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.
| Cycle | Inspection date | This facility | New Mexico avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-06-27 | 39 | 16.7 | 9.5 | +22.3 worse |
| 2 | 2024-03-12 | 21 | 16.5 | 9.8 | +4.5 worse |
| 3 | 2023-02-01 | 16 | 16.3 | 9.3 | -0.3 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 4 |
| Quality of life and care | 9 |
| Resident assessment and care planning | 9 |
| Nursing and physician services | 3 |
| Resident rights | 5 |
| Nutrition and dietary | 1 |
| Pharmacy service | 2 |
| Administration | 4 |
| Infection control | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.64 | 79.1% |
| RN staffing (reported) | 0.33 | 93.3% |
| 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)
- 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
- DF0610Respond appropriately to all alleged violations.2025-09-16 · Health · corrected 2025-10-31
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- DF0641Ensure each resident receives an accurate assessment.2025-06-27 · Health · corrected 2025-08-11
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- EF0679Provide activities to meet all resident's needs.2025-06-27 · Health · corrected 2025-08-11
Potential for more than minimal harm
- EF0680Ensure the activities program is directed by a qualified professional.2025-06-27 · Health · corrected 2025-08-11
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- EF0791Provide or obtain dental services for each resident.2025-06-27 · Health · corrected 2025-08-11
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.2025-06-27 · Health · corrected 2025-08-11
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.2025-06-27 · Health · corrected 2025-08-11
Potential for more than minimal harm
- 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
- FF0880Provide and implement an infection prevention and control program.2025-06-27 · Health · corrected 2025-08-11
Potential for more than minimal harm
- 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
- 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
- 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
- DF0948Ensure that paid feeding assistants have the training they need.2025-06-27 · Health · corrected 2025-08-11
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- FF0880Provide and implement an infection prevention and control program.2024-12-16 · Health · corrected 2025-01-31
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- EF0641Ensure each resident receives an accurate assessment.2024-03-12 · Health · corrected 2024-05-17
Potential for more than minimal harm
- 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
- 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
- EF0679Provide activities to meet all resident's needs.2024-03-12 · Health · corrected 2024-05-17
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- DF0641Ensure each resident receives an accurate assessment.2023-02-01 · Health · corrected 2023-03-27
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 admitted2023-02-01 · Health · corrected 2023-03-27
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.2023-02-01 · Health · corrected 2023-03-27
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| 3025 NM HOLDINGS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2024-11-01 |
| AZURE NM TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 61% | 2024-11-01 |
| PERIWINKLE NM TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 31% | 2024-11-01 |
| DUVERGER, SHERRI | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-11-01 |
| GARETZ, DAVID | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-11-01 |
| STOLARCZYK, LISA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-11-01 |
| GARETZ, DAVID | Individual | CORPORATE OFFICER | — | 2024-11-01 |
Other facilities in LAS CRUCES
| 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.