #246) of 1 (R #246) resident sampled for activities. This deficient practice could likely lead to the residents' preferences and needs not being met.
Inspectors wroteBased on record review and interview, the facility failed to have the attending physician document in the resident's medical record his or her rationale for not changing the medication that was identified for Gradual Dose Reduction (GDR) by the monthly Pharmacy Review for 1 (R #28) of 6 (R #5, R #20, R #28, R #31, R #42, and R #46) resident sampled for unnecessary medications. The facility failed to provide documentation of the physician's rationale to keep R #28's Citalopram (used to treat depression) dose unchanged after the pharmacy review recommended a GDR. This deficient practice could likely result in residents receiving higher doses of medication than is needed.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that residents were treated with respect and dignity for 2 (R #48 and R #205) of 2 (R #48 and R #205) residents randomly sampled for dignity, when the facility failed to: 1. Knock on R #48's door before entering their room. 2. Place a dignity cover (a cover that conceals fluid in the drainage bag to improve patient dignity) on R #48's catheter bag. 3. Change R #205's clothing after she spilled food on her hospital gown at mealtime. If the facility is not treating residents with respect and dignity, then residents are likely to feel embarrassed and that their feelings/preferences are unimportant to facility staff.
Inspectors wroteBased on observation, record review, and interview, the facility failed to provide reasonable accommodations of residents needs and preferences for 2 (R #109 and R #204) of 2 (R #109 and R #204) residents reviewed during random observation when the facility failed to have the call lights (a device used by a patient to signal his/her need for assistance from staff) accessible for residents. This deficient practice could likely result in residents feeling that their preferences are unimportant and could likely results in residents being unable to call for assistance while they need help.
Inspectors wroteBased on record review and interview, the facility failed to include necessary care/treatment, and services with goals in the baseline care plan for 3 (R #101, R #107, and R #206) of 3 (R #101, R #107, and R #206) residents reviewed for baseline care plans, when the facility failed to initiate a baseline care for: 1. R #101's ADL's (Activities of Daily Living), 2. R #107's Insulin (a protein hormone that is used as a medication to treat high blood glucose) 3. R #206's Activities, Lorazepam (Sedative, it can treat seizure disorders, such as epilepsy. It can also be used before surgery and medical procedures to relieve anxiety), Risperidone (Antipsychotic, it can treat schizophrenia, bipolar disorder, and irritability caused by autism) and Enoxaparin Sodium Solution (an anticoagulant that helps prevent the formation of blood clots). [...]
Inspectors wroteBased on record review and interview, the facility failed to develop and implement an effective discharge planning process that had resident's discharge goals for 3 (R #105, R #109 and R #206) of 3 (R #105, R#109 and R #206) residents reviewed for discharge planning. This deficient practice has the potential to complicate or prevent smooth and safe transitions from the facility to the residents' post-discharge settings.
Inspectors wroteBased on record review and interview the facility failed to keep residents free from unnecessary psychotropic medications for 1 (R #206) of 1 (R #206) resident sampled for unnecessary medications, when they: 1. Failed to have an end date for R #206's PRN (as needed) psychotropic (medication affecting the mind, emotions and behaviors) medication Lorazepam (medication used to treat anxiety), 2. Prescribe Risperidone (an antipsychotic drug used to treat certain mental/mood disorders (such as schizophrenia, and bipolar disorder) with the incorrect diagnosis of depression, 3. Failed to obtain consent for using anti-anxiety (medication to treat anxiety) and antidepressant (medication to treat depression) medications until 7 days after the treatment was initiated (12/08/21) and 4. [...]
Inspectors wroteBased on observation and interview, the facility failed to properly store medications for residents on the Unit One.(residents were identified by the resident matrix provided by the Administrator on [DATE]) when they failed to: 1. Date open medication bottles, and 2. Have medications inside of the treatment cart close to open packages of Medihoney (medication to decrease bacterial growth within the wound) and Hydrofera (used for wound protection and prevent bacteria and yeast growth) . This deficient practice could likely result in residents obtaining medications not properly stored, or expired, resulting in adverse side effects.
Inspectors wroteBased on observation, interview, and record review, the facility failed to: 1. Ensure that food items in the pantry are labeled and dated, and 2. Keep the deep freezer's floor clean and free from clutter. These deficient practices could lead to foodborne illnesses that could affect all 37 residents in the facility (residents were identified on the census list provided by the Administrator on 12/15/21) who eat food prepared in the kitchen.
Inspectors wroteBased on record review and interview, the facility failed to provide an opportunity for residents to form a resident council for 2 (R #107 and R #211) of 25 residents (residents were identified by the documents provided by the Administrator on 12/15/21) randomly sampled for resident council. This deficient practice could likely affect residents that want to participate in a resident council meeting and express their concerns or grievances.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide an ongoing activities program designed to meet the interests and well-being of residents for 1 (R #206) of 1 (R #206) resident randomly sampled for activities, by not providing meaningful individualized activities based upon residents' interests. If residents are not provided or encouraged to attend/participate in activities that meet their interests, are enjoyable, and enhance their social and emotional well-being, then they are likely to experience an increase in boredom, isolation, and depression.
Inspectors wroteBased on observation, interview, and record review the facility failed to provide proper care for pressure wounds (injury to skin and underlying tissue resulting from prolonged pressure on the skin) for 1 (R #152) of 1 (R #152) resident sampled for pressure wounds, when they failed to follow proper infection control practices while performing wound care for R #152's pressure wound. This deficient practice could likely result in the spread of bacteria and could cause residents to develop infections.
Inspectors wroteBased on observation, interview and record review, the facility failed to provide the necessary care to effectively manage pain for 1 (R #152) of 1 (R #152) resident sampled for pain management, when they failed to manage R #152's pain properly before performing wound care. Failure to assess and treat pain could likely result in residents experiencing unnecessary increased discomfort.
Inspectors wroteBased on record review and interview the facility failed to ensure documents in resident record was complete and accurate for 1 (R #205) of 15 (R #35, R #40, R #48, R #50, R #105, R #106, R #151, R #152, R #153, R #154, R #167, R #205, R #206, R #207 and R #208) residents reviewed for Advanced Directives (legal document in which a person specifies what actions should be taken for their health if they are no longer able to make decisions for themselves because of illness or incapacity [physical or mental inability to do something or to manage one's affairs]) . This deficient practice could likely result in staff not knowing the status of resident's medical intervention wishes resulting in a delay or lack of care for residents. The finding is: A. [...]
7 fire safety citations on file: 2 on July 2, 2024, 2 on March 14, 2023, 3 on December 21, 2021.
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) | 4.02 | 3.54 | 3.86 |
| Registered nurses | 0.55 | 0.63 | 0.69 |
| All nursing staff on weekends | 3.53 | 3.10 | 3.42 |
| Nurse aides | 1.83 | ||
| Licensed practical nurses | 1.63 | ||
| Nursing staff turnover (share who left in a year) | 41.2% | 53.3% | 45.8% |
| Registered nurse turnover | 20.0% | 53.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.72 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 4.21 on weekdays and 3.53 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.72 in April to June 2025 to 4.02 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 | 4.02 | 0.55 | 4.21 | 3.53 | 0.1% | 0 of 90 | 51 |
| Oct to Dec 2025 | 4.98 | 0.58 | 5.27 | 4.26 | 0.0% | 0 of 92 | 41 |
| Jul to Sep 2025 | 5.14 | 0.64 | 5.45 | 4.33 | 0.0% | 0 of 92 | 37 |
| Apr to Jun 2025 | 4.72 | 0.60 | 5.03 | 3.92 | 0.1% | 0 of 91 | 41 |
| 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 short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.9 | 1.1 | 1.6 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 29.1 | 22.0 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 16.5 | 15.7 | 12.0 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Las Cruces Wellness & Rehabilitation LLC's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (60.9% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
60.9% this home
Better than 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. 496 eligible stays.
11.4% 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. 458 eligible stays.
6.3% 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. 299 eligible stays.
83.3% 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. 186 residents counted.
1.0% 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. 313 residents counted.
0.4% 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. 313 residents counted.
94.2% 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. 52 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: LAS CRUCES 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 |
|---|---|---|---|---|
| Lc Healthcare Holdings LLC | 5% or greater direct ownership interest | Organization | 100% | 05/01/2024 |
| Gurrocks Trust | 5% or greater indirect ownership interest | Organization | 05/01/2024 | |
| Lc Hcp LLC | 5% or greater indirect ownership interest | Organization | 05/01/2024 | |
| Zees K Trust | 5% or greater indirect ownership interest | Organization | 05/01/2024 | |
| Sbd Trust | 5% or greater mortgage interest | Organization | 05/01/2024 | |
| Zaffig Realty Trust | 5% or greater mortgage interest | Organization | 05/01/2024 | |
| Garetz, David | Managing control - governing body | Individual | 05/01/2024 | |
| Roach, Jennifer | W-2 managing employee | Individual | 05/01/2024 | |
| Garetz, David | Corporate officer | Individual | 05/01/2024 | |
| Lc Healthcare Holdings LLC | Operational/managerial control | Organization | 12/05/2024 | |
| Sbd Trust | Trustee of the SNF | Organization | 05/01/2024 | |
| Zaffig Realty Trust | Trustee of the SNF | Organization | 05/01/2024 | |
| Davidovich, Niv | Trustee of the SNF | Individual | 05/01/2024 | |
| Hagins, Elizabeth | Trustee of the SNF | Individual | 05/01/2024 | |
| Mindle, Adam | Trustee of the SNF | Individual | 05/01/2024 | |
| Sternshein, Jennifer | Trustee of the SNF | Individual | 05/01/2024 | |
| Sbd Trust | Adp of the SNF | Organization | 12/05/2024 | |
| Roach, Jennifer | Adp of the SNF | Individual | 12/05/2024 | |
| Stolarczyk, Lisa | Adp of the SNF | Individual | 12/05/2024 |
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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