Cycle 1
Health 2025-03-07 · Fire 2025-03-07
2 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Farmington, NM
Farmington Wellness & Rehabilitation
5-star overall rating with 5-star inspections with 2 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
201 Nelson Avenue, Farmington, NM
(505) 675-4545
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
50
Certified beds
Average residents
30
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2019-09-16
CMS approved date
Coverage
Medicare
Participation flags
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
1.19
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
0.59
Licensed practical nurse staffing · state 0.71 · national 0.87
Aide hours / resident day
2.93
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
4.70
All reported nurse hours · state 3.56 · national 3.89
Licensed hours
1.78
RN + LPN hours · state 1.33 · national 1.54
Weekend hours
4.22
Weekend nurse staffing · state 3.12 · national 3.43
Weekend RN hours
1.03
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.33
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
1.10
CMS adjusted RN staffing hours
Adjusted total hours
4.34
CMS adjusted total nurse staffing hours
Case-mix index
1.48
Higher values indicate more complex resident acuity
RN turnover
83%
Annual RN turnover · state 54% · national 45%
Total nurse turnover
62%
Annual nurse turnover · state 53% · national 46%
SNF VBP
Value-based purchasing
Program rank
5,564
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
35.75
Composite VBP score used to determine payment impact.
Payment multiplier
0.9893
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.43
Baseline 18.83% · Performance 19.84% · Measure score 3.43 · Achievement 3.43 · Improvement 0
Healthcare-associated infections
5.02
Baseline 6.44% · Performance 6.34% · Measure score 5.02 · Achievement 5.02 · Improvement 0.21
Total nurse turnover
2.28
Performance 54.35% · Measure score 2.28 · Achievement 2.28 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.98% |
10.72%
0.7 pts better
|
No Different than the National Rate · Eligible stays 472 · Observed rate 9.53% · Lower 95% interval 7.89% |
| Discharge to community | 65.35% |
50.57%
14.8 pts better
|
Better than the National Rate · Eligible stays 514 · Observed rate 60.31% · Lower 95% interval 62.24% |
| Medicare spending per beneficiary | 0.87 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 312 · Denominator 312 |
| Falls with major injury | 0.64% |
0.77%
0.1 pts better
|
Numerator 2 · Denominator 312 |
| Discharge self-care score | 82.43% |
53.69%
28.7 pts better
|
Numerator 197 · Denominator 239 |
| Discharge mobility score | 75.73% |
50.94%
24.8 pts better
|
Numerator 181 · Denominator 239 |
| Pressure ulcers or injuries, new or worsened | 5.45% |
2.29%
3.2 pts worse
|
Numerator 17 · Denominator 312 · Adjusted rate 6.15% |
| Healthcare-associated infections requiring hospitalization | 6.34% |
7.12%
0.8 pts better
|
No Different than the National Rate · Eligible stays 307 · Observed rate 5.21% · Lower 95% interval 4.42% |
| Staff COVID-19 vaccination coverage | Not Available |
8.2%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 74.48% |
56.45%
18 pts better
|
Numerator 178 · Denominator 239 |
| Transfer of health information to provider | 99.62% |
95.95%
3.7 pts better
|
Numerator 263 · Denominator 264 |
| Transfer of health information to patient | 97.92% |
96.28%
1.6 pts better
|
Numerator 47 · Denominator 48 |
| Resident COVID-19 vaccinations up to date | 18.95% |
25.2%
6.2 pts worse
|
Numerator 29 · Denominator 153 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.3% |
86.6%
10.7 pts better
|
81.7%
15.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.5% · Q2 99.0% · Q3 97.7% · Q4 93.1% · 4Q avg 97.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 19.1% |
15.9%
3.2 pts worse
|
12.0%
7.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 19.1% · Observed 18.3% · Expected 10.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.3% |
1.3%
About the same
|
1.6%
0.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.3% · Q3 1.7% · Q4 0.7% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 88.4% |
86.4%
2 pts better
|
79.7%
8.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 88.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.0% |
21.3%
3.7 pts worse
|
23.9%
1.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 25.0% · Observed 23.3% · Expected 22.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-12-07 · Fire 2023-12-07
4 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Cycle 3
Health 2022-09-09 · Fire 2022-09-09
1 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-03-07
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-03-27
F · Potential for more than minimal harm
2025-03-07
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-03-27
F · Potential for more than minimal harm
2025-03-07
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-03-27
E · Potential for more than minimal harm
2025-03-07
K354 · Smoke Deficiencies
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2025-03-27
E · Potential for more than minimal harm
2025-03-07
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-03-27
F · Potential for more than minimal harm
2023-12-07
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-01-07
F · Potential for more than minimal harm
2023-12-07
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-01-07
E · Potential for more than minimal harm
2023-12-07
K255 · Egress Deficiencies
Fire Safety
Ensure that suites are correctly sub-divided by noncombustible or limited-combustible construction.
Corrected 2024-01-07
F · Potential for more than minimal harm
2022-09-09
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-09-19
F · Potential for more than minimal harm
2022-09-09
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-09-30
E · Potential for more than minimal harm
2022-09-09
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-10-03
E · Potential for more than minimal harm
2022-09-09
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2022-09-12
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-03-07
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-03-27
D · Potential for more than minimal harm
2025-03-07
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 2025-03-27
F · Potential for more than minimal harm
2023-12-07
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 2024-01-14
F · Potential for more than minimal harm
2023-12-07
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 2024-01-14
E · Potential for more than minimal harm
2023-12-07
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-01-14
D · Potential for more than minimal harm
2023-12-07
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-01-14
F · Potential for more than minimal harm
2022-09-09
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 2022-10-03
Penalties and ownership
What sits behind the stars
Ownership
Brawn, Douglas
5% Or Greater Direct Ownership Interest · Individual
Magargee, Kenneth
5% Or Greater Direct Ownership Interest · Individual
Rasband, Matthew
5% Or Greater Direct Ownership Interest · Individual
Rasband, Matthew
Operational/Managerial Control · Individual
Valdez, Vincent
5% Or Greater Direct Ownership Interest · Individual
Welbrook Senior Living LLC
5% Or Greater Direct Ownership Interest · Organization
Nearby options
Other facilities in reach
#1
San Juan Care Center
Farmington, NM
4-star overall rating with 4-star inspections with 8 recent health deficiencies with 33 fire-safety deficiencies in the latest cycle
#2
Life Care Center of Farmington
Farmington, NM
2-star overall rating with 2-star inspections with $138,532 in total fines with 16 recent health deficiencies with 27 fire-safety deficiencies in the latest cycle
#3
Cedar Ridge Inn
Farmington, NM
5-star overall rating with 4-star inspections with $49,966 in total fines with 7 recent health deficiencies with 25 fire-safety deficiencies in the latest cycle
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