Federal inspection record · CMS data as of October 1, 2026
Los Alamos Wellness & Rehabilitation
1011 Sombrillo Court, Los Alamos, NM · (505) 662-4300
- Cited for abuse (CMS abuse icon)
- Certified beds
- 64
- Residents per day
- 59
- Ownership
- For-Profit
- Chain
- Opco Skilled Management
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 7, 1991
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in New Mexico.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among New Mexico homes
Los Alamos Wellness & Rehabilitation carries 208.75 inspection points. That is fewer than 21% of New Mexico's 67 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in New Mexico: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–59 pts
- 4★ 59–97 pts
- 3★ 97–154 pts
- 2★ 154–212.75 pts
- 1★ over 212.75 pts
Bars show every rated home in New Mexico by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
60 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
K
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Everything else, by area of care
Quality of Life and Care12E
- D
Provide activities to meet all resident's needs.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide enough food/fluids to maintain a resident's health.
Resident Rights11F
- E
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
- E
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Keep residents' personal and medical records private and confidential.
- F
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.
- E
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
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.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- E
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
- E
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.
Resident Assessment and Care Planning10E
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Freedom from Abuse, Neglect, and Exploitation7D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Protect each resident from the wrongful use of the resident's belongings or money.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Pharmacy Service7E
- E
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.
- 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.
- E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- E
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.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- 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.
Nutrition and Dietary7F
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
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.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
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.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Environmental2F
- F
Make sure that a working call system is available in each resident's bathroom and bathing area.
- D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Infection Control2F
- D
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
Nursing and Physician Services1D
- D
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Inspection history
2026-03-30
16 health deficiencies · 24 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
2024-12-09
20 health deficiencies · 3 fire-safety deficiencies
Top issue: Nutrition and Dietary (4 deficiencies)
2023-10-26
24 health deficiencies · 3 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 21 min of nursing staff time a day, 50 min of it from a registered nurse.
This home
3 h 21 min
New Mexico average
3 h 35 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 56% of nursing staff and 83% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$87,168 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-12-19 | Fine | $53,303 |
| 2024-02-12 | Fine | $4,938 |
| 2024-01-22 | Fine | $14,814 |
| 2023-12-26 | Fine | $14,113 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1.3 pts worse | 2.8 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.1 pts worse | 3.7 | 2.6 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.3 pts better | 99.4% | 96.1% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.2 pts better | 100.0% | 95.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury4.3 pts worse | 7.7% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.6 pts better | 0.6% | 2.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.1 pts better | 1.4% | 3.5% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication10.8 pts better | 4.0% | 14.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication7.9 pts better | 6.6% | 14.5% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened7.2 pts better | 3.1% | 10.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased9 pts better | 1.3% | 10.3% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.8 pts better | 0.0% | 0.8% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1 pts better | 0.0% | 1.0% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.8 pts worse | 21.0% | 19.2% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.5 pts better | 3.7% | 5.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine10.7 pts better | 96.8% | 86.1% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.7 pts worse | 16.4% | 15.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.2 pts better | 0.0% | 1.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine12.2 pts better | 96.8% | 84.6% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.7 pts worse | 23.8% | 22.1% | 23.4% |
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Who owns and runs it
25 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| 1011 Sombrillo Court Nm, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Caliber Advisors LLC | Indirect Ownership Interest · Organization | 0% | 13 facilities |
| Casa Healthcare, LLC | Direct Ownership Interest · Organization | 0% | 6 facilities |
| Casa Healthcare, LLC | Operational/Managerial Control · Organization | 0% | 6 facilities |
| Continuum Rehab Group LLC | Adp Of The SNF · Organization | 0% | 35 facilities |
| First Sweetzer Holdings LLC | Indirect Ownership Interest · Organization | 0% | 30 facilities |
| Garetz, David | Corporate Officer · Individual | 0% | 72 facilities |
| Garetz, David | Operational/Managerial Control · Individual | 0% | 72 facilities |
| Greenberg, David | Adp Of The SNF · Individual | 0% | 17 facilities |
| Gurwitz, Solomon | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 43 facilities |
| Hagins, Elizabeth | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 57 facilities |
| Hallmark Advisors, LLC | Adp Of The SNF · Organization | 0% | 8 facilities |
| Hansen Hunter LLC | Adp Of The SNF · Organization | 0% | 40 facilities |
| Hatteras Investments LLC | Indirect Ownership Interest · Organization | 0% | 13 facilities |
| Hill, Canisha | Adp Of The SNF · Individual | 0% | 1 facilities |
| Kaplan, Esther | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 59 facilities |
| Kaplan, Mosha | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 22 facilities |
| Mindle, Adam | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 58 facilities |
| Opco Ca Skilled Mgmt Inc. | Adp Of The SNF · Organization | 0% | 42 facilities |
| Opco Nm Skilled Mgmt, LLC | Adp Of The SNF · Organization | 0% | 17 facilities |
| Sternshein, Jennifer | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 55 facilities |
| The Wright Group Consulting, LLC | Adp Of The SNF · Organization | 0% | 19 facilities |
| Unger, Jeffrey | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 47 facilities |
| Wilshire Health Realty, LLC | Adp Of The SNF · Organization | 0% | 6 facilities |
| Zimmerman, Caroline | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 35 facilities |
·
Fire safety
30 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke11F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Install corridor and hallway doors that block smoke.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Provide properly protected cooking facilities.
- D
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Provide properly protected cooking facilities.
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Egress9F
- F
Install emergency lighting that can last at least 1 1/2 hours.
- F
Have properly located and lighted "Exit" signs.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
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.
- E
Install proper backup exit lighting.
- E
Meet other general requirements that are deficient.
- D
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Gas, Vacuum, and Electrical Systems5F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Meet requirements for the installation and maintenance of electrical systems.
- E
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- E
Have proper medical gas storage and administration areas.
- D
Ensure proper usage of power strips and extension cords.
Miscellaneous4F
- F
Have simulated fire drills held at unexpected times.
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Emergency Preparedness1F
- F
Establish policies and procedures including evacuation.
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Other homes nearby
-
Casa Real
Santa Fe, NM · Genesis Healthcare · Special Focus · Abuse icon
Not rated- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 37 min
- Fines
- $242,371
-
Santa Fe Care Center
Santa Fe, NM
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 2 h 47 min
- Fines
- $25,562
-
The Neighborhood in Rio Rancho
Rio Rancho, NM · Abuse icon
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 27 min
- Fines
- $8,278