Cycle 1
Health 2025-11-17 · Fire 2024-08-01
9 health deficiencies
Top issue: Resident Rights (4 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Clovis, NM
Retirement Ranches Inc.
5-star overall rating with 4-star inspections with $69,046 in total fines with 9 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
2221 Dillon, Clovis, NM
(575) 762-4495
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
104
Certified beds
Average residents
80
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1992-07-06
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
0.86
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
0.31
Licensed practical nurse staffing · state 0.71 · national 0.87
Aide hours / resident day
3.69
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
4.86
All reported nurse hours · state 3.56 · national 3.89
Licensed hours
1.17
RN + LPN hours · state 1.33 · national 1.54
Weekend hours
4.29
Weekend nurse staffing · state 3.12 · national 3.43
Weekend RN hours
0.52
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.98
CMS adjusted RN staffing hours
Adjusted total hours
5.57
CMS adjusted total nurse staffing hours
Case-mix index
1.19
Higher values indicate more complex resident acuity
RN turnover
27%
Annual RN turnover · state 54% · national 45%
Total nurse turnover
46%
Annual nurse turnover · state 53% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,216
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
58.73
Composite VBP score used to determine payment impact.
Payment multiplier
1.0139
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 18.62% · Performance 21.37% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
6.98
Baseline 5.21% · Performance 5.75% · Measure score 6.98 · Achievement 6.98 · Improvement 0
Total nurse turnover
7.27
Baseline 38.75% · Performance 33.98% · Measure score 7.27 · Achievement 7.27 · Improvement 2.93
Adjusted total nurse staffing
9.24
Baseline 4.06 hours · Performance 5.71 hours · Measure score 9.24 · Achievement 9.24 · Improvement 9
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.15% |
10.72%
0.6 pts better
|
No Different than the National Rate · Eligible stays 151 · Observed rate 7.28% · Lower 95% interval 7.41% |
| Discharge to community | 62.06% |
50.57%
11.5 pts better
|
Better than the National Rate · Eligible stays 146 · Observed rate 64.38% · Lower 95% interval 56.09% |
| Medicare spending per beneficiary | 0.6 |
1.02
0.4 pts better
|
|
| Drug regimen review with follow-up | 99.12% |
95.27%
3.9 pts better
|
Numerator 113 · Denominator 114 |
| Falls with major injury | 0.88% |
0.77%
0.1 pts worse
|
Numerator 1 · Denominator 114 |
| Discharge self-care score | 68.32% |
53.69%
14.6 pts better
|
Numerator 69 · Denominator 101 |
| Discharge mobility score | 72.28% |
50.94%
21.3 pts better
|
Numerator 73 · Denominator 101 |
| Pressure ulcers or injuries, new or worsened | 3.51% |
2.29%
1.2 pts worse
|
Numerator 4 · Denominator 114 · Adjusted rate 5.51% |
| Healthcare-associated infections requiring hospitalization | 5.75% |
7.12%
1.4 pts better
|
No Different than the National Rate · Eligible stays 88 · Observed rate 2.27% · Lower 95% interval 3.11% |
| Staff COVID-19 vaccination coverage | 8.67% |
8.2%
0.5 pts better
|
Numerator 13 · Denominator 150 |
| Staff flu vaccination coverage | 47% |
42%
5 pts better
|
Numerator 94 · Denominator 200 |
| Discharge function score | 74.26% |
56.45%
17.8 pts better
|
Numerator 75 · Denominator 101 |
| Transfer of health information to provider | 97.92% |
95.95%
2 pts better
|
Numerator 94 · Denominator 96 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 4.05% |
25.2%
21.1 pts worse
|
Numerator 3 · Denominator 74 |
Quality measures
Resident outcomes and process scores
| 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 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.2 |
2.6
0.4 pts better
|
1.8
0.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 2.1 · 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 | 6.7% |
3.5%
3.2 pts worse
|
3.3%
3.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 6.2% · Q3 7.7% · Q4 7.2% · 4Q avg 6.7% · 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 | 10.7% |
5.4%
5.3 pts worse
|
5.4%
5.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.3% · Q2 11.7% · Q3 9.1% · Q4 10.5% · 4Q avg 10.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 20.7% |
14.1%
6.6 pts worse
|
19.6%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.5% · Q2 23.0% · Q3 23.2% · Q4 19.3% · 4Q avg 20.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 3.8% |
14.7%
10.9 pts better
|
16.7%
12.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 6.4% · Q3 4.3% · Q4 2.2% · 4Q avg 3.8% · 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 | 16.9% |
15.8%
1.1 pts worse
|
16.3%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.4% · Q4 26.3% · 4Q avg 16.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 20.1% |
14.6%
5.5 pts worse
|
14.9%
5.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.4% · Q2 16.7% · Q3 12.0% · Q4 36.0% · 4Q avg 20.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.7% |
1.3%
1.4 pts worse
|
1.0%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 3.9% · Q3 1.4% · Q4 2.3% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.4% |
0.9%
0.5 pts better
|
1.7%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.6% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 17.0% |
20.6%
3.6 pts better
|
19.8%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.3% · Q2 12.4% · Q3 29.9% · Q4 10.9% · 4Q avg 17.0% |
| Percentage of long-stay residents with pressure ulcers | 4.1% |
5.7%
1.6 pts better
|
5.1%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 3.9% · Q3 3.7% · Q4 3.3% · 4Q avg 4.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 92.0% |
86.6%
5.4 pts better
|
81.7%
10.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 95.2% · Q2 94.3% · Q3 93.2% · Q4 83.9% · 4Q avg 92.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 20.5% |
15.9%
4.6 pts worse
|
12.0%
8.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 20.5% · Observed 18.7% · Expected 10.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.5% |
1.3%
0.8 pts better
|
1.6%
1.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.8% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 88.4% |
86.4%
2 pts better
|
79.7%
8.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 88.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.0% |
21.3%
1.3 pts better
|
23.9%
3.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.0% · Observed 16.5% · Expected 19.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-08-01 · Fire 2023-09-26
2 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Cycle 3
Health 2023-09-26 · Fire 2022-10-06
3 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-08-01
K354 · Smoke Deficiencies
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2024-08-19
F · Potential for more than minimal harm
2023-09-26
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-10-16
E · Potential for more than minimal harm
2023-09-26
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 2023-10-16
E · Potential for more than minimal harm
2022-10-06
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-10-27
E · Potential for more than minimal harm
2022-10-06
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-10-27
E · Potential for more than minimal harm
2022-10-06
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2022-10-27
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-11-17
F578 · Resident Rights Deficiencies
Health
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.
Corrected 2025-12-12
F · Potential for more than minimal harm
2025-11-17
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 2025-12-12
E · Potential for more than minimal harm
2025-11-17
F552 · Resident Rights Deficiencies
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2025-12-12
E · Potential for more than minimal harm
2025-11-17
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2025-12-12
E · Potential for more than minimal harm
2025-11-17
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-12-12
D · Potential for more than minimal harm
2025-11-17
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 2025-12-12
D · Potential for more than minimal harm
2025-11-17
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 2025-12-12
C · Minimal harm
2025-11-17
F576 · Resident Rights Deficiencies
Health
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected 2025-12-12
D · Potential for more than minimal harm
2025-06-12
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 2025-07-11
F · Potential for more than minimal harm
2024-08-01
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 2024-08-29
D · Potential for more than minimal harm
2024-08-01
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 2024-08-29
J · Immediate jeopardy
2024-02-28
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 2024-03-22
E · Potential for more than minimal harm
2024-02-28
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-03-22
D · Potential for more than minimal harm
2023-09-26
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-10-16
Penalties and ownership
What sits behind the stars
$14,433
2024-02-28
Fine
Fine · fine $14,433
Fine
$4,893
2024-01-08
Fine
Fine · fine $4,893
Fine
$4,545
2024-01-02
Fine
Fine · fine $4,545
Fine
$13,635
2023-12-11
Fine
Fine · fine $13,635
Fine
$4,545
2023-10-23
Fine
Fine · fine $4,545
Fine
$4,235
2023-10-17
Fine
Fine · fine $4,235
Fine
$3,882
2023-10-10
Fine
Fine · fine $3,882
Fine
$9,440
2023-09-18
Fine
Fine · fine $9,440
Fine
$2,447
2023-08-28
Fine
Fine · fine $2,447
Fine
$2,098
2023-08-21
Fine
Fine · fine $2,098
Fine
$1,748
2023-08-14
Fine
Fine · fine $1,748
Fine
$3,145
2023-07-24
Fine
Fine · fine $3,145
Fine
Ownership
Burrow, Kimberly
W-2 Managing Employee · Individual
Carriage Healthcare Companies Inc
Operational/Managerial Control · Organization
Harris, Doyle
W-2 Managing Employee · Individual
Sahay, Bhaskar
Contracted Managing Employee · Individual
Spears, Kevin
Corporate Director · Individual
Nearby options
Other facilities in reach
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St. Anthony Healthcare and Rehabilitation Center
Clovis, NM
1-star overall rating with 1-star inspections with Special Focus status with $24,271 in total fines with 22 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#2
Clovis Healthcare and Rehabilitation Center
Clovis, NM
1-star overall rating with 1-star inspections with $81,641 in total fines with 20 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
Farwell Care And Rehabilitation Center
Farwell, TX
1-star overall rating with 2-star inspections with $54,337 in total fines with 16 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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