Lovington, NM

Lovington Healthcare LLC

4-star overall rating with 4-star inspections with 11 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

1600 West Avenue I, Lovington, NM

(575) 396-5212

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 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

62

Certified beds

Average residents

59

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Opco Skilled Management

Operator or chain grouping

Approved since

1991-12-01

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

0.43

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

0.80

Licensed practical nurse staffing · state 0.71 · national 0.87

Aide hours / resident day

1.61

Nurse aide staffing · state 2.23 · national 2.35

Total nurse hours

2.84

All reported nurse hours · state 3.56 · national 3.89

Licensed hours

1.23

RN + LPN hours · state 1.33 · national 1.54

Weekend hours

2.43

Weekend nurse staffing · state 3.12 · national 3.43

Weekend RN hours

0.31

Weekend registered nurse coverage · state 0.46 · national 0.47

Physical therapist

0.17

Reported PT staffing · state 0.09 · national 0.07

Adjusted RN hours

0.44

CMS adjusted RN staffing hours

Adjusted total hours

2.94

CMS adjusted total nurse staffing hours

Case-mix index

1.32

Higher values indicate more complex resident acuity

RN turnover

38%

Annual RN turnover · state 54% · national 45%

Total nurse turnover

56%

Annual nurse turnover · state 53% · national 46%

SNF VBP

Value-based purchasing

Program rank

10,736

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

Performance score

19.31

Composite VBP score used to determine payment impact.

Payment multiplier

0.9821

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

2.97

Baseline 19.31% · Performance 20.06% · Measure score 2.97 · Achievement 2.97 · Improvement 0

Healthcare-associated infections

0

Baseline 4.97% · Performance 8.25% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

4.76

Baseline 75.71% · Performance 48.98% · Measure score 4.76 · Achievement 3.60 · Improvement 4.76

Adjusted total nurse staffing

0

Baseline 3.63 hours · Performance 3.18 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 13%
10.72%
2.3 pts worse
No Different than the National Rate · Eligible stays 69 · Observed rate 20.29% · Lower 95% interval 9.35%
Discharge to community 44.07%
50.57%
6.5 pts worse
No Different than the National Rate · Eligible stays 53 · Observed rate 33.96% · Lower 95% interval 31.44%
Medicare spending per beneficiary 1.59
1.02
0.6 pts worse
Drug regimen review with follow-up 85.71%
95.27%
9.6 pts worse
Numerator 48 · Denominator 56
Falls with major injury 1.79%
0.77%
1 pts worse
Numerator 1 · Denominator 56
Discharge self-care score 70.59%
53.69%
16.9 pts better
Numerator 24 · Denominator 34
Discharge mobility score 67.65%
50.94%
16.7 pts better
Numerator 23 · Denominator 34
Pressure ulcers or injuries, new or worsened 1.79%
2.29%
0.5 pts better
Numerator 1 · Denominator 56 · Adjusted rate 1.71%
Healthcare-associated infections requiring hospitalization 8.25%
7.12%
1.1 pts worse
No Different than the National Rate · Eligible stays 43 · Observed rate 11.63% · Lower 95% interval 5%
Staff COVID-19 vaccination coverage 2.13%
8.2%
6.1 pts worse
Numerator 2 · Denominator 94
Staff flu vaccination coverage Not Available
42%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge function score 67.65%
56.45%
11.2 pts better
Numerator 23 · Denominator 34
Transfer of health information to provider 100%
95.95%
4 pts better
Numerator 22 · Denominator 22
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date 28.57%
25.2%
3.4 pts better
Numerator 10 · Denominator 35

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 0.9
1.6
0.7 pts better
1.9
1 pts better
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.9 · Expected 1.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 4.1
2.6
1.5 pts worse
1.8
2.3 pts worse
Long Stay · 20240701-20250630 · Adjusted 4.1 · Observed 3.9 · Expected 1.6 · 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 4.3%
3.5%
0.8 pts worse
3.3%
1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 8.2% · Q3 3.8% · Q4 1.8% · 4Q avg 4.3% · 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 6.5%
5.4%
1.1 pts worse
5.4%
1.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 8.9% · Q2 9.3% · Q3 4.1% · Q4 4.3% · 4Q avg 6.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 21.3%
14.1%
7.2 pts worse
19.6%
1.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 24.4% · Q2 22.2% · Q3 20.4% · Q4 18.4% · 4Q avg 21.3%
Percentage of long-stay residents who received an antipsychotic medication 11.1%
14.7%
3.6 pts better
16.7%
5.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 14.3% · Q3 6.1% · Q4 13.2% · 4Q avg 11.1% · 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 7.5%
15.8%
8.3 pts better
16.3%
8.8 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 7.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 5.3%
14.6%
9.3 pts better
14.9%
9.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 2.4% · Q3 6.7% · Q4 9.1% · 4Q avg 5.3% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.8%
1.3%
0.5 pts better
1.0%
0.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.5% · Q4 1.6% · 4Q avg 0.8% · 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 14.2%
20.6%
6.4 pts better
19.8%
5.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 7.9% · Q3 19.8% · Q4 14.3% · 4Q avg 14.2%
Percentage of long-stay residents with pressure ulcers 6.9%
5.7%
1.2 pts worse
5.1%
1.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 11.8% · Q3 4.5% · Q4 6.5% · 4Q avg 6.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 97.8%
86.6%
11.2 pts better
81.7%
16.1 pts better
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.0% · Q3 95.8% · Q4 97.6% · 4Q avg 97.8%
Percentage of short-stay residents who had an outpatient emergency department visit 23.3%
15.9%
7.4 pts worse
12.0%
11.3 pts worse
Short Stay · 20240701-20250630 · Adjusted 23.3% · Observed 24.5% · Expected 11.7% · 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 100.0%
86.4%
13.6 pts better
79.7%
20.3 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 28.0%
21.3%
6.7 pts worse
23.9%
4.1 pts worse
Short Stay · 20240701-20250630 · Adjusted 28.0% · Observed 30.6% · Expected 26.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-07 · Fire 2025-05-07

11 health deficiencies

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

4 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2024-03-29 · Fire 2024-03-29

18 health deficiencies

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

4 fire-safety deficiencies

Top issue: Miscellaneous (2 deficiencies)

Cycle 3 Health 2023-02-23 · Fire 2023-02-23

3 health deficiencies

Top issue: Administration (1 deficiency)

7 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-05-07

E7 · Emergency Preparedness Deficiencies

Fire Safety

Address patient/client population and determine types of services needed.

Corrected 2025-06-02

F · Potential for more than minimal harm 2025-05-07

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-06-02

F · Potential for more than minimal harm 2025-05-07

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-06-02

E · Potential for more than minimal harm 2025-05-07

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2025-06-02

F · Potential for more than minimal harm 2024-03-29

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-05-01

E · Potential for more than minimal harm 2024-03-29

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-05-01

E · Potential for more than minimal harm 2024-03-29

K362 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-05-01

E · Potential for more than minimal harm 2024-03-29

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 2024-05-01

F · Potential for more than minimal harm 2023-02-23

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-03-27

F · Potential for more than minimal harm 2023-02-23

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2023-03-27

E · Potential for more than minimal harm 2023-02-23

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2023-03-27

E · Potential for more than minimal harm 2023-02-23

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 2023-03-27

E · Potential for more than minimal harm 2023-02-23

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-03-27

E · Potential for more than minimal harm 2023-02-23

K927 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

Corrected 2023-03-27

D · Potential for more than minimal harm 2023-02-23

K325 · Smoke Deficiencies

Fire Safety

Have properly installed hallway dispensers for alcohol-based hand rub.

Corrected 2023-03-27

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-11-25

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2025-12-19

E · Potential for more than minimal harm 2025-11-25

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 2025-12-19

E · Potential for more than minimal harm 2025-11-25

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 2025-12-19

F · Potential for more than minimal harm 2025-05-07

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 2025-06-06

E · Potential for more than minimal harm 2025-05-07

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 2025-06-06

E · Potential for more than minimal harm 2025-05-07

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 2025-06-06

D · Potential for more than minimal harm 2025-05-07

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2025-06-06

D · Potential for more than minimal harm 2025-05-07

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 2025-06-06

D · Potential for more than minimal harm 2025-05-07

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-06-06

D · Potential for more than minimal harm 2025-05-07

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-06-06

D · Potential for more than minimal harm 2025-04-10

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-04-25

D · Potential for more than minimal harm 2025-02-13

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2025-03-13

E · Potential for more than minimal harm 2024-05-16

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-06-04

E · Potential for more than minimal harm 2024-05-16

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 2024-06-04

D · Potential for more than minimal harm 2024-05-16

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2024-06-04

F · Potential for more than minimal harm 2024-03-29

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2024-06-06

F · Potential for more than minimal harm 2024-03-29

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 2024-06-06

F · Potential for more than minimal harm 2024-03-29

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 2024-06-06

F · Potential for more than minimal harm 2024-03-29

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-06-06

F · Potential for more than minimal harm 2024-03-29

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2024-06-06

E · Potential for more than minimal harm 2024-03-29

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2024-06-06

E · Potential for more than minimal harm 2024-03-29

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-06-06

E · Potential for more than minimal harm 2024-03-29

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2024-06-06

D · Potential for more than minimal harm 2024-03-29

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-06-06

D · Potential for more than minimal harm 2024-03-29

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 2024-06-06

D · Potential for more than minimal harm 2024-03-29

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-06-06

D · Potential for more than minimal harm 2024-03-29

F790 · Quality of Life and Care Deficiencies

Health

Provide routine and 24-hour emergency dental care for each resident.

Corrected 2024-06-06

D · Potential for more than minimal harm 2024-03-29

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 2024-06-06

D · Potential for more than minimal harm 2024-03-29

F887 · Infection Control Deficiencies

Health

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Corrected 2024-06-06

D · Potential for more than minimal harm 2024-01-09

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2023-11-17

C · Minimal harm 2023-02-23

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2023-03-20

C · Minimal harm 2023-02-23

F868 · Administration Deficiencies

Health

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2023-03-20

Penalties and ownership

What sits behind the stars

Ownership

Garetz, David

Operational/Managerial Control · Individual

0% 58 facilities 2019-05-07
Garetz, David

Corporate Officer · Individual

0% 58 facilities 2020-12-16
Hansen Hunter LLC

Operational/Managerial Control · Organization

0% 37 facilities 2024-04-01
Harrison, Cinthia

Operational/Managerial Control · Individual

0% 1 facilities 2024-01-10
Stolarczyk, Lisa

Operational/Managerial Control · Individual

0% 11 facilities 2024-02-07

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Staffing
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