12 health deficiencies
Top issue: Resident Assessment and Care Planning (6 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Truth or Consequences, NM
3-star overall rating with 3-star inspections with $44,226 in total fines with 12 recent health deficiencies
992 South Broadway, Truth or Consequences, NM
(575) 894-4200
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
131
Certified beds
Average residents
124
Average occupied residents
Ownership
Government
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1994-01-25
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
RN hours / resident day
0.38
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.14
Licensed practical nurse staffing · state 0.71 · national 0.87
Aide hours / resident day
4.46
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
5.98
All reported nurse hours · state 3.56 · national 3.89
Licensed hours
1.52
RN + LPN hours · state 1.33 · national 1.54
Weekend hours
5.44
Weekend nurse staffing · state 3.12 · national 3.43
Weekend RN hours
0.24
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.11
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.46
CMS adjusted RN staffing hours
Adjusted total hours
7.20
CMS adjusted total nurse staffing hours
Case-mix index
1.14
Higher values indicate more complex resident acuity
RN turnover
75%
Annual RN turnover · state 54% · national 45%
Total nurse turnover
81%
Annual nurse turnover · state 53% · national 46%
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | Not Available |
10.72%
|
Not Available · Eligible stays 6 · 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 Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure. |
| 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 Not Available · No data were submitted for this measure. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator Not Available · Adjusted rate Not Available · No data were submitted for this measure. |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure. |
| Staff COVID-19 vaccination coverage | 66.09% |
8.2%
57.9 pts better
|
Numerator 154 · Denominator 233 |
| 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 Not Available · No data were submitted for this measure. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.4 |
1.6
0.2 pts better
|
1.9
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.2 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.5 |
2.6
0.1 pts better
|
1.8
0.7 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 2.3 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 76.0% |
97.4%
21.4 pts worse
|
93.4%
17.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 65.9% · Q2 75.0% · Q3 75.9% · Q4 84.6% · 4Q avg 76.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 91.0% |
98.7%
7.7 pts worse
|
95.5%
4.5 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 91.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.4% |
3.5%
1.1 pts better
|
3.3%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 3.0% · Q3 0.9% · Q4 0.9% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.3% |
1.8%
0.5 pts worse
|
11.4%
9.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.1% · Q3 3.8% · Q4 1.9% · 4Q avg 2.3% |
| Percentage of long-stay residents who lose too much weight | 8.4% |
5.4%
3 pts worse
|
5.4%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.3% · Q2 5.1% · Q3 6.1% · Q4 14.0% · 4Q avg 8.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 10.8% |
14.1%
3.3 pts better
|
19.6%
8.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 13.4% · Q3 12.2% · Q4 10.3% · 4Q avg 10.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 16.6% |
14.7%
1.9 pts worse
|
16.7%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 14.3% · Q3 16.1% · Q4 20.6% · 4Q avg 16.6% · 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 | 21.9% |
15.8%
6.1 pts worse
|
16.3%
5.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 60.7% · Q2 19.5% · Q3 6.5% · Q4 17.3% · 4Q avg 21.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 25.4% |
14.6%
10.8 pts worse
|
14.9%
10.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 74.3% · Q2 15.0% · Q3 9.6% · Q4 15.1% · 4Q avg 25.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.5% |
1.3%
0.2 pts worse
|
1.0%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 0.9% · Q3 0.0% · Q4 2.7% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.0% |
0.9%
1.1 pts worse
|
1.7%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 1.0% · Q3 0.0% · Q4 4.3% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 15.0% |
20.6%
5.6 pts better
|
19.8%
4.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 27.9% · Q2 16.1% · Q3 10.2% · Q4 10.0% · 4Q avg 15.0% |
| 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 2.4% · Q2 11.7% · Q3 6.7% · Q4 6.1% · 4Q avg 6.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 43.1% |
86.6%
43.5 pts worse
|
81.7%
38.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 18.2% · Q2 33.3% · Q3 50.0% · Q4 68.8% · 4Q avg 43.1% |
| Percentage of short-stay residents who newly received an antipsychotic medication | 12.9% |
1.3%
11.6 pts worse
|
1.6%
11.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 12.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 48.3% |
86.4%
38.1 pts worse
|
79.7%
31.4 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 48.3% |
Survey summary
Top issue: Resident Assessment and Care Planning (6 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Resident Assessment and Care Planning (8 deficiencies)
3 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Top issue: Quality of Life and Care (11 deficiencies)
1 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Fire safety
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2023-10-20
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-10-20
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-10-20
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-08-19
Inspection history
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Corrected 2025-01-17
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2025-03-06
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 2025-03-06
Health
Provide or obtain dental services for each resident.
Corrected 2025-03-06
Health
Give residents a notice of rights, rules, services and charges.
Corrected 2025-03-06
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2025-03-06
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2025-03-06
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2025-03-06
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-03-06
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-03-06
Health
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2025-03-06
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2025-03-06
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2025-03-06
Health
Provide and implement an infection prevention and control program.
Corrected 2024-10-25
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-10-25
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2024-07-23
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-07-23
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-07-23
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2023-10-06
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2023-10-06
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2023-10-06
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2023-10-06
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-10-06
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 2023-10-06
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-10-06
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-10-06
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2023-10-06
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 2023-10-06
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 2023-10-06
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-10-06
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2023-10-06
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-10-06
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-10-06
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-10-06
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2023-10-06
Health
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2022-10-31
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-10-31
Health
Provide and implement an infection prevention and control program.
Corrected 2022-10-31
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-10-31
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2022-10-31
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-10-31
Health
Implement a program that monitors antibiotic use.
Corrected 2022-10-31
Health
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected 2022-10-31
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2022-10-31
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2022-10-31
Health
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.
Corrected 2022-10-31
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-10-31
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 2022-10-31
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-10-31
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-10-31
Health
Provide activities to meet all resident's needs.
Corrected 2022-10-31
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2022-10-31
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 2022-10-31
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2022-10-31
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2022-10-31
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2022-10-31
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2022-10-31
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2022-10-31
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-10-31
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2022-10-31
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 2022-10-31
Health
Ensure that residents are free from significant medication errors.
Corrected 2022-10-31
Health
Provide routine and 24-hour emergency dental care for each resident.
Corrected 2022-10-31
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2022-10-31
Penalties and ownership
Fine · fine $44,226
Fine
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
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