Home / New Mexico / Los Alamos
1011 Sombrillo Court, Los Alamos, NM 87544 · Los Alamos County · (505) 662-4300
64 certified beds, about 60 residents a day · For profit - Corporation · Medicare and Medicaid since 1991
CMS Care Compare ratings, data as of September 1, 2026 · CCN 325056 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on March 30, 2026, inspectors cited 10 health deficiencies (the New Mexico average is 17.9, the national average 9.2).
Of 60 health citations since October 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 4 fines totaling $87,168 in the last three years; the largest was $53,303, and the latest is dated December 19, 2025.
Nurses and nurse aides worked 3.09 hours per resident per day, against 3.54 across New Mexico and 3.86 nationally. Registered nurses accounted for 0.69 of those hours.
54.2% 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 60 health citations on file.
Inspectors wroteBased on observation, and interview, the facility failed to ensure the results of the most recent state surveys were posted in areas of the facility that was readily accessible to residents and the public without having to ask for them. This could affect all 57 residents in the facility (residents were identified by the census report provided by the Administrator on 03/23/26). If residents, representatives, and/or visitors are unable to locate the most recent survey information, then they are unable to make informed decisions regarding residents' care.
Inspectors wroteBased on record review and interview, the facility failed to provide the required transfer information for 3 (R #8, R #26, and R #43) of 4 (R #8, R #26, R #43, and R #59) residents reviewed for hospitalizations when staff failed to: 1. Notify R #8, R #26, R #43, and their representative(s) of the residents' transfer to the hospital in writing and in a language and manner they understand. 2. Ensure the transfer notices for R #8, R #26, and R #43 included: a. A statement of the resident's appeal rights, including the name, address (mailing and email), and telephone number of the entity which receives such requests; and information on how to obtain an appeal form and assistance in completing the form and submitting the appeal hearing request. b. [...]
Inspectors wroteBased on record review and interview, the facility failed to ensure care plan revisions occurred for 4 (R #3, R #5, R #9, and R #14) of 10 (R #1, R #3, R #4, R #5, R #6, R #9, R #10, R #14, R #54, and R #64) residents reviewed for care plan accuracy, when staff failed to revise the care plan with the most current resident information. This deficient practice could likely result in the care plan not being updated with the most current resident conditions and appropriate interventions, staff being unaware of changes in care provided, and residents not receiving the care related to changes in their health status or healthcare decisions.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure residents were treated with respect and dignity for 1 (R #54) of 2 (R #54, and R #64) residents sampled for dignity, when the facility failed to wake R #54 while asleep in the dining room and/or ask if R #54 wanted to join the activity that was taking place in the dining room. This deficient practice is likely to result in residents feeling unimportant, embarrassed, undervalued, and could diminish their self-worth.
Inspectors wroteBased on interview and record review, the facility failed to keep residents free from neglect for 2 (R #8 and R #43) of 4 (R #8, R #26, R #43 and R #59) residents reviewed for hospitalization, when they failed to provide transportation from the hospital to the facility after being discharged from the emergency room (ER). If residents are left at the hospital after discharge, then they could likely feel confused, angry, fearful, and anxious.
Inspectors wroteBased on observation, interview, and record review, the facility failed to keep residents free from involuntary seclusion (separation of a resident or patient from others, or from their room, against their will or the will of their legal representative) for 1 (R #7) of 1 (R #7) residents reviewed for physical restraints, when they failed to implement and document the following:1. The clinical criteria (rules or standards on which a decision or judgment is made to determine medical necessity) R #7 met for placement in the secured/locked area by the resident's physician along with information provided by members of the interdisciplinary team. 2. Whether placement in the secured/locked area was the least restrictive approach that was reasonable to protect R #7 and assure her health and safety. 3. [...]
Inspectors wroteBased on observation and interview, the facility failed to provide an ongoing program of activities designed to meet the interests of the residents for 2 (R #8 and R #43) of 3 (R #8, R #43, and R #54) residents reviewed for activities, when staff failed to provide meaningful activities based upon residents' interests. If residents are not provided or encouraged to attend/participate in activities that meet their interests, they are likely to experience an increase in boredom, isolation, and depression.
Inspectors wroteBased on record review and interview, the facility failed to provide quality of care for 1 (R #3) of 1 (R #3) residents reviewed for hospice services when staff failed to: 1. Ensure care coordination occurred between hospice staff and facility staff.2. Ensure R #3's visit notes from hospice were in her medical record. 3. Ensure R #3's orders from the hospice provider were in her medical record. These deficient practices are likely to result in staff not being aware of residents' care needs, staff not providing ordered medications, and worsening of the residents' medical conditions.
Inspectors wroteBased on record review and interview, the facility failed to provide respiratory care in accordance with professional standards for 1 (R #3) of 3 (R #2, R #3, and R #14) residents reviewed for respiratory care when the staff failed to:1. Order medications for the correct dose and the correct length of time for R #3's respiratory infection. 2. Assess vital signs and respiratory status after R #3 was diagnosed with an upper respiratory infection. These deficient practices are likely to result in staff not being aware of residents' respiratory status and worsening of their condition.
Inspectors wroteBased on record review and interview, the facility failed to effectively manage pain (use of different techniques and medication to reduce and control the amount of pain a person experiences) for 1 (R #63) of 1 (R #63) residents reviewed for pain, when the facility failed to:Administer scheduled pain medications. Offer PRN pain medication. This deficient practice could likely result in residents experiencing unnecessary pain causing residents to experience a decline in physical and emotional health.
Inspectors wroteBased on record review and interview, the facility failed to ensure medical records were complete and accurate for 2 (R #3 and R #7) of 2 (R #3 and R #7) residents reviewed for accuracy of documentation, when staff failed to: 1. Ensure R #3's medications were ordered for the correct diagnoses or symptom. 2. Clarify what type of respiratory illness R #3 was being treated for. 3. Ensure that R #7's care plan documented accurate diagnosis. These deficient practices have the potential to negatively impact the care staff provide to meet residents' needs due to inaccurate records.
Inspectors wroteBased on record reviews, observation and interviews, the facility failed to ensure residents received the necessary treatment and services to prevent the development and worsening of pressure wounds ( damage which results from unrelieved pressure on the body) for 2 (R #s 2 and 4) of 4 (R #s 1, 2, 3 and 4) residents reviewed for wounds when staff failed to: Follow Physician treatment orders for R #2 and 4. Document and monitor wound progress (that includes measurements; to track effectiveness of wound care treatments and to prevent the progression of pressure ulcers) for R #2. These deficient practices likely resulted in the worsening of R #2's and R #4's pressure wounds.
Inspectors wroteBased on record review and interviews, the facility failed to notify the provider timely of any skin condition changes for 1 (R #1) of 1 (R #1) resident reviewed when the facility's treatment nurse (TN) did not notify the provider of the worsening wound and lack of healing progress. This deficient practice is likely to result in a delay in treatment or inadequate treatment.
Inspectors wroteBased on record review and interview the facility failed to ensure the wound was monitored weekly and order to refer to wound clinic was followed for 1(R #1) of 4(R #1-4) residents reviewed for wounds. This deficient practice likely resulted in the worsening of the wound.
Inspectors wroteBased on observation and interview, the facility failed to: ensure medications were stored properly, medication carts were locked and secured when not in use. This deficient practice is likely to result in resident injury, through dosing with medications that have been improperly stored, having access to medications not prescribed for them, and possible overdose. A. On 11/18/25 at 2:00 pm, during random observation of the memory care unit and interview the medication cart was unlocked. Medication cart was in the back of the unit and standing next to the medication cart was R #5 and walking back and forth was R #6. Medication cart was unlocked from 2:00 pm to 2:33. Housekeeping Director was asked medication cart should be left unlocked and he stated No and proceeded to go look for Director of Nursing (DON) #2, and left cart unlocked. [...]
Inspectors wroteBased on record review, observation and interview, the facility failed to ensure medical records were accurate for 2(R #2 and 4) of 4(R #104) residents reviewed. If the facility is not ensuring accurate medical records, then residents are likely at risk of not receiving the care needed to achieve optimal wellness.
Inspectors wroteBased on observation and interview, the facility failed to store and serve food under sanitary conditions when staff failed to ensure: 1. All items were labeled and dated in the locked unit and room [ROOM NUMBER] refrigerators. 2. Daily temperatures of the locked unit and room [ROOM NUMBER] refrigerators were documented. These deficient practices are likely to affect all 20 residents in the locked unit, 2 residents in room [ROOM NUMBER] and is likely to cause foodborne illnesses in residents.
Inspectors wroteBased on observation and interview, the facility failed to store and serve food under sanitary conditions when staff failed to ensure: 1. All items were labeled and dated in the locked unit refrigerator. 2. Daily temperatures of the locked unit refrigerator were documented. These deficient practices are likely to affect all 20 residents in the locked unit and could lead to foodborne illnesses in residents.
Inspectors wroteBased on observation and interview the facility failed to safeguard clinical record information by leaving Private Health Information (PHI) where unauthorized persons had access to the PHI for 1 (R #4) of 1 (R #4) resident reviewed during random observation. If resident's clinical information is not safe guarded, resident's PHI is likely to be viewed by unauthorized residents, visitors and staff.
Inspectors wroteBased on interview and record review, the facility failed to keep residents free from abuse for 1 (R #1) of 3 (R #1, R #2, and R #3) residents reviewed for abuse when the facility failed to protect a resident. This deficient practice is likely to result in residents continuing to be at risk for abuse.
Inspectors wroteBased on record review and interview, the facility failed to provide an incident report to the State Survey Agency, for 1 (R #1) of 3 (R #1, #2, and #3) residents reviewed for abuse. 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 wroteRefer to F-600 Based on record review and interview, the facility failed to thoroughly investigate an allegation of abuse. If the facility is not conducting thorough abuse investigations then residents are likely to continue to be at risk of abuse.
Inspectors wroteBased on record review and interview, the facility failed to ensure the facility was free of accident hazards for 1 (R #2) of 2 (R #1 and #2) residents reviewed for accidents and hazards when staff failed to supervise a resident that was considered a fall risk and required the use of an ambulatory assistance device (walker, wheelchair) in the locked unit. This deficient practice is likely to result in residents experiencing avoidable falls.
Inspectors wroteBased on observation and interview the facility failed to ensure medication carts were locked when unattended. This deficient practice is likely to negatively impact the health of residents if they were to ingest medications not intended for them.
Inspectors wroteBased on observation, record review, and interview, the facility failed to maintain a comfortable water temperature in the resident shower rooms for all 63 residents listed on the census provided by the Administrator (ADM) on 12/02/24. If the water temperature is too cold, then this deficient practice is likely to negatively impact resident safety and comfort.
Inspectors wroteBased on record review and interview, the facility failed to provide residents a nourishing bedtime snack in order to ensure there was not more than 14 hours between a substantial evening meal and breakfast the following day for 8 (R #11, R #14, R #16, R #35, R#36, R #40, R#48 and R #50) of 8 (R #11, R #14, R #16, R #35, R#36, R #40, R#48 and R #50) residents reviewed for snacks. This deficient practice could likely cause frustration and lead to unnecessary hunger.
Inspectors wroteBased on observation and interview, the facility failed to store and serve food under sanitary conditions when staff failed to ensure: 1. Food items were sealed, labeled, and dated. 2. The kitchen and food related equipment were clean and free of grease and grime. 3. The trash can was covered when not in use. 4. Maintained food at temperatures out of the danger zone [between the temperatures of 45 degrees (°) Fahrenheit (F) and 135° F; the temperature range in which food-borne bacteria can grow.] This deficient practice is likely to affect all 63 residents listed on the resident census list provided by the Administrator on 12/02/24 and is likely lead to foodborne illnesses in residents if food is not being stored properly and safe food handling practices are not adhered to.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure there was a functioning call light system that allowed residents to call for assistance. This deficient practice likely affected all 63 residents identified on the resident census list provided on 12/02/24. If the facility does not have a functioning communication system, then residents are unlikely to get their immediate needs met by facility staff.
Inspectors wroteBased on record review and interview, the facility failed to notify the resident's Power of Attorney (POA; authority to act for another person in specified or all legal or financial matters), the facility providers (Nurse Practitioner, Physician, Registered Dietitian), and the Director of Nursing (DON) when an resident experienced nausea and abdominal pain for 1 (R #12) of 1 (R #12) residents reviewed change of condition. If the facility does not notify the POA, facility providers, or DON when the resident experiences abdominal pain with nausea for multiple days, then the POA, facility providers, and DON are unable to make decisions related to treatment and advocate for the resident's care.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure staff revised the care plan for 3 (R #11, #12, and #27) of 3 (R #11, #12, and #27) residents reviewed when staff failed to: 1. Conduct a quarterly care plan meeting as required for R #11. 2. Update R #12's plan of care when the resident returned from the ER with a diagnoses of gall stones (an abnormal stone-like mass in the gallbladder, which causes sudden severe pain in upper right side of the abdomen). 3. Update the care plan to include positioning a resident's bed to prevent sleeping all day for R #27. These deficient practices are likely to result in residents' care and needs not being addressed if care plans are not updated.
Inspectors wroteBased on record review and interview, the facility failed to monitor and provide appropriate interventions for 1 (R #12) of 1 (R #12) residents reviewed for illness when staff failed to send R #12 to the emergency room (ER) after several days of experiencing nausea, vomiting, and abdominal pain without relief. These deficient practices likely resulted in R #12's nausea, vomiting, and abdominal pain becoming worse.
Inspectors wroteBased on record review and interview, the facility failed to ensure physicians reviewed and responded to recommendations submitted by the pharmacist's written monthly review for 5 (R #3, 16, 33, 34, 38) of 5 (R #3, 16, 33, 34, 38) residents. This deficient practice is likely to cause resident medication regimen to not be properly evaluated resulting in possible over medication.
Inspectors wroteBased on observation, interview, and record review, the facility failed to dispose of a controlled substance (a medication that is at high risk for abuse) that was discontinued for 1 (R #38) of 1 (R #38) resident reviewed for medication storage. Failure to properly dispose of a discontinued controlled substance can result is mishandling or theft of medications.
Inspectors wroteBased on record review and interview, the facility failed to ensure the resident's current advance directive (a document which provides an individual's wishes for emergency and life saving care) and the resident's Electronic Health Record (EHR) revealed the same resident wishes for 1 (R #11) of 1 (R #11) residents reviewed for advance directives. This deficient practice is likely to cause confusion and delay potentially life saving procedures.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure residents received necessary behavioral health care to meet their needs for 1 (R #49) of 1 (R #49) residents when staff failed to ensure effective communication between the facility and psychiatric providers and to provide consistent psychiatric services to meet R #49's psychiatric needs. These deficient practices are likely to result in the residents not receiving the behavioral or mental health care and assistance needed to improve mood and reduce depression and anxiety.
Inspectors wroteBased on record review and interview, the facility failed to ensure medical records were updated with necessary documents and accurate for 1 (R #11) of 1 (R #11) residents reviewed, when the facility failed to complete an accurate smoking assessment for R #11. This deficient practice is likely to result in residents not receiving accurate assessments and having an inaccurate medical record, which could result in the residents receiving less than optimal care and treatment.
Inspectors wroteBased on record review and interview, the facility failed to ensure residents received treatment and care in accordance with professional standards of practice for 1 (R #1) of 3 (R #1, #2 and #3) resident reviewed for medication administration when staff did not obtain and provide prescribed medications. This deficient practice is likely to result in residents experiencing pain, discomfort, and less than optimal care.
Inspectors wroteBased on record review and interview, the facility failed to ensure residents were bathed according to their preference for 1 (R #3) of 1 (R #3) resident reviewed for showers. This deficient practice is likely to result in the residents' personal choices not being honored, poor hygiene, and loss of dignity.
Inspectors wroteBased on record review, observation, and interview, the facility failed to ensure staff monitored residents for side effects of medication for 1 (R #3) of 1 (R #3) residents reviewed for unnecessary medications. If the facility is not adequately monitoring for the side effects of the medications prescribed to their residents then residents are likely to be at risk of adverse outcomes.
Inspectors wroteBased on observation, record review, and interview, the facility failed to meet professional standards of quality for 1 (R #1) of 1 (R #1) residents when staff failed to implement a resident's care plan for fall precautions. If fall prevention measures are not implemented then residents are likely to sustain falls that can result in serious harm or injury and the resident's decline in health and quality of life.
Inspectors wroteBased on observation, record review, and interview, the facility failed to provide activities of daily living (ADL) assistance with bathing and showers for 1 (R #1) of 1 (R #1) resident reviewed for ADL care. This deficient practice is likely to affect the dignity and health of the resident.
Inspectors wroteBased on observation, interview, and record review the facility staff failed to follow proper infection prevention protocols when they did not ensure staff utilized personal protective equipment (PPE; i.e., gown and gloves) when they entered the room of a resident (R #1) confirmed positive for COVID 19 (infectious disease). Failure to adhere to an infection control program is likely to cause infections and illness to all residents and staff within the facility.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure the nutritional needs and preferences were met for all 57 residents listed on the facility census provided by the Administrator on 10/23/23 by: 1. Not making an alternative meal available to residents. 2. Not providing resident's with an alternate meal menu. If the facility is not providing an alternative meal or offering an alternate meal menu to residents, then residents are likely to experience weight loss, frustration, and depression.
Inspectors wroteBased on observation, record review, and interview, the facility failed to store and serve food under sanitary conditions by not ensuring: 1. Food items stored in the kitchen refrigerators/freezers were labeled, dated, stored appropriately, and not expired. 2. The kitchen and freezer floors were free from debris (large pieces of ice in the freezer) and trash. 3. Food was left open above the food prep stations in the kitchen with multiple flying insects near it. 4. Food temperature records were completed for each meal prior to serving. This deficient practice is likely to affect all 57 residents listed on the resident census list provided on 10/23/23 and could likely lead to forborne illnesses in residents if food is not being stored properly and safe food handling practices are not adhered to.
Inspectors wroteBased on observation, interview, and record review, the facility failed to adequately establish, maintain, and implement an infection prevention and control program for all residents by failing to provide proof of monitoring water system for Legionella (bacteria in water) and other opportunistic waterborne pathogens. This deficient practice could likely affect all 57 residents in the facility as identified on the census list provided by the Administrator on 10/23/23. Failure to plan and implement an infection control program could likely cause the spread of infections and illness to residents and staff within the facility.
Inspectors wroteBased on observation and interview, the facility failed to have the most recent survey results in a place that was readily accessible for all 57 residents that reside in the facility (such as a lobby or other area frequented by most residents, visitors, or other individuals where individuals wishing to examine survey results do not have to ask to see them). If residents are unable to locate the latest survey results conducted by State Surveyors then residents, representatives, and visitors are unable to know how the facility is doing and make decisions accordingly.
Inspectors wroteBased on record review and interview the facility failed to: 1. Ensure the resident's advance directive (a document which provides an individual's wishes for emergency and life saving care) and the Physicians orders revealed the same resident wishes. 2. Ensure current advance directives were included in the residents medical record. 3. Ensure advance directives were complete. for 5 (R #1, #8, #16, #32 and #62) of 5 (R #1, #8, #16, #32 and #62) residents reviewed for advance directives. These deficient practices are likely to cause residents to receive unwanted or unplanned treatment during a medical emergency.
Inspectors wroteBased on observation, record review, and interview, the facility failed to provide ADL (Activities of Daily Living) assistance for baths/showers and nail care for 2 (R #'s 15 and 19) of 2 (R #'s 15 and 19) residents reviewed for ADL care by not: 1. Offering R #15 at least two showers a week. 2. Providing nail care for R #19. This deficient practice is likely to affect the dignity and health of the residents.
Inspectors wroteBased on observation, record review, and interview the facility failed to provide a therapeutic diet as ordered by a physician for 2 (R #'s 19 and 33) of 2 (R #'s 19 and 33) residents reviewed during random dining observations. If the facility fails to provide a diet as ordered, then residents are likely to experience weight loss due to not receiving their prescribed nutritional caloric intake.
Inspectors wroteBased on record review and interview, the facility failed to ensure medical records were complete and accurate for 2 (R #'s 8 and 33) of 2 (R#'s 8 and 33) residents by not: 1. Documenting communication with a provider for new symptoms of pain experienced for R #8. 2. Ensuring all orders were transferred over from the previously used charting system to the new charting system for R #33. This deficient practice is likely to result in staff not having the information they need to provide competent, comprehensive care and services to residents.
Inspectors wroteBased on interview, the facility failed to ensure a resident's belongs was safeguarded from loss for 1 (R #9) of 1 (R #9) resident reviewed for personal property when they failed to offer R #9 a safe place for her belongings until after theft occurred. This deficient practice is likely to result in unaccounted property for the resident and family resulting in frustration.
Inspectors wroteBased on record review and interview, the facility failed to report and provide follow-up report within 5 working days from the date of the incident (burn on head) to the State Survey Agency, for 1 (R #22) of 1 (R #22) residents reviewed for incidents. If the facility fails to provide a 5 day follow-up report to the State Agency then the State Agency will be unable to assure residents are safe and have a hazard free environment. A. Record review of R #22's face sheet revealed R #22 was admitted into the facility on [DATE]. B. Record review of R #22's nursing progress notes, dated 10/19/23, revealed, Family has requested that resident's [R #22] hair not be curled anymore as there is a burn on her forehead from curling iron yesterday. C. Record review of facility incident reports, dated 10/19/23-10/26/23, revealed staff did not document an incident report for R #22's 10/19/23 incident. D. [...]
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure staff revised the care plan for 1 (R #22) of 1 (R #22) residents reviewed by not updating the care plan to include various fall prevention interventions. This deficient practices is likely to result in residents care and needs not being addressed if care plans are not updated.
Inspectors wroteBased on interviews, observation, and record review, the facility failed to ensure that services provided to residents met professional standards for 1 (R #33) resident out of 1 (R #33) residents reviewed for therapeutic diets. If the facility is not following physician orders residents are likely to not get the intended therapeutic results.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure residents received treatment and care in accordance with professional standards of practice for 1 (R #13) of 1 (R #13) residents reviewed for edema (swelling caused by too much fluid trapped in the body's tissues). This deficient practice is likely to result in residents experiencing pain or a worsened condition.
Inspectors wroteBased on record review and interview, the facility failed to ensure 1 (R #47) of 1 (R # 47) resident reviewed for weight loss received care and treatment that met the resident's needs by not following Dietician recommendations to weigh the resident weekly. This deficient practice is likely to result in weight loss or continued weight loss.
Inspectors wroteBased on record review and interviews, the facility failed to implement pharmacist recommendation in a timely manner for 1 (R #9) out of 5 residents (R #2, R #23, R #42, R #43). This deficient practice is likely to result in more than minimal harm to R #9 by failing to ensure resident was free of any abnormal signs and symptoms of bleeding.
Inspectors wroteBased on observation and interview, the facility failed to ensure: 1. Personal items were not stored in the medication storage room. 2. Items were not stored under the sink in the medication storage room. 3. Medications stored on the East Medication Cart were kept in their original labeled packaging and in a manner that maintains the sterility of the product. These deficient practices is likely to negatively impact the health of all 57 residents that reside in the facility. They are likely to receive compromised or contaminated medications and medical supplies due to inappropriate storage.
Inspectors wroteBased on observation and interview, the facility failed to ensure facility hallways were clear of any obstructions and hallway handrails were not blocked for all 57 residents who wished to use handrails to self-propel or as a support when ambulating. This deficient practice is likely to cause residents to receive injuries related to tripping and falls.
Inspectors wroteBased on record review and interviews, the facility failed to ensure 1 Certified Nurse Aide (CNA) out of 5 sampled CNA's had completed required annual skills competencies. This deficient practice is likely to result in the nurses aides not receiving the necessary training to meet the care needs of the residents.
30 fire safety citations on file: 24 on March 30, 2026, 3 on December 9, 2024, 3 on October 26, 2023.
| Date | Penalty | Amount or length |
|---|---|---|
| December 19, 2025 | Fine | $53,303 |
| February 12, 2024 | Fine | $4,938 |
| January 22, 2024 | Fine | $14,814 |
| December 26, 2023 | Fine | $14,113 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.09 | 3.54 | 3.86 |
| Registered nurses | 0.69 | 0.63 | 0.69 |
| All nursing staff on weekends | 2.91 | 3.10 | 3.42 |
| Nurse aides | 2.06 | ||
| Licensed practical nurses | 0.34 | ||
| Nursing staff turnover (share who left in a year) | 54.2% | 53.3% | 45.8% |
| Registered nurse turnover | 81.8% | 53.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.16 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.16 on weekdays and 2.91 on weekends, 8% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 11.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.16 in April to June 2025 to 3.09 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 | 3.09 | 0.69 | 3.16 | 2.91 | 11.1% | 0 of 90 | 60 |
| Oct to Dec 2025 | 2.86 | 0.57 | 2.93 | 2.69 | 11.6% | 0 of 92 | 60 |
| Jul to Sep 2025 | 3.26 | 0.39 | 3.40 | 2.91 | 1.4% | 0 of 92 | 60 |
| Apr to Jun 2025 | 3.16 | 0.49 | 3.26 | 2.89 | 4.0% | 0 of 91 | 60 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| New Mexico, Jan to Mar 2026 | 3.52 | 0.60 | 3.69 | 3.10 | 14.2% | 1.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| New Mexico, all employers | |||
| CNAs (nursing assistants) | $18.94 | $17.94 to $21.83 | 4,750 |
| LPNs and LVNs | $28.52 | $18.93 to $35.14 | 2,460 |
| Registered nurses | $45.36 | $38.92 to $49.40 | 17,980 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | New Mexico | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 3.9 | 11.3 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.6 | 0.9 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 7.3 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 5.7 | 11.7 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.5 | 5.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 6.7 | 14.5 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 20.6 | 22.0 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 11.8 | 15.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.3 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.8 | 2.8 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Los Alamos Wellness & Rehabilitation's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (53.8% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
53.8% this home
No different from the national rate
US median of homes 51.5% · New Mexico: 15 better, 4 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 101 eligible stays.
10.6% 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. 113 eligible stays.
7.8% 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. 75 eligible stays.
88.7% 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. 71 residents counted.
2.9% 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. 104 residents counted.
6.8% 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. 103 residents counted.
93.9% 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. 66 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: LOS ALAMOS 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 |
|---|---|---|---|---|
| Casa Healthcare, LLC | Direct ownership interest | Organization | 10/01/2023 | |
| Caliber Advisors LLC | Indirect ownership interest | Organization | 10/01/2023 | |
| First Sweetzer Holdings LLC | Indirect ownership interest | Organization | 10/01/2023 | |
| Hatteras Investments LLC | Indirect ownership interest | Organization | 10/01/2023 | |
| Garetz, David | Corporate officer | Individual | 10/01/2023 | |
| Casa Healthcare, LLC | Operational/managerial control | Organization | 10/01/2023 | |
| Garetz, David | Operational/managerial control | Individual | 10/01/2023 | |
| Gurwitz, Solomon | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 10/03/2025 | |
| Hagins, Elizabeth | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 10/03/2025 | |
| Kaplan, Esther | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 10/03/2025 | |
| Kaplan, Mosha | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 10/03/2025 | |
| Mindle, Adam | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 10/03/2025 | |
| Sternshein, Jennifer | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 10/03/2025 | |
| Unger, Jeffrey | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 10/03/2025 | |
| Zimmerman, Caroline | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 10/03/2025 | |
| 1011 Sombrillo Court Nm, LLC | Adp of the SNF | Organization | 10/01/2023 | |
| Continuum Rehab Group LLC | Adp of the SNF | Organization | 10/01/2023 | |
| Hallmark Advisors, LLC | Adp of the SNF | Organization | 10/01/2023 | |
| Hansen Hunter LLC | Adp of the SNF | Organization | 04/01/2024 | |
| Opco Ca Skilled Mgmt Inc. | Adp of the SNF | Organization | 10/01/2023 | |
| Opco Nm Skilled Mgmt, LLC | Adp of the SNF | Organization | 10/01/2023 | |
| The Wright Group Consulting, LLC | Adp of the SNF | Organization | 04/01/2024 | |
| Wilshire Health Realty, LLC | Adp of the SNF | Organization | 10/01/2023 | |
| Greenberg, David | Adp of the SNF | Individual | 01/01/2024 | |
| Hill, Canisha | Adp of the SNF | Individual | 10/14/2024 |
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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