Aztec, NM

Aztec Healthcare

2-star overall rating with 2-star inspections with abuse icon flag with $68,268 in total fines with 6 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

500 Care Lane, Aztec, NM

(505) 334-9445

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

112

Certified beds

Average residents

83

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Opco Skilled Management

Operator or chain grouping

Approved since

1992-08-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.47

Registered nurse staffing

LPN hours / resident day

0.88

Licensed practical nurse staffing

Aide hours / resident day

1.91

Nurse aide staffing

Weekend hours

2.88

Weekend nurse staffing

RN turnover

64%

Annual RN turnover

Total nurse turnover

58%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 0.8
1.6
0.8 pts better
1.9
1.1 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 3.1
2.6
0.5 pts worse
1.8
1.3 pts worse
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.5%
97.4%
1.1 pts better
93.4%
5.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
98.7%
1.3 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 5.1%
3.5%
1.6 pts worse
3.3%
1.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 0.5%
1.8%
1.3 pts better
11.4%
10.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 12.0%
5.4%
6.6 pts worse
5.4%
6.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 14.4%
14.1%
0.3 pts worse
19.6%
5.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 15.0%
14.7%
0.3 pts worse
16.7%
1.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.0%
About the same
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 8.8%
15.8%
7 pts better
16.3%
7.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 7.8%
14.6%
6.8 pts better
14.9%
7.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.3%
1.3%
1 pts better
1.0%
0.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 0.0%
0.9%
0.9 pts better
1.7%
1.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 27.4%
20.6%
6.8 pts worse
19.8%
7.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 6.2%
5.7%
0.5 pts worse
5.1%
1.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 84.0%
86.6%
2.6 pts worse
81.7%
2.3 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 15.5%
15.9%
0.4 pts better
12.0%
3.5 pts worse
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.5%
1.3%
0.8 pts better
1.6%
1.1 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 83.0%
86.4%
3.4 pts worse
79.7%
3.3 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 7.2%
21.3%
14.1 pts better
23.9%
16.7 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-06-07 · Fire 2024-06-07

6 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2023-02-10 · Fire 2023-02-10

10 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2022-01-07 · Fire 2022-01-07

16 health deficiencies

Top issue: Nutrition and Dietary (4 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-06-07

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-06-30

F · Potential for more than minimal harm 2024-06-07

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-06-20

E · Potential for more than minimal harm 2024-06-07

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-06-20

E · Potential for more than minimal harm 2023-02-10

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-03-12

E · Potential for more than minimal harm 2023-02-10

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2023-03-12

F · Potential for more than minimal harm 2022-01-07

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-02-11

E · Potential for more than minimal harm 2022-01-07

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2022-02-11

E · Potential for more than minimal harm 2022-01-07

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2022-02-11

Inspection history

Recent health citations

J · Immediate jeopardy 2024-12-18

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-12-01

J · Immediate jeopardy 2024-12-18

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-12-01

D · Potential for more than minimal harm 2024-09-10

F676 · Quality of Life and Care Deficiencies

Health

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2024-07-01

G · Actual harm 2024-06-07

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-06-22

E · Potential for more than minimal harm 2024-06-07

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-06-22

E · Potential for more than minimal harm 2024-06-07

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-06-22

E · Potential for more than minimal harm 2024-06-07

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-06-22

D · Potential for more than minimal harm 2024-06-07

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2024-06-22

D · Potential for more than minimal harm 2024-06-07

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-06-22

E · Potential for more than minimal harm 2024-03-05

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-03-08

D · Potential for more than minimal harm 2024-03-05

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2024-03-08

G · Actual harm 2023-02-10

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2023-03-12

E · Potential for more than minimal harm 2023-02-10

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-03-12

D · Potential for more than minimal harm 2023-02-10

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2023-03-12

D · Potential for more than minimal harm 2023-02-10

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2023-03-12

D · Potential for more than minimal harm 2023-02-10

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2023-03-12

F · Potential for more than minimal harm 2022-01-07

F800 · Nutrition and Dietary Deficiencies

Health

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Corrected 2022-02-18

F · Potential for more than minimal harm 2022-01-07

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2022-02-18

F · Potential for more than minimal harm 2022-01-07

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2022-02-18

F · Potential for more than minimal harm 2022-01-07

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-02-18

E · Potential for more than minimal harm 2022-01-07

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2022-02-18

E · Potential for more than minimal harm 2022-01-07

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2022-02-18

E · Potential for more than minimal harm 2022-01-07

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2022-02-18

E · Potential for more than minimal harm 2022-01-07

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2022-02-18

E · Potential for more than minimal harm 2022-01-07

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2022-02-18

E · Potential for more than minimal harm 2022-01-07

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2022-02-18

E · Potential for more than minimal harm 2022-01-07

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2022-02-18

D · Potential for more than minimal harm 2022-01-07

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2022-02-18

D · Potential for more than minimal harm 2022-01-07

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2022-02-18

D · Potential for more than minimal harm 2022-01-07

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2022-02-18

D · Potential for more than minimal harm 2022-01-07

F685 · Quality of Life and Care Deficiencies

Health

Assist a resident in gaining access to vision and hearing services.

Corrected 2022-02-18

D · Potential for more than minimal harm 2022-01-07

F805 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2022-02-18

Penalties and ownership

What sits behind the stars

$15,931 2024-12-18

Fine

Fine · fine $15,931

Fine

$52,337 2024-06-07

Fine

Fine · fine $52,337

Fine

Ownership

Canyon Creek Healthcare, LLC

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2019-05-07
Bryn Mawr Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 1 facilities 2019-05-07
Collazo, Elizabeth

W-2 Managing Employee · Individual

0% 2 facilities 2019-05-07
Garetz, David

Corporate Officer · Individual

0% 58 facilities 2020-12-16
Kaplan, Esther

5% Or Greater Indirect Ownership Interest · Individual

0% 6 facilities 2019-05-07
Kenwood Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 2 facilities 2019-05-07
Mindle, Adam

5% Or Greater Indirect Ownership Interest · Individual

0% 6 facilities 2019-05-07

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3-star overall rating with 3-star inspections with $73,226 in total fines with 14 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

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Fines
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#3

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