8 health deficiencies
Top issue: Environmental (2 deficiencies)
33 fire-safety deficiencies
Top issue: Emergency Preparedness (9 deficiencies)
Farmington, NM
4-star overall rating with 4-star inspections with 8 recent health deficiencies with 33 fire-safety deficiencies in the latest cycle
806 West Maple Street, Farmington, NM
(505) 325-2910
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
93
Certified beds
Average residents
86
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Opco Skilled Management
Operator or chain grouping
Approved since
1992-12-01
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
RN hours / resident day
0.61
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
0.50
Licensed practical nurse staffing · state 0.71 · national 0.87
Aide hours / resident day
2.07
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
3.18
All reported nurse hours · state 3.56 · national 3.89
Licensed hours
1.11
RN + LPN hours · state 1.33 · national 1.54
Weekend hours
2.72
Weekend nurse staffing · state 3.12 · national 3.43
Weekend RN hours
0.42
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.09
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.66
CMS adjusted RN staffing hours
Adjusted total hours
3.45
CMS adjusted total nurse staffing hours
Case-mix index
1.26
Higher values indicate more complex resident acuity
RN turnover
33%
Annual RN turnover · state 54% · national 45%
Total nurse turnover
46%
Annual nurse turnover · state 53% · national 46%
SNF VBP
Program rank
10,842
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
18.92
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
Readmission
0
Baseline 19.37% · Performance 22.04% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0.83
Baseline 7.48% · Performance 7.58% · Measure score 0.83 · Achievement 0.83 · Improvement 0
Total nurse turnover
5.65
Baseline 45.07% · Performance 40.58% · Measure score 5.65 · Achievement 5.65 · Improvement 1.72
Adjusted total nurse staffing
1.08
Baseline 3.44 hours · Performance 3.38 hours · Measure score 1.08 · Achievement 1.08 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.23% |
10.72%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 156 · Observed rate 12.18% · Lower 95% interval 8.49% |
| Discharge to community | 44.43% |
50.57%
6.1 pts worse
|
No Different than the National Rate · Eligible stays 148 · Observed rate 36.49% · Lower 95% interval 37.78% |
| Medicare spending per beneficiary | 1.09 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 86.54% |
95.27%
8.7 pts worse
|
Numerator 90 · Denominator 104 |
| Falls with major injury | 0.96% |
0.77%
0.2 pts worse
|
Numerator 1 · Denominator 104 |
| Discharge self-care score | 71.83% |
53.69%
18.1 pts better
|
Numerator 51 · Denominator 71 |
| Discharge mobility score | 73.24% |
50.94%
22.3 pts better
|
Numerator 52 · Denominator 71 |
| Pressure ulcers or injuries, new or worsened | 3.85% |
2.29%
1.6 pts worse
|
Numerator 4 · Denominator 104 · Adjusted rate 3.09% |
| Healthcare-associated infections requiring hospitalization | 7.59% |
7.12%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 107 · Observed rate 8.41% · Lower 95% interval 5.11% |
| Staff COVID-19 vaccination coverage | 18.18% |
8.2%
10 pts better
|
Numerator 16 · Denominator 88 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 77.46% |
56.45%
21 pts better
|
Numerator 55 · Denominator 71 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 36 · Denominator 36 |
| Transfer of health information to patient | 97.62% |
96.28%
1.3 pts better
|
Numerator 41 · Denominator 42 |
| Resident COVID-19 vaccinations up to date | 37.1% |
25.2%
11.9 pts better
|
Numerator 23 · Denominator 62 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.0 |
1.6
0.4 pts worse
|
1.9
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 2.2 · Expected 2.1 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.8 |
2.6
0.2 pts worse
|
1.8
1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.8 · Observed 3.0 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.0% |
97.4%
1.6 pts better
|
93.4%
5.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.6% · Q2 100.0% · Q3 98.8% · Q4 98.7% · 4Q avg 99.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.8% |
98.7%
0.1 pts better
|
95.5%
3.3 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.0% |
3.5%
1.5 pts better
|
3.3%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.2% · Q3 2.5% · Q4 2.7% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.2% |
1.8%
0.6 pts better
|
11.4%
10.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 0.0% · Q3 1.4% · Q4 1.6% · 4Q avg 1.2% |
| Percentage of long-stay residents who lose too much weight | 5.1% |
5.4%
0.3 pts better
|
5.4%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 3.9% · Q3 3.8% · Q4 5.5% · 4Q avg 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 2.0% |
14.1%
12.1 pts better
|
19.6%
17.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 0.0% · Q3 2.5% · Q4 4.0% · 4Q avg 2.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 10.6% |
14.7%
4.1 pts better
|
16.7%
6.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.3% · Q2 14.0% · Q3 9.1% · Q4 9.8% · 4Q avg 10.6% · 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 | 4.0% |
15.8%
11.8 pts better
|
16.3%
12.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.3% · Q2 4.3% · Q3 2.9% · Q4 0.0% · 4Q avg 4.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.6% |
14.6%
5 pts better
|
14.9%
5.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.7% · Q2 12.0% · Q3 5.1% · Q4 6.9% · 4Q avg 9.6% · 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 | 15.9% |
20.6%
4.7 pts better
|
19.8%
3.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.2% · Q2 10.8% · Q3 18.7% · Q4 19.0% · 4Q avg 15.9% |
| Percentage of long-stay residents with pressure ulcers | 10.8% |
5.7%
5.1 pts worse
|
5.1%
5.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.6% · Q2 11.0% · Q3 9.8% · Q4 10.2% · 4Q avg 10.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 73.2% |
86.6%
13.4 pts worse
|
81.7%
8.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 86.0% · Q2 78.9% · Q3 70.3% · Q4 56.6% · 4Q avg 73.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 18.8% |
15.9%
2.9 pts worse
|
12.0%
6.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 18.8% · Observed 19.5% · Expected 11.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.4% |
1.3%
0.9 pts better
|
1.6%
1.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.4% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 80.7% |
86.4%
5.7 pts worse
|
79.7%
1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 80.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.4% |
21.3%
2.1 pts worse
|
23.9%
0.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.4% · Observed 24.1% · Expected 24.6% · Used in QM five-star |
Survey summary
Top issue: Environmental (2 deficiencies)
33 fire-safety deficiencies
Top issue: Emergency Preparedness (9 deficiencies)
Top issue: Quality of Life and Care (3 deficiencies)
1 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Top issue: Resident Assessment and Care Planning (3 deficiencies)
7 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Fire safety
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2025-08-11
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2025-08-11
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2025-07-22
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2025-07-22
Fire Safety
List the names and contact information of those in the facility.
Corrected 2025-07-22
Fire Safety
Provide emergency officials' contact information.
Corrected 2025-07-22
Fire Safety
Conduct testing and exercise requirements.
Corrected 2025-08-11
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2025-07-22
Fire Safety
Include a process for Emergency Preparedness collaboration.
Corrected 2025-07-22
Fire Safety
Meet other general requirements.
Corrected 2025-07-22
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-08-11
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-08-11
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-08-11
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2025-07-22
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-07-22
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2025-07-22
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-07-22
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-08-11
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2025-08-11
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2025-08-11
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-07-22
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-08-11
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2025-08-11
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 2025-07-22
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-08-11
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-08-11
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-08-11
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2025-08-11
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-08-11
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-08-11
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 2025-08-11
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-07-22
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-07-22
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2024-04-02
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-12-20
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2022-12-20
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-12-20
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 2022-12-20
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2022-12-20
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2022-12-20
Fire Safety
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Corrected 2022-12-20
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-07-31
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2025-07-31
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 2025-07-31
Health
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2025-07-31
Health
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected 2025-07-31
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2025-07-31
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 2025-07-31
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2025-03-05
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-01-29
Health
Keep residents' personal and medical records private and confidential.
Corrected 2024-03-29
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 2024-03-29
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-03-29
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-03-29
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-03-29
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-03-29
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-12-18
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-12-18
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-12-20
Health
Provide and implement an infection prevention and control program.
Corrected 2022-12-20
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-12-20
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-12-20
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 2022-12-20
Penalties and ownership
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Organization
Nearby options
Farmington, NM
5-star overall rating with 5-star inspections with 2 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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2-star overall rating with 2-star inspections with $138,532 in total fines with 16 recent health deficiencies with 27 fire-safety deficiencies in the latest cycle
Farmington, NM
5-star overall rating with 4-star inspections with $49,966 in total fines with 7 recent health deficiencies with 25 fire-safety deficiencies in the latest cycle
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