Belen Meadows Healthcare and Rehabilitation Center
1831 Camino Del Llano, Belen, NM 87002 · CCN 325068
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★★☆ 4
- Quality measures
- ★★☆☆☆ 2
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 120
- Avg residents/day
- 114.5
- Phone
- 5058641600
Inspection history vs New Mexico & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | New Mexico avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-11-18 | 15 | 16.7 | 9.5 | -1.7 better |
| 2 | 2024-06-28 | 7 | 16.5 | 9.8 | -9.5 better |
| 3 | 2023-03-16 | 28 | 16.3 | 9.3 | +11.7 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 3 |
| Resident assessment and care planning | 3 |
| Resident rights | 2 |
| Nutrition and dietary | 2 |
| Pharmacy service | 3 |
| Environmental | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 2.94 | 54.0% |
| RN staffing (reported) | 0.44 | 64.3% |
| Total nurse staffing (adjusted) | 3.34 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- GENESIS HEALTHCARE
- Facilities in chain
- 193
- Chain avg overall
- 2.40 / 5
Inspection citations (50)1 immediate jeopardy
- EF0552Ensure that residents are fully informed and understand their health status, care and treatments.2025-11-18 · Health · corrected 2026-01-02
Potential for more than minimal harm
- EF0584Honor 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.2025-11-18 · Health · corrected 2026-01-02
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-11-18 · Health · corrected 2026-01-02
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-11-18 · Health · corrected 2026-01-02
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-11-18 · Health · corrected 2026-01-02
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-11-18 · Health · corrected 2026-01-02
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-11-18 · Health · corrected 2026-01-02
Potential for more than minimal harm
- EF0759Ensure medication error rates are not 5 percent or greater.2025-11-18 · Health · corrected 2026-01-02
Potential for more than minimal harm
- EF0761Ensure 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.2025-11-18 · Health · corrected 2026-01-02
Potential for more than minimal harm
- DF0790Provide routine and 24-hour emergency dental care for each resident.2025-11-18 · Health · corrected 2026-01-02
Potential for more than minimal harm
- EF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2025-11-18 · Health · corrected 2026-01-02
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-11-18 · Health · corrected 2026-01-02
Potential for more than minimal harm
- EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-11-18 · Health · corrected 2026-01-02
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2025-11-18 · Health · corrected 2026-01-02
Potential for more than minimal harm
- DF0908Keep all essential equipment working safely.2025-11-18 · Health · corrected 2026-01-02
Potential for more than minimal harm
- EF0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.2025-01-07 · Health · corrected 2025-02-04
Potential for more than minimal harm
- DF0584Honor 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.2024-06-28 · Health · corrected 2024-07-31
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-06-28 · Health · corrected 2024-07-31
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-06-28 · Health · corrected 2024-07-31
Potential for more than minimal harm
- EF0761Ensure 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.2024-06-28 · Health · corrected 2024-07-31
Potential for more than minimal harm
- EF0803Ensure 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.2024-06-28 · Health · corrected 2024-07-31
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-03-14 · Health · corrected 2024-03-31
Potential for more than minimal harm
- EF0585Honor 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.2023-12-14 · Health · corrected 2024-01-26
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2023-12-14 · Health · corrected 2024-01-26
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-12-14 · Health · corrected 2024-01-26
Potential for more than minimal harm
- EF0552Ensure that residents are fully informed and understand their health status, care and treatments.2023-03-16 · Health · corrected 2023-05-31
Potential for more than minimal harm
- EF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2023-03-16 · Health · corrected 2023-05-31
Potential for more than minimal harm
- EF0578Honor 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.2023-03-16 · Health · corrected 2023-05-31
Potential for more than minimal harm
- KF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-03-16 · Health · corrected 2023-05-31
Immediate jeopardy
- DF0584Honor 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.2023-03-16 · Health · corrected 2023-05-31
Potential for more than minimal harm
- EF0585Honor 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.2023-03-16 · Health · corrected 2023-05-31
Potential for more than minimal harm
- DF0624Prepare residents for a safe transfer or discharge from the nursing home.2023-03-16 · Health · corrected 2023-05-31
Potential for more than minimal harm
- EF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-03-16 · Health · corrected 2023-05-31
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-03-16 · Health · corrected 2023-05-31
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-03-16 · Health · corrected 2023-05-31
Potential for more than minimal harm
- EF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2023-03-16 · Health · corrected 2023-05-31
Potential for more than minimal harm
- EF0685Assist a resident in gaining access to vision and hearing services.2023-03-16 · Health · corrected 2023-05-31
Potential for more than minimal harm
- EF0687Provide appropriate foot care.2023-03-16 · Health · corrected 2023-05-31
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-03-16 · Health · corrected 2023-05-31
Potential for more than minimal harm
- EF0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.2023-03-16 · Health · corrected 2023-05-31
Potential for more than minimal harm
- FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-03-16 · Health · corrected 2023-05-31
Potential for more than minimal harm
- DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2023-03-16 · Health · corrected 2023-05-31
Potential for more than minimal harm
- DF0758Implement 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.2023-03-16 · Health · corrected 2023-05-31
Potential for more than minimal harm
- EF0761Ensure 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.2023-03-16 · Health · corrected 2023-05-31
Potential for more than minimal harm
- FF0803Ensure 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.2023-03-16 · Health · corrected 2023-05-31
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-03-16 · Health · corrected 2023-05-31
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-03-16 · Health · corrected 2023-05-31
Potential for more than minimal harm
- EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-03-16 · Health · corrected 2023-05-31
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-03-16 · Health · corrected 2023-05-31
Potential for more than minimal harm
- EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-03-16 · Health · corrected 2023-05-31
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| SUMMIT CARE LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2007-07-25 |
| FC-GEN OPERATIONS INVESTMENT LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2015-02-02 |
| GEN OPERATIONS I LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2015-02-02 |
| GEN OPERATIONS II LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2015-02-02 |
| GENESIS HEALTHCARE INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2007-07-25 |
| GENESIS HEALTHCARE LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2015-02-02 |
| HCCF MANAGEMENT GROUP XI LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2022-11-15 |
| SKILLED HEALTHCARE LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2015-02-02 |
| SUMMIT CARE PARENT LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2013-01-01 |
| SUN HEALTHCARE GROUP INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2022-11-15 |
| SUNDANCE REHABILITATION HOLDCO INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2022-11-15 |
| WELLTOWER INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-06-01 |
| ZAC PROPERTIES XI LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2022-11-15 |
| FISHMAN, STEVEN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2022-11-15 |
| WHITMAN, ARNOLD | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2022-11-15 |
| NOYA, LISA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-06-01 |
| WILSON, EMMANUEL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-06-01 |
| BERG, MICHAEL | Individual | CORPORATE OFFICER | — | 2015-02-02 |
| BRIDGEFORD, LAURA | Individual | CORPORATE OFFICER | — | 2024-06-01 |
| MENDELSON, AVI | Individual | CORPORATE OFFICER | — | 2024-06-01 |
Other facilities in Belen
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.