Casa Blanca, NM

Laguna Rainbow Nursing Center

3-star overall rating with 2-star inspections with abuse icon flag with $24,570 in total fines with 16 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle

240 Casa Blanca Road, Casa Blanca, NM

(505) 552-6034

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

58

Certified beds

Average residents

37

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2012-11-12

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

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

1.17

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

0.67

Licensed practical nurse staffing · state 0.71 · national 0.87

Aide hours / resident day

2.96

Nurse aide staffing · state 2.23 · national 2.35

Total nurse hours

4.79

All reported nurse hours · state 3.56 · national 3.89

Licensed hours

1.83

RN + LPN hours · state 1.33 · national 1.54

Weekend hours

3.91

Weekend nurse staffing · state 3.12 · national 3.43

Weekend RN hours

0.95

Weekend registered nurse coverage · state 0.46 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.09 · national 0.07

Adjusted RN hours

1.37

CMS adjusted RN staffing hours

Adjusted total hours

5.62

CMS adjusted total nurse staffing hours

Case-mix index

1.17

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

0%

Annual nurse turnover

SNF VBP

Value-based purchasing

Program rank

13,726

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

Performance score

0

Composite VBP score used to determine payment impact.

Payment multiplier

0.9803

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

0

Performance 92.86% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

0

Baseline 4.19 hours · Performance 2.92 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission Not Available
10.72%
Not Available · Eligible stays 10 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community Not Available
50.57%
Not Available · Eligible stays 7 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary Not Available
1.02
Too few residents or stays to report publicly.
Drug regimen review with follow-up Not Available
95.27%
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Falls with major injury Not Available
0.77%
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened Not Available
2.29%
Numerator Not Available · Denominator 4 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization Not Available
7.12%
Not Available · Eligible stays 6 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage 100%
8.2%
91.8 pts better
Numerator 82 · Denominator 82
Staff flu vaccination coverage Not Available
42%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.3%
97.4%
1.9 pts better
93.4%
5.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 96.9% · 4Q avg 99.3%
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 0.0%
3.5%
3.5 pts better
3.3%
3.3 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 who have depressive symptoms 0.8%
1.8%
1 pts better
11.4%
10.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.8%
Percentage of long-stay residents who lose too much weight 8.7%
5.4%
3.3 pts worse
5.4%
3.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 11.8% · Q2 6.1% · Q3 6.5% · Q4 10.3% · 4Q avg 8.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 6.2%
14.1%
7.9 pts better
19.6%
13.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 11.4% · Q2 6.1% · Q3 3.2% · Q4 3.3% · 4Q avg 6.2%
Percentage of long-stay residents who received an antipsychotic medication 0.0%
14.7%
14.7 pts better
16.7%
16.7 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 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 10.4%
15.8%
5.4 pts better
16.3%
5.9 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 10.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 16.9%
14.6%
2.3 pts worse
14.9%
2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 22.6% · Q2 3.4% · Q3 6.9% · Q4 34.5% · 4Q avg 16.9% · 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 6.5%
20.6%
14.1 pts better
19.8%
13.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 0.0% · Q3 0.0% · Q4 22.4% · 4Q avg 6.5%
Percentage of long-stay residents with pressure ulcers 11.8%
5.7%
6.1 pts worse
5.1%
6.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 18.9% · Q2 16.1% · Q3 5.3% · Q4 5.6% · 4Q avg 11.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 73.9%
86.6%
12.7 pts worse
81.7%
7.8 pts worse
Short Stay · 2024Q4-2025Q3 · 4Q avg 73.9%
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 · 4Q avg 0.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-12-20 · Fire 2024-12-20

16 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)

9 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2023-09-28 · Fire 2023-09-28

14 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

12 fire-safety deficiencies

Top issue: Smoke (7 deficiencies)

Cycle 3 Health 2022-06-09 · Fire 2022-06-09

5 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

3 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-12-20

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2025-02-14

F · Potential for more than minimal harm 2024-12-20

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2025-02-14

F · Potential for more than minimal harm 2024-12-20

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-02-14

F · Potential for more than minimal harm 2024-12-20

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-02-14

F · Potential for more than minimal harm 2024-12-20

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-02-14

F · Potential for more than minimal harm 2024-12-20

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 2024-12-20

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-02-14

F · Potential for more than minimal harm 2024-12-20

K926 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

Corrected 2025-02-14

E · Potential for more than minimal harm 2024-12-20

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-02-14

F · Potential for more than minimal harm 2023-09-28

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 2023-10-28

F · Potential for more than minimal harm 2023-09-28

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-10-28

F · Potential for more than minimal harm 2023-09-28

K355 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-10-28

F · Potential for more than minimal harm 2023-09-28

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-10-28

F · Potential for more than minimal harm 2023-09-28

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2023-10-28

F · Potential for more than minimal harm 2023-09-28

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2023-10-28

F · Potential for more than minimal harm 2023-09-28

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-10-28

F · Potential for more than minimal harm 2023-09-28

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2023-10-28

F · Potential for more than minimal harm 2023-09-28

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2023-10-28

F · Potential for more than minimal harm 2023-09-28

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-10-28

E · Potential for more than minimal harm 2023-09-28

K362 · Smoke Deficiencies

Fire Safety

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Corrected 2023-10-28

E · Potential for more than minimal harm 2023-09-28

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-10-28

F · Potential for more than minimal harm 2022-06-09

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2022-07-08

F · Potential for more than minimal harm 2022-06-09

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2022-07-08

E · Potential for more than minimal harm 2022-06-09

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2022-07-08

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-12-31

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 2026-02-04

E · Potential for more than minimal harm 2025-08-07

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2025-10-23

E · Potential for more than minimal harm 2025-08-07

F943 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Corrected 2025-10-23

D · Potential for more than minimal harm 2025-08-07

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-10-23

D · Potential for more than minimal harm 2025-06-26

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 2025-08-08

D · Potential for more than minimal harm 2025-06-26

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 2025-08-08

F · Potential for more than minimal harm 2025-04-24

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 2025-05-23

F · Potential for more than minimal harm 2025-04-24

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 2025-05-23

G · Actual harm 2024-12-20

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 2025-02-14

F · Potential for more than minimal harm 2024-12-20

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-02-14

F · Potential for more than minimal harm 2024-12-20

F882 · Infection Control Deficiencies

Health

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Corrected 2025-02-14

F · Potential for more than minimal harm 2024-12-20

F947 · Nursing and Physician Services Deficiencies

Health

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Corrected 2025-02-14

D · Potential for more than minimal harm 2024-12-20

F685 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-02-14

D · Potential for more than minimal harm 2024-12-20

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-02-14

D · Potential for more than minimal harm 2024-12-20

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 2025-02-14

D · Potential for more than minimal harm 2024-12-20

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2025-02-14

B · Minimal harm 2024-12-20

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

D · Potential for more than minimal harm 2024-08-06

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 2024-09-20

F · Potential for more than minimal harm 2023-09-28

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 2023-11-01

F · Potential for more than minimal harm 2023-09-28

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-11-01

F · Potential for more than minimal harm 2023-09-28

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2023-11-01

E · Potential for more than minimal harm 2023-09-28

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2023-11-01

E · Potential for more than minimal harm 2023-09-28

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 2023-11-01

E · Potential for more than minimal harm 2023-09-28

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 2023-11-01

E · Potential for more than minimal harm 2023-09-28

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2023-11-01

D · Potential for more than minimal harm 2023-09-28

F554 · Resident Rights Deficiencies

Health

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

Corrected 2023-11-01

D · Potential for more than minimal harm 2023-09-28

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 2023-11-01

D · Potential for more than minimal harm 2023-09-28

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 2023-11-01

D · Potential for more than minimal harm 2023-09-28

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-11-01

D · Potential for more than minimal harm 2023-09-28

F661 · Resident Assessment and Care Planning Deficiencies

Health

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Corrected 2023-11-01

D · Potential for more than minimal harm 2023-08-31

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 2023-09-22

G · Actual harm 2022-06-09

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 2022-07-08

E · Potential for more than minimal harm 2022-06-09

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 2022-07-08

E · Potential for more than minimal harm 2022-06-09

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2022-07-08

D · Potential for more than minimal harm 2022-06-09

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2022-07-08

Penalties and ownership

What sits behind the stars

$24,570 2024-12-20

Fine

Fine · fine $24,570

Fine

Ownership

Laguna Rainbow Corporation

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 1979-07-24
Correa, Juanita

Operational/Managerial Control · Individual

0% 1 facilities 2018-05-31
Correa, Juanita

Corporate Officer · Individual

0% 1 facilities 2018-05-31
Hoskins, Michael

Operational/Managerial Control · Individual

0% 1 facilities 2017-10-01
Hoskins, Michael

Contracted Managing Employee · Individual

0% 1 facilities 2017-10-01
Nickse, Phillip

Operational/Managerial Control · Individual

0% 1 facilities 2018-08-31
Nickse, Phillip

W-2 Managing Employee · Individual

0% 1 facilities 2018-08-31
Pueblo Of Laguna

5% Or Greater Direct Ownership Interest · Organization

0% 1 facilities 1979-07-24

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Staffing
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Fines
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