Starfile

Starfile / New Mexico

Las Cruces Village Nursing & Rehabilitation LLC

3025 TERRACE DRIVE, LAS CRUCES, NM 88011 · CCN 325067

Abuse icon

Ratings

Overall
★☆☆☆☆ 1
Health inspection
★☆☆☆☆ 1
Quality measures
★★★☆☆ 3
Staffing
★☆☆☆☆ 1

Facility

Ownership type
For profit - Limited Liability company
Certified beds
94
Avg residents/day
86.1
Phone
5755562103

Inspection history vs New Mexico & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityNew Mexico avgNational avgvs state
12025-06-273916.79.5+22.3 worse
22024-03-122116.59.8+4.5 worse
32023-02-011616.39.3-0.3 better

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation4
Quality of life and care9
Resident assessment and care planning9
Nursing and physician services3
Resident rights5
Nutrition and dietary1
Pharmacy service2
Administration4
Infection control2

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.6479.1%
RN staffing (reported)0.3393.3%
Total nurse staffing (adjusted)3.75

Fines & penalties

Total fines
$0
Number of fines
0
Number of penalties
0
Payment denials
0

Chain

Chain
OPCO SKILLED MANAGEMENT
Facilities in chain
52
Chain avg overall
2.40 / 5

Inspection citations (76)

  1. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-09-16 · Health · corrected 2025-10-31

    Potential for more than minimal harm

  2. DF0610Respond appropriately to all alleged violations.2025-09-16 · Health · corrected 2025-10-31

    Potential for more than minimal harm

  3. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-09-16 · Health · corrected 2025-10-31

    Potential for more than minimal harm

  4. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-09-16 · Health · corrected 2025-10-31

    Potential for more than minimal harm

  5. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-09-16 · Health · corrected 2025-10-31

    Potential for more than minimal harm

  6. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-09-16 · Health · corrected 2025-10-31

    Potential for more than minimal harm

  7. 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.2025-09-16 · Health · corrected 2025-10-31

    Potential for more than minimal harm

  8. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2025-06-27 · Health · corrected 2025-08-11

    Potential for more than minimal harm

  9. 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.2025-06-27 · Health · corrected 2025-08-11

    Potential for more than minimal harm

  10. EF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2025-06-27 · Health · corrected 2025-08-11

    Potential for more than minimal harm

  11. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-06-27 · Health · corrected 2025-08-11

    Potential for more than minimal harm

  12. DF0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.2025-06-27 · Health · corrected 2025-08-11

    Potential for more than minimal harm

  13. EF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-06-27 · Health · corrected 2025-08-11

    Potential for more than minimal harm

  14. DF0641Ensure each resident receives an accurate assessment.2025-06-27 · Health · corrected 2025-08-11

    Potential for more than minimal harm

  15. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-06-27 · Health · corrected 2025-08-11

    Potential for more than minimal harm

  16. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-06-27 · Health · corrected 2025-08-11

    Potential for more than minimal harm

  17. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-06-27 · Health · corrected 2025-08-11

    Potential for more than minimal harm

  18. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-06-27 · Health · corrected 2025-08-11

    Potential for more than minimal harm

  19. EF0679Provide activities to meet all resident's needs.2025-06-27 · Health · corrected 2025-08-11

    Potential for more than minimal harm

  20. EF0680Ensure the activities program is directed by a qualified professional.2025-06-27 · Health · corrected 2025-08-11

    Potential for more than minimal harm

  21. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-06-27 · Health · corrected 2025-08-11

    Potential for more than minimal harm

  22. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-06-27 · Health · corrected 2025-08-11

    Potential for more than minimal harm

  23. DF0688Provide 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.2025-06-27 · Health · corrected 2025-08-11

    Potential for more than minimal harm

  24. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-06-27 · Health · corrected 2025-08-11

    Potential for more than minimal harm

  25. EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-06-27 · Health · corrected 2025-08-11

    Potential for more than minimal harm

  26. FF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2025-06-27 · Health · corrected 2025-08-11

    Potential for more than minimal harm

  27. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-06-27 · Health · corrected 2025-08-11

    Potential for more than minimal harm

  28. EF0791Provide or obtain dental services for each resident.2025-06-27 · Health · corrected 2025-08-11

    Potential for more than minimal harm

  29. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-06-27 · Health · corrected 2025-08-11

    Potential for more than minimal harm

  30. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-06-27 · Health · corrected 2025-08-11

    Potential for more than minimal harm

  31. DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2025-06-27 · Health · corrected 2025-08-11

    Potential for more than minimal harm

  32. FF0880Provide and implement an infection prevention and control program.2025-06-27 · Health · corrected 2025-08-11

    Potential for more than minimal harm

  33. FF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2025-06-27 · Health · corrected 2025-08-11

    Potential for more than minimal harm

  34. EF0941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.2025-06-27 · Health · corrected 2025-08-11

    Potential for more than minimal harm

  35. EF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.2025-06-27 · Health · corrected 2025-08-11

    Potential for more than minimal harm

  36. DF0948Ensure that paid feeding assistants have the training they need.2025-06-27 · Health · corrected 2025-08-11

    Potential for more than minimal harm

  37. EF0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.2025-06-27 · Health · corrected 2025-08-11

    Potential for more than minimal harm

  38. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-06-16 · Health · corrected 2025-07-29

    Potential for more than minimal harm

  39. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-06-16 · Health · corrected 2025-07-29

    Potential for more than minimal harm

  40. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-02-13 · Health · corrected 2025-03-21

    Potential for more than minimal harm

  41. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-02-13 · Health · corrected 2025-03-21

    Potential for more than minimal harm

  42. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-02-13 · Health · corrected 2025-03-21

    Potential for more than minimal harm

  43. DF0603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).2024-12-16 · Health · corrected 2025-01-31

    Potential for more than minimal harm

  44. FF0880Provide and implement an infection prevention and control program.2024-12-16 · Health · corrected 2025-01-31

    Potential for more than minimal harm

  45. DF0602Protect each resident from the wrongful use of the resident's belongings or money.2024-10-09 · Health · corrected 2024-10-30

    Potential for more than minimal harm

  46. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-03-12 · Health · corrected 2024-05-17

    Potential for more than minimal harm

  47. 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.2024-03-12 · Health · corrected 2024-05-17

    Potential for more than minimal harm

  48. EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-03-12 · Health · corrected 2024-05-17

    Potential for more than minimal harm

  49. EF0625Notify 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.2024-03-12 · Health · corrected 2024-05-17

    Potential for more than minimal harm

  50. EF0641Ensure each resident receives an accurate assessment.2024-03-12 · Health · corrected 2024-05-17

    Potential for more than minimal harm

  51. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-03-12 · Health · corrected 2024-05-17

    Potential for more than minimal harm

  52. EF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2024-03-12 · Health · corrected 2024-05-17

    Potential for more than minimal harm

  53. EF0679Provide activities to meet all resident's needs.2024-03-12 · Health · corrected 2024-05-17

    Potential for more than minimal harm

  54. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-03-12 · Health · corrected 2024-05-17

    Potential for more than minimal harm

  55. EF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-03-12 · Health · corrected 2024-05-17

    Potential for more than minimal harm

  56. EF0758Implement 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.2024-03-12 · Health · corrected 2024-05-17

    Potential for more than minimal harm

  57. 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.2024-03-12 · Health · corrected 2024-05-17

    Potential for more than minimal harm

  58. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-03-12 · Health · corrected 2024-05-17

    Potential for more than minimal harm

  59. EF0825Provide or get specialized rehabilitative services as required for a resident.2024-03-12 · Health · corrected 2024-05-17

    Potential for more than minimal harm

  60. EF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2024-03-12 · Health · corrected 2024-05-17

    Potential for more than minimal harm

  61. EF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-02-01 · Health · corrected 2023-03-27

    Potential for more than minimal harm

  62. 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.2023-02-01 · Health · corrected 2023-03-27

    Potential for more than minimal harm

  63. EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-02-01 · Health · corrected 2023-03-27

    Potential for more than minimal harm

  64. EF0625Notify 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.2023-02-01 · Health · corrected 2023-03-27

    Potential for more than minimal harm

  65. DF0641Ensure each resident receives an accurate assessment.2023-02-01 · Health · corrected 2023-03-27

    Potential for more than minimal harm

  66. EF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-02-01 · Health · corrected 2023-03-27

    Potential for more than minimal harm

  67. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-02-01 · Health · corrected 2023-03-27

    Potential for more than minimal harm

  68. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-02-01 · Health · corrected 2023-03-27

    Potential for more than minimal harm

  69. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-02-01 · Health · corrected 2023-03-27

    Potential for more than minimal harm

  70. EF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2023-02-01 · Health · corrected 2023-03-27

    Potential for more than minimal harm

  71. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-02-01 · Health · corrected 2023-03-27

    Potential for more than minimal harm

  72. EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2023-02-01 · Health · corrected 2023-03-27

    Potential for more than minimal harm

  73. FF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2023-02-01 · Health · corrected 2023-03-27

    Potential for more than minimal harm

  74. EF0730Observe each nurse aide's job performance and give regular training.2023-02-01 · Health · corrected 2023-03-27

    Potential for more than minimal harm

  75. EF0741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.2023-02-01 · Health · corrected 2023-03-27

    Potential for more than minimal harm

  76. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-02-01 · Health · corrected 2023-03-27

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
3025 NM HOLDINGS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2024-11-01
AZURE NM TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST61%2024-11-01
PERIWINKLE NM TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST31%2024-11-01
DUVERGER, SHERRIIndividualOPERATIONAL/MANAGERIAL CONTROL2024-11-01
GARETZ, DAVIDIndividualOPERATIONAL/MANAGERIAL CONTROL2024-11-01
STOLARCZYK, LISAIndividualOPERATIONAL/MANAGERIAL CONTROL2024-11-01
GARETZ, DAVIDIndividualCORPORATE OFFICER2024-11-01

Other facilities in LAS CRUCES

NameOverallBeds

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.