17 health deficiencies
Top issue: Resident Assessment and Care Planning (5 deficiencies)
25 fire-safety deficiencies
Top issue: Smoke (8 deficiencies)
Rio Rancho, NM
2-star overall rating with 2-star inspections with abuse icon flag with 16 recent health deficiencies with 25 fire-safety deficiencies in the latest cycle
900 Loma Colorado Blvd NE, Rio Rancho, NM
(505) 994-2296
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
72
Certified beds
Average residents
39
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2016-08-10
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
1.16
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
0.72
Licensed practical nurse staffing · state 0.71 · national 0.87
Aide hours / resident day
4.20
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
6.08
All reported nurse hours · state 3.56 · national 3.89
Licensed hours
1.88
RN + LPN hours · state 1.33 · national 1.54
Weekend hours
5.61
Weekend nurse staffing · state 3.12 · national 3.43
Weekend RN hours
0.85
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.10
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
1.17
CMS adjusted RN staffing hours
Adjusted total hours
6.16
CMS adjusted total nurse staffing hours
Case-mix index
1.35
Higher values indicate more complex resident acuity
RN turnover
82%
Annual RN turnover · state 54% · national 45%
Total nurse turnover
84%
Annual nurse turnover · state 53% · national 46%
SNF VBP
Program rank
7,439
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
29.75
Composite VBP score used to determine payment impact.
Payment multiplier
0.9856
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
3.43
Baseline 19.33% · Performance 19.84% · Measure score 3.43 · Achievement 3.43 · Improvement 0
Healthcare-associated infections
0.71
Baseline 6.88% · Performance 7.62% · Measure score 0.71 · Achievement 0.71 · Improvement 0
Total nurse turnover
0.70
Baseline 70.42% · Performance 64.94% · Measure score 0.70 · Achievement 0 · Improvement 0.70
Adjusted total nurse staffing
7.06
Baseline 3.61 hours · Performance 5.09 hours · Measure score 7.06 · Achievement 7.06 · Improvement 6.29
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.87% |
10.72%
1.9 pts better
|
No Different than the National Rate · Eligible stays 75 · Observed rate 2.67% · Lower 95% interval 5.58% |
| Discharge to community | 57.5% |
50.57%
6.9 pts better
|
No Different than the National Rate · Eligible stays 61 · Observed rate 54.1% · Lower 95% interval 47.66% |
| Medicare spending per beneficiary | 0.75 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 45 · Denominator 45 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 45 |
| Discharge self-care score | 37.5% |
53.69%
16.2 pts worse
|
Numerator 12 · Denominator 32 |
| Discharge mobility score | 43.75% |
50.94%
7.2 pts worse
|
Numerator 14 · Denominator 32 |
| Pressure ulcers or injuries, new or worsened | 4.44% |
2.29%
2.2 pts worse
|
Numerator 2 · Denominator 45 · Adjusted rate 3.78% |
| Healthcare-associated infections requiring hospitalization | 7.62% |
7.12%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 31 · Observed rate 9.68% · Lower 95% interval 3.85% |
| Staff COVID-19 vaccination coverage | 8.26% |
8.2%
0.1 pts better
|
Numerator 10 · Denominator 121 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 40.63% |
56.45%
15.8 pts worse
|
Numerator 13 · Denominator 32 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 96% |
96.28%
0.3 pts worse
|
Numerator 24 · Denominator 25 |
| Resident COVID-19 vaccinations up to date | 35.71% |
25.2%
10.5 pts better
|
Numerator 10 · Denominator 28 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.0 |
1.6
1.4 pts worse
|
1.9
1.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.0 · Observed 2.9 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.0 |
2.6
1.6 pts better
|
1.8
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 1.0 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 84.7% |
97.4%
12.7 pts worse
|
93.4%
8.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 76.7% · Q2 76.7% · Q3 90.5% · Q4 100.0% · 4Q avg 84.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 80.4% |
98.7%
18.3 pts worse
|
95.5%
15.1 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 80.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.8% |
3.5%
0.3 pts worse
|
3.3%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.7% · Q3 4.8% · Q4 6.9% · 4Q avg 3.8% · 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 | 2.6% |
5.4%
2.8 pts better
|
5.4%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.1% · Q3 0.0% · Q4 9.1% · 4Q avg 2.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.3% |
14.1%
4.2 pts worse
|
19.6%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 21.9% · Q3 17.2% · Q4 17.4% · 4Q avg 18.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 8.3% |
14.7%
6.4 pts better
|
16.7%
8.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 4.2% · Q3 15.0% · 4Q avg 8.3% · 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 | 28.0% |
15.8%
12.2 pts worse
|
16.3%
11.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 28.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 21.9% |
14.6%
7.3 pts worse
|
14.9%
7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.6% · Q2 17.2% · Q3 32.0% · Q4 15.0% · 4Q avg 21.9% · 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 1.5% · Q2 1.4% · Q3 0.0% · Q4 0.0% · 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 | 33.2% |
20.6%
12.6 pts worse
|
19.8%
13.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 41.5% · Q2 26.9% · Q3 25.3% · Q4 42.3% · 4Q avg 33.2% |
| Percentage of long-stay residents with pressure ulcers | 10.9% |
5.7%
5.2 pts worse
|
5.1%
5.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.7% · Q2 9.5% · Q3 9.0% · Q4 17.8% · 4Q avg 10.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 68.5% |
86.6%
18.1 pts worse
|
81.7%
13.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 52.0% · Q2 52.7% · Q3 80.5% · Q4 90.0% · 4Q avg 68.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.2% |
15.9%
6.7 pts better
|
12.0%
2.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.2% · Observed 8.6% · Expected 10.4% · 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 1.9% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 54.2% |
86.4%
32.2 pts worse
|
79.7%
25.5 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 54.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 13.2% |
21.3%
8.1 pts better
|
23.9%
10.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 13.2% · Observed 11.4% · Expected 20.6% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (5 deficiencies)
25 fire-safety deficiencies
Top issue: Smoke (8 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Establish procedures for tracking staff and patients during an emergency.
Corrected 2026-02-26
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2026-02-26
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2026-02-26
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2026-02-26
Fire Safety
Establish methods for sharing information.
Corrected 2026-02-26
Fire Safety
Provide a means of sharing information on occupancy/needs.
Corrected 2026-02-26
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2026-02-26
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2026-02-26
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2026-02-26
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-02-26
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2026-02-26
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2026-02-26
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2026-02-26
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2026-02-26
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2026-02-26
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2026-02-26
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2026-02-26
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2026-02-26
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2026-02-26
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2026-02-26
Fire Safety
Meet other general requirements that are deficient.
Corrected 2026-02-26
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2026-02-26
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2026-02-26
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2026-02-26
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2026-02-26
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-06-14
Inspection history
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-11-11
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-02-13
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-12-05
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-02-17
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2026-02-13
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-12-05
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-12-05
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-12-05
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2025-12-05
Health
Provide or obtain dental services for each resident.
Corrected 2025-12-05
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2025-12-05
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2025-05-02
Health
Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid.
Corrected 2025-05-02
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-05-02
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 2025-05-02
Health
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2025-05-02
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-05-02
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-03-07
Health
Keep all essential equipment working safely.
Corrected 2025-03-07
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-06-21
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-06-21
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 2024-06-21
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-06-21
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-06-21
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-06-21
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-04-19
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-04-19
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2024-04-19
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-04-19
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-04-19
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-04-04
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 2023-04-04
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-04-04
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2023-04-04
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2023-04-04
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-04-04
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2023-04-04
Penalties and ownership
Corporate Director · Individual
Operational/Managerial Control · Organization
Corporate Officer · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
Nearby options
Rio Rancho, NM
1-star overall rating with 2-star inspections with 19 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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Albuquerque, NM
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