Albuquerque, NM

Fiesta Park Wellness & Rehabilitation

4-star overall rating with 3-star inspections with $21,154 in total fines with 13 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

8820 Horizon Boulevard NE, Albuquerque, NM

(505) 998-1551

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

105

Certified beds

Average residents

102

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Opco Skilled Management

Operator or chain grouping

Approved since

2012-07-17

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

52 facilities

Chain averages 2 overall / 2 health / 2 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.50

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

0.86

Licensed practical nurse staffing · state 0.71 · national 0.87

Aide hours / resident day

2.23

Nurse aide staffing · state 2.23 · national 2.35

Total nurse hours

3.59

All reported nurse hours · state 3.56 · national 3.89

Licensed hours

1.36

RN + LPN hours · state 1.33 · national 1.54

Weekend hours

3.22

Weekend nurse staffing · state 3.12 · national 3.43

Weekend RN hours

0.37

Weekend registered nurse coverage · state 0.46 · national 0.47

Physical therapist

0.09

Reported PT staffing · state 0.09 · national 0.07

Adjusted RN hours

0.50

CMS adjusted RN staffing hours

Adjusted total hours

3.60

CMS adjusted total nurse staffing hours

Case-mix index

1.36

Higher values indicate more complex resident acuity

RN turnover

9%

Annual RN turnover · state 54% · national 45%

Total nurse turnover

37%

Annual nurse turnover · state 53% · national 46%

SNF VBP

Value-based purchasing

Program rank

8,268

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

27.31

Composite VBP score used to determine payment impact.

Payment multiplier

0.9845

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 18.95% · Performance 22.33% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

2.40

Baseline 6.10% · Performance 7.12% · Measure score 2.40 · Achievement 2.40 · Improvement 0

Total nurse turnover

6.98

Performance 35.16% · Measure score 6.98 · Achievement 6.98 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

1.55

Baseline 3.74 hours · Performance 3.52 hours · Measure score 1.55 · Achievement 1.55 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 10.08%
10.72%
0.6 pts better
No Different than the National Rate · Eligible stays 361 · Observed rate 9.42% · Lower 95% interval 7.73%
Discharge to community 64.49%
50.57%
13.9 pts better
Better than the National Rate · Eligible stays 361 · Observed rate 59.56% · Lower 95% interval 59.28%
Medicare spending per beneficiary 0.86
1.02
0.2 pts better
Drug regimen review with follow-up 95.79%
95.27%
0.5 pts better
Numerator 205 · Denominator 214
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 214
Discharge self-care score 56.16%
53.69%
2.5 pts better
Numerator 82 · Denominator 146
Discharge mobility score 52.05%
50.94%
1.1 pts better
Numerator 76 · Denominator 146
Pressure ulcers or injuries, new or worsened 0.93%
2.29%
1.4 pts better
Numerator 2 · Denominator 214 · Adjusted rate 0.93%
Healthcare-associated infections requiring hospitalization 7.12%
7.12%
About the same
No Different than the National Rate · Eligible stays 172 · Observed rate 6.98% · Lower 95% interval 4.33%
Staff COVID-19 vaccination coverage 4.35%
8.2%
3.8 pts worse
Numerator 7 · Denominator 161
Staff flu vaccination coverage 54.33%
42%
12.3 pts better
Numerator 113 · Denominator 208
Discharge function score 65.75%
56.45%
9.3 pts better
Numerator 96 · Denominator 146
Transfer of health information to provider 96.97%
95.95%
1 pts better
Numerator 96 · Denominator 99
Transfer of health information to patient 92.94%
96.28%
3.3 pts worse
Numerator 79 · Denominator 85
Resident COVID-19 vaccinations up to date 28.95%
25.2%
3.8 pts better
Numerator 33 · Denominator 114

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.8
1.6
1.2 pts worse
1.9
0.9 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.8 · Observed 2.7 · Expected 1.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.9
2.6
0.7 pts better
1.8
0.1 pts worse
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.9 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
97.4%
2.6 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
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 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury 0.5%
3.5%
3 pts better
3.3%
2.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.1% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 0.0%
1.8%
1.8 pts better
11.4%
11.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents who lose too much weight 4.5%
5.4%
0.9 pts better
5.4%
0.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 2.4% · Q3 7.7% · Q4 0.0% · 4Q avg 4.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 9.3%
14.1%
4.8 pts better
19.6%
10.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 11.1% · Q3 5.0% · Q4 8.3% · 4Q avg 9.3%
Percentage of long-stay residents who received an antipsychotic medication 6.5%
14.7%
8.2 pts better
16.7%
10.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 10.0% · Q3 6.5% · Q4 3.1% · 4Q avg 6.5% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 16.4%
15.8%
0.6 pts worse
16.3%
0.1 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 16.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 13.2%
14.6%
1.4 pts better
14.9%
1.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 7.9% · Q2 19.0% · Q3 13.5% · Q4 11.4% · 4Q avg 13.2% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
1.3%
1.3 pts better
1.0%
1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 19.3%
20.6%
1.3 pts better
19.8%
0.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 30.5% · Q2 14.9% · Q3 17.9% · Q4 13.9% · 4Q avg 19.3%
Percentage of long-stay residents with pressure ulcers 8.9%
5.7%
3.2 pts worse
5.1%
3.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 11.5% · Q2 10.5% · Q3 11.1% · Q4 2.4% · 4Q avg 8.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.1%
86.6%
12.5 pts better
81.7%
17.4 pts better
Short Stay · 2024Q4-2025Q3 · Q1 99.2% · Q2 98.7% · Q3 99.6% · Q4 98.8% · 4Q avg 99.1%
Percentage of short-stay residents who had an outpatient emergency department visit 14.3%
15.9%
1.6 pts better
12.0%
2.3 pts worse
Short Stay · 20240701-20250630 · Adjusted 14.3% · Observed 13.8% · Expected 10.8% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
1.3%
1.3 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 93.1%
86.4%
6.7 pts better
79.7%
13.4 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 93.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 22.9%
21.3%
1.6 pts worse
23.9%
1 pts better
Short Stay · 20240701-20250630 · Adjusted 22.9% · Observed 22.9% · Expected 23.8% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-01-16 · Fire 2025-01-16

13 health deficiencies

Top issue: Resident Assessment and Care Planning (5 deficiencies)

1 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Cycle 2 Health 2023-11-09 · Fire 2023-11-09

8 health deficiencies

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

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2022-08-01 · Fire 2022-08-01

21 health deficiencies

Top issue: Nutrition and Dietary (6 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-01-16

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2025-02-14

F · Potential for more than minimal harm 2023-11-09

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-12-15

F · Potential for more than minimal harm 2023-11-09

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-12-15

F · Potential for more than minimal harm 2023-11-09

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2023-12-15

E · Potential for more than minimal harm 2023-11-09

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2023-12-15

F · Potential for more than minimal harm 2022-08-01

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2022-09-16

F · Potential for more than minimal harm 2022-08-01

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2022-09-16

F · Potential for more than minimal harm 2022-08-01

K346 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2022-09-16

F · Potential for more than minimal harm 2022-08-01

K500 · Services Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2022-09-16

F · Potential for more than minimal harm 2022-08-01

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2022-09-16

F · Potential for more than minimal harm 2022-08-01

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2022-09-16

Inspection history

Recent health citations

E · Potential for more than minimal harm 2026-01-16

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 2026-01-18

E · Potential for more than minimal harm 2026-01-16

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2026-01-18

D · Potential for more than minimal harm 2025-05-15

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-06-04

D · Potential for more than minimal harm 2025-05-15

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 2025-06-04

F · Potential for more than minimal harm 2025-01-16

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 2025-02-14

E · Potential for more than minimal harm 2025-01-16

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 2025-02-14

E · Potential for more than minimal harm 2025-01-16

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-02-14

E · Potential for more than minimal harm 2025-01-16

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2025-02-14

E · Potential for more than minimal harm 2025-01-16

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-02-14

E · Potential for more than minimal harm 2025-01-16

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 2025-02-14

D · Potential for more than minimal harm 2025-01-16

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 2025-02-14

D · Potential for more than minimal harm 2025-01-16

F624 · Resident Rights Deficiencies

Health

Prepare residents for a safe transfer or discharge from the nursing home.

Corrected 2025-02-14

D · Potential for more than minimal harm 2025-01-16

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-02-14

D · Potential for more than minimal harm 2025-01-16

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 2025-02-14

F · Potential for more than minimal harm 2023-11-09

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2023-12-15

E · Potential for more than minimal harm 2023-11-09

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 2023-12-15

E · Potential for more than minimal harm 2023-11-09

F565 · Resident Rights Deficiencies

Health

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2023-12-15

E · Potential for more than minimal harm 2023-11-09

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 2023-12-15

E · Potential for more than minimal harm 2023-11-09

F740 · Quality of Life and Care Deficiencies

Health

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Corrected 2023-12-15

E · Potential for more than minimal harm 2023-11-09

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 2023-12-15

D · Potential for more than minimal harm 2023-11-09

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-12-15

J · Immediate jeopardy 2023-08-04

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 2023-08-05

E · Potential for more than minimal harm 2023-06-28

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 2023-07-28

D · Potential for more than minimal harm 2023-06-28

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2023-07-28

H · Actual harm 2022-08-01

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-09-16

F · Potential for more than minimal harm 2022-08-01

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 2022-09-16

F · Potential for more than minimal harm 2022-08-01

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 2022-09-16

F · Potential for more than minimal harm 2022-08-01

F809 · Nutrition and Dietary Deficiencies

Health

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Corrected 2022-09-16

F · Potential for more than minimal harm 2022-08-01

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 2022-09-16

E · Potential for more than minimal harm 2022-08-01

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 2022-09-16

E · Potential for more than minimal harm 2022-08-01

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2022-09-16

E · Potential for more than minimal harm 2022-08-01

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 2022-09-16

E · Potential for more than minimal harm 2022-08-01

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 2022-09-16

E · Potential for more than minimal harm 2022-08-01

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 2022-09-16

E · Potential for more than minimal harm 2022-08-01

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2022-09-16

E · Potential for more than minimal harm 2022-08-01

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-09-16

D · Potential for more than minimal harm 2022-08-01

F554 · Resident Rights Deficiencies

Health

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

Corrected 2022-09-16

D · Potential for more than minimal harm 2022-08-01

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2022-09-16

D · Potential for more than minimal harm 2022-08-01

F758 · Pharmacy Service Deficiencies

Health

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.

Corrected 2022-09-16

D · Potential for more than minimal harm 2022-08-01

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2022-09-16

D · Potential for more than minimal harm 2022-08-01

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2022-09-16

D · Potential for more than minimal harm 2022-08-01

F825 · Quality of Life and Care Deficiencies

Health

Provide or get specialized rehabilitative services as required for a resident.

Corrected 2022-09-16

Penalties and ownership

What sits behind the stars

$21,154 2023-08-04

Fine

Fine · fine $21,154

Fine

Ownership

Garetz, David

Operational/Managerial Control · Individual

0% 58 facilities 2022-06-01
Garetz, David

Corporate Officer · Individual

0% 58 facilities 2022-06-01
Hansen Hunter LLC

Operational/Managerial Control · Organization

0% 37 facilities 2024-04-01

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