Home / New Mexico / T Or C
Paloma Springs Healthcare LLC
1400 North Silver Street, T Or C, NM 87901 · Sierra County · (575) 894-7855
94 certified beds, about 88 residents a day · For profit - Corporation · Medicare and Medicaid since 1992
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 325062 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 28, 2025, inspectors cited 12 health deficiencies (the New Mexico average is 17.9, the national average 9.2).
Of 41 health citations since November 2022, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $19,971 in the last three years; the largest was $19,971, and the latest is dated February 12, 2024.
Nurses and nurse aides worked 3.11 hours per resident per day, against 3.54 across New Mexico and 3.86 nationally. Registered nurses accounted for 0.44 of those hours.
30.0% 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.
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.
611/22
1602/24
107/24
101/25
1204/25
108/25
312/25
106/26
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 41 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
16D
21E
3F
Potential for minimal harm
0A
0B
0C
June 25, 2026Complaint inspection · 1 citation
- 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, interview, and observation, the facility failed to ensure medical records were complete and accurate for 1 (R #18) of 3 (R #16, R #17, and R #18) residents reviewed for behavioral health treatment when staff failed to:Document R #18's behaviors. Document side effects (any unintended effect of a medication) from R #18's anti- anxiety medication (used to treat anxiety symptoms). These deficient practices could likely cause staff to not have the most accurate resident information and adversely impact the care staff provides.
December 5, 2025Complaint inspection · 3 citations
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on record review and interview, the facility failed to report an injury of unknown origin to the State Agency (SA) for 1 (R #1) of 3 (R #1, R #2 and R #3) residents sampled for neglect. If the facility fails to report allegations of possible neglect to the SA, then the SA is unable to ensure residents are free from neglect and have a safe home environment.
- D Assess the resident when there is a significant change in condition
Inspectors wroteBased on record review and interview, the facility failed to complete a significant change (major decline or improvement in the patient's health status) MDS Set assessment within 14 days after the facility determined a significant change in the resident's physical or mental condition for 1 (R #1) of 3 (R #1, R #2, and R #3) residents reviewed for MDS. This deficient practice could likely result in the residents not receiving the appropriate care and services they need.
- D Assure that each resident’s assessment is updated at least once every 3 months.
Inspectors wroteBased on record review and interview, the facility failed to ensure that an MDS assessment was completed every three months for 1 (R #8) of 4 (R #8, R #9, R #10, and R #11) residents reviewed for MDS assessments, when they failed to complete quarterly MDS assessments timely (completed 14 days after the assessment reference date (ARD)). This deficient practice could result in resident's assessments being outdated and residents not receiving care and treatment that meets their current needs.
August 19, 2025Complaint inspection · 1 citation
- 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 #1) of 3 (R #1, R #2 and R #3) residents reviewed for documentation accuracy. This deficient practice has the potential to have a negative impact on the care staff provide to residents due to missing or inaccurate records and resident information.
April 28, 2025Standard inspection · 12 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and interview, the facility failed to store food under sanitary conditions for all 81 residents who eat food from the kitchen (residents were identified by the resident census provided by the Administrator on 04/21/25), when they failed to label and date dessert items in the kitchen refrigerator. If the facility fails to store food under safe and sanitary conditions then this could likely lead to foodborne illnesses (Foodborne illness can occur if you eat foods that are contaminated with harmful pathogens such as bacteria, viruses, and fungi) in residents.
- E Ensure that residents are fully informed and understand their health status, care and treatments.
Inspectors wroteBased on record review and interview, the facility failed to ensure residents and/or their representatives were informed in advance of what medications they received and understood the reasons, risks, and benefits of the medications for 1 (R #62) of 5 (R #9, R #45, R #46, R #62 and R #90) residents reviewed for unnecessary medications. If the residents or their representatives are not informed of the risks and benefits of the medication or treatment alternatives, they are not able to make informed decisions regarding residents' care.
- E Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on record review and interview, the facility failed to notify the provider of missed medication doses for 1 (R #90) of 1 (R #90) resident reviewed for diarrhea, when they failed to notify the provider that R #90 missed 8 doses of Questran (medication that can provide relief of diarrhea caused by surgery or disease of the small bowel) and 12 doses of fiber (can be used to relieve mild-to-moderate diarrhea. Soluble fiber soaks up water in the digestive tract, which makes stool firmer and slower to pass) medication. This deficient practice could likely result in residents not receiving necessary care or worsening medical condition due to lack of treatment.
- 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 wroteRecite from 02/12/2024 Based on record review and interview, the facility failed to ensure care plan revisions and care plan meeting requirements occurred for 7 (R #1, R #9, R #15, R #37, R #45, R #89 and R #90) of 8 (R #1, R #9, R #15, R #37, R #45, R #62, R #89 and R #90) residents when the 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 #9, R #15, R #45, R #89, and R #90. 2. Ensure the care plan meeting was held within 7 days from the completion of the MDS assessment when creating the care plan for R #1, R #9, and R #45. 3. Revise the care plan with the most current resident information for R #1, R #45, and R #90. [...]
- E 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 #90) of 1 (R #90) resident 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.
- E Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteRecite from 02/12/24 Based on record review and interview, the facility failed to ensure the consultant pharmacist's recommendations were reviewed and implemented by the physician and/or the physician provided documentation of a rationale (a set of reasons or a logical basis for a course of action or a particular belief) for not following the consultant pharmacist's recommendation in the residents' medical record for 2 (R #45 and R #46) of 5 (R #9, R #45, R #46, R #62, and R #90) residents reviewed for unnecessary medications. This deficient practice could likely result in residents receiving medications that are no longer necessary and may cause unnecessary drug interactions (changes to medication action caused by being combined with other foods, beverages, or drugs) or adverse side effects (unwanted, undesirable effects from medication).
- 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 residents free from psychotropic medications (any drug that affects brain activities associated with mental processes and behavior) for 2 (R #45 and R #46) of 5 (R #9, R #45, R #46, R #62 and R #90) residents reviewed for unnecessary medications when they failed to: 1. Carry out a gradual dose reduction (GDR; stepwise tapering of a dose to determine if symptoms, conditions, or risks can be managed by a lower dose or if the medication can be discontinued) and failed to document clinical rationale to continue psychotropic medications for R #45 and R #46. 2. [...]
- 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 #1) of 3 (R #1, R #45, and R #78) residents sampled for environment, when staff failed to do the following: 1. Keep the residents' floor free of trash and orange peels. 2. Remove the residents' lunch tray after they had finished. 3. Empty and remove full urinal from the tray table. These deficient practices could likely cause residents to feel like they are not living in a comfortable home-like environment and like they are not valued.
- 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 wroteRecite from 02/12/24 Based 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 2 (R #32 and R #90) of 2 (R #32 and R #90) residents reviewed for hospitalization. This deficient practice could likely result in the residents and/or their representative being unaware of the bed hold policy upon return from the hospital.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on interview and record review, 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) were accurate for 2 (R #9 and R #46) of 5 (R #9, R #29, R #46, R #62 and R #78) 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 wroteRecite from 02/12/24. Based on record review and interview, the facility failed to develop an accurate, person-centered comprehensive care plan for 1 (R #90) of 2 (R #32 and R #90) 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 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteRecite from 02/12/24. Based on record review and interview, the facility failed to ensure medical records were complete and accurate for 1 (R #90) of 1 (R #90) 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.
January 23, 2025Complaint inspection · 1 citation
- D Protect each resident from the wrongful use of the resident's belongings or money.
Inspectors wrotePast noncompliance Based on record review and interview, the facility failed to prevent staff to resident exploitation when Activity Aide (AA) #1 used R #16's bank debit card to make an unauthorized (without the account holders permission) money withdrawals or purchases for 1 (R #16) of 3 (R #16, R #17, and R #18) residents reviewed for abuse, neglect, and exploitation. This deficient practice could likely result in residents not having money available when they need it, psychosocial distress, and a loss of trust in staff.
July 23, 2024Complaint inspection · 1 citation
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on record review and interview, the facility failed to create an accurate baseline care plan (minimum healthcare information necessary to properly care for a resident immediately upon their admission to the facility) within 48 hours of admission for 1 (R #1) of 2 (R #1 and #2) residents reviewed for baseline care plans. This deficient practice could likely result in residents not receiving the appropriate care and may place residents at risk of an adverse event (undesirable experience, preventable or non-preventable, that caused harm to a resident because of medical care or lack of medical care) or worsening of current condition after admission.
February 12, 2024Standard inspection, Complaint inspection · 16 citations
- G Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on record review and interview, the facility failed to ensure residents received care and treatment for pressure ulcers in accordance with professional standards of care (reasonable degree of care a person should provide to another person, typically in a professional or medical setting) for 1 (R #242) of 2 (R #192 and R #242) residents reviewed for pressure ulcers, when staff failed to: 1. Monitor wound progression. 2. Notify the provider about changes in wound condition. 3. Administer prescribed antibiotics in a timely manner. This deficient practice likely resulted in unnecessary worsening of R #242's wound, pain, and suffering.
- F 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 ensure staff acted upon pharmacy recommendations for all 85 residents in the facility (residents were identified on the resident matrix provided by the Administrator on 02/05/24), when they failed to get the pharmacy recommendations back from the provider with instructions to accept or decline recommendations, within 30 days of the facility receiving the pharmacy recommendations. This deficient practice could likely result in residents being at a higher risk of adverse (undesired harmful effect resulting from medication) side effects.
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and interview, the facility failed to follow procedures in accordance with professional standards of food service safety, when they failed to: 1. Ensure the chemical sanitation solution was maintained at the correct concentration. 2. Properly label opened food items in the walk-in refrigerator and walk-in freezer. This failure had the potential to affect all 81 residents in the facility who eat food prepared in the kitchen. Residents were identified by the Resident Matrix provided by the Administrator on 02/05/24. If the facility fails to adhere safe food storage then residents are likely to be exposed to foodborne illnesses.
- E 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 residents were treated with respect and dignity for all 19 residents in the secured unit (residents were identified by the resident matrix provided by the Administrator on 02/05/24), when the facility failed to refer to residents in a dignified manner. This deficient practice could likely result in residents feeling embarrassed, angry, and that their feelings are unimportant to the facility staff.
- E Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure grievance (complaints over something believed to be wrong or unfair) were acted upon for 2 (R #1 and R #28) of 2 (R #1 and R #28) residents reviewed for grievances. This deficient practice could likely result in residents feeling unimportant and unsatisfied with the results of the grievance process.
- E Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Inspectors wroteBased on interview and record review, the facility failed to keep residents free from involuntary seclusion for 5 (R #56, R #72, R #79, R #82, and R #193) of 5 (R #56, R #72, R #79, R #82, and R #193) residents sampled for elopement (an act or instance of leaving a safe area or safe premises, done by a person with a mental disorder or cognitive impairment) risk, 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) met for placement in the secured/locked area by the resident's physician along with information provided by members of the interdisciplinary team (IDT team members from different disciplines working collaboratively, with a common purpose, to set goals, make decisions and share resources and responsibilities). 2. [...]
- E 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, their representatives, and the Ombudsman received a written notice of transfer as soon as practicable for 3 (R #1, R #16, and R #28 ) of 3 (R #1, R #16, and R #28) 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 discharged .
- E 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 provide written information to the resident or resident representative that specified the bed hold policy and the number of days the facility will hold a bed for the resident at the time of the transfer for 3 (R #1, R #16, and R #28) of 3 (R #1, R #16, and R #28) residents sampled for hospitalizations, when they failed to: 1) Use a written Bed Hold Notice that included the number of days the facility will hold a bed for the resident at the time of the transfer for R #1 and R #28. 2) Provide written information to the resident or resident representative that specified the bed hold policy and the number of days the facility will hold a bed for the resident at the time of the transfer for R #16. [...]
- 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 and interview, the facility failed to ensure staff completed a comprehensive Minimum Data Set (MDS; a federally mandated assessment instrument completed by facility staff, which included the traditional care of the resident, the prevention and early detection of disease, and rehabilitation) assessment within 14 calendar days after admission for 1 (R #56) of 5 (R #56, R #72, R #79, R #82, and R #193) residents reviewed for completion of a comprehensive MDS assessment. This deficient practice could likely result in residents' preferences and needs not being met.
- 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 observation, record review, and interview, the facility failed to develop and implement a comprehensive person-centered care plan for 6 (R #16, R #50, R #56, R #79, R #82, and R #193) of 6 (R #16, R #50, R #56, R #79, R #82, and R #193) residents reviewed for comprehensive care plans. Failure to develop a 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 #1) of 1 (R #1) resident reviewed for care plans. 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.
- E Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on interview, observation, and record review, the facility failed to maintain acceptable parameters of nutritional status, such as usual body weight for 1 (R #1) of 1 (R #1) residents sampled for nutrition, when they failed to: a. Update the care plan to reflect actual weight loss. b. Follow dietitian's recommendations. These deficient practices could likely result in residents losing weight without the facility being aware causing physical and mental health issues.
- E Provide or obtain dental services for each resident.
Inspectors wroteBased on interview and record review the facility failed to ensure residents obtained dental services for 2 (R #13 and R #16) of 3 (R #13, R #16, and R # 193) residents sampled for dental services, when they failed to: a. Ensure residents received 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. b. Ensure residents received emergent dental services when indicated. These deficient practices are likely to cause the resident unnecessary pain, embarrassment over the condition/appearance of teeth, and potential dental or oral complications.
- 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 accurately document in the resident record for 1 (R #60) of 5 (R #1, R #49, R #60, R #78, and R #82) residents sampled for unnecessary medications. This deficient practice could likely cause staff to be unaware of residents' current conditions if they are not documenting accurately in the medical chart.
- D 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 store medications properly for all 20 residents in rooms 219 through 230 (residents were identified by the resident matrix provided by the Administrator on 02/05/24) randomly sampled residents, when they failed to dispose of one loose tablet in the medication cart on the 200 unit. This deficient practice could result in residents obtaining medication not prescribed to them resulting in adverse side effects.
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on record review and interview, the facility failed to ensure the medical records contained documentation each resident received or staff offered the pneumococcal (a bacteria that caused pneumonia infection of the respiratory tract) vaccination for 1 (R #60) of 5 (R #09, R #10, R #28, R #60, and R #86) 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.
November 2, 2022Standard inspection · 6 citations
- E Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Inspectors wroteBased on interview and observation, the facility failed to: 1. Ensure residents participating in Resident Council knew where the most recent survey was located, 2. Update the binder with the most recent survey for residents/family's access. This could affect the 9 (R#7, R#8, R#16, R#33, R#36, R#47, R#57, R#59 and R #68) of 9 (R#7, R#8, R#16, R#33, R#36, R#47, R#57, R#59 and R #68 ) residents sampled in Resident Council. If residents are unable to locate the latest survey conducted by State Surveyors, then residents, representatives, and visitors are unable to know how the facility is doing and make decisions accordingly.
- E 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 interview and record review, the facility failed to provide written notice of transfer as soon as practicable to residents and the ombudsman when residents were transferred to the hospital for emergency services for 3 (R #4, R #45, and R #56) of 5 (R #4, R #42, R #45, R#56 and R #66) residents. This deficient practice could likely result in residents or their representatives and the ombudsman being unaware of the reason for the transfer and the right to appeal.
- E 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 ensure that pharmacist recommendations were reviewed by a physician and implemented after repeated monthly recommendations for 2 (R #56 and R #66) of 5 (R #4, R #23, R #32, R #52, R #56 and R #66) residents reviewed for unnecessary medications. This deficient practice could likely result in residents receiving medications that are no longer necessary and may cause unnecessary drug interactions or adverse side effects.
- 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 complete and accurate documentation in the medical record for 1 (R #50) of 1 (R #50) resident when they failed to: 1) Document the plan for treatment from the NP (Nurse Practitioner) for R #50 after her labs came back with a recommendation to repeat sample and labs, 2) Document the cancellation of R #50's eye surgery appointment. This deficient practice could likely result in residents being unaware of their plan of care or upcoming appointments cause anxiety and depression.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that residents were treated with respect and dignity for 1 (R #52) of 1 (R #52) residents randomly sampled, when the facility did not have any pants or bottom covering for R #52 who's lower body was uncovered exposing her brief. This deficient practice could likely result in residents becoming depressed, anxious, and lacking self-worth.
- 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 provide the facility Bed-hold notice upon transfer for 1 (R #45) of 1 (R #45) residents sampled for bed hold. This deficient practice could likely cause resident frustration and anxiety about not knowing if the facility will hold their bed while away.
Fire safety inspections
4 fire safety citations on file: 3 on April 28, 2025, 1 on November 2, 2022.
Every fire safety citation4 citations
- F Address patient/client population and determine types of services needed.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E Have simulated fire drills held at unexpected times.
- E Have proper medical gas storage and administration areas.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| February 12, 2024 | Fine | $19,971 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.11 | 3.54 | 3.86 |
| Registered nurses | 0.44 | 0.63 | 0.69 |
| All nursing staff on weekends | 2.81 | 3.10 | 3.42 |
| Nurse aides | 2.16 | ||
| Licensed practical nurses | 0.50 | ||
| Nursing staff turnover (share who left in a year) | 30.0% | 53.3% | 45.8% |
| Registered nurse turnover | 25.0% | 53.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.35 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 3.23 on weekdays and 2.81 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.34 in April to June 2025 to 3.11 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 | 3.11 | 0.44 | 3.23 | 2.81 | 0.0% | 0 of 90 | 88 |
| Oct to Dec 2025 | 3.15 | 0.47 | 3.28 | 2.82 | 0.0% | 0 of 92 | 90 |
| Jul to Sep 2025 | 3.07 | 0.49 | 3.20 | 2.75 | 0.0% | 3 of 92 | 87 |
| Apr to Jun 2025 | 3.34 | 0.48 | 3.48 | 2.98 | 0.0% | 0 of 91 | 84 |
| 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 | 2.3 | 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 | 1.9 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.2 | 1.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 4.8 | 11.7 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 0.3 | 5.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 16.8 | 14.5 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 18.1 | 22.0 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 21.9 | 15.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.7 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.6 | 2.8 | 1.8 |
Owners and operators
Legal business name: PALOMA SPRINGS HEALTHCARE 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 | 03/01/2023 | |
| Caliber Advisors LLC | Indirect ownership interest | Organization | 03/01/2023 | |
| First Sweetzer Holdings LLC | Indirect ownership interest | Organization | 03/01/2023 | |
| Hatteras Investments LLC | Indirect ownership interest | Organization | 03/01/2023 | |
| Garetz, David | Corporate officer | Individual | 03/01/2023 | |
| Casa Healthcare, LLC | Operational/managerial control | Organization | 04/01/2023 | |
| Garetz, David | Operational/managerial control | Individual | 03/01/2023 | |
| Gurwitz, Solomon | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/17/2025 | |
| Hagins, Elizabeth | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/17/2025 | |
| Kaplan, Esther | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/17/2025 | |
| Kaplan, Mosha | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/17/2025 | |
| Mindle, Adam | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/17/2025 | |
| Sternshein, Jennifer | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 04/01/2025 | |
| Unger, Jeffrey | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/17/2025 | |
| Zimmerman, Caroline | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 04/01/2025 | |
| 1400 N Silver Street Nm, LLC | Adp of the SNF | Organization | 03/01/2023 | |
| Continuum Rehab Group LLC | Adp of the SNF | Organization | 03/01/2023 | |
| Hallmark Advisors, LLC | Adp of the SNF | Organization | 03/01/2023 | |
| Hansen Hunter LLC | Adp of the SNF | Organization | 04/01/2024 | |
| Opco Ca Skilled Mgmt Inc. | Adp of the SNF | Organization | 03/01/2023 | |
| Opco Nm Skilled Mgmt, LLC | Adp of the SNF | Organization | 03/01/2023 | |
| The Wright Group Consulting, LLC | Adp of the SNF | Organization | 04/01/2024 | |
| Wilshire Health Realty, LLC | Adp of the SNF | Organization | 03/01/2023 | |
| Stolarczyk, Lisa | Adp of the SNF | Individual | 03/07/2024 | |
| Williams, Scott | Adp of the SNF | Individual | 03/01/2023 |
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 June 25, 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 April 28, 2025: "Ensure that residents are fully informed and understand their health status, care and treatments."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 5 problems in this area, most recently on April 28, 2025: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 3 problems in this area, most recently on December 5, 2025: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.81 hours per resident per day, below the New Mexico average of 3.10.
Other nursing homes nearby
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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 Paloma Springs Healthcare LLC's Medicare star rating?
- CMS rates Paloma Springs Healthcare LLC 4 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Paloma Springs Healthcare LLC get at its last inspection?
- 12 health deficiencies at the standard inspection on April 28, 2025. The New Mexico average is 17.9.
- Has Paloma Springs Healthcare LLC been fined?
- Yes. CMS lists 1 fine totaling $19,971 in the last three years.
- Does Paloma Springs Healthcare LLC 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 Paloma Springs Healthcare LLC?
- CMS lists 25 owners and managers, and links the home to Opco Skilled Management. Legal business name: PALOMA SPRINGS HEALTHCARE 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.