Starfile

Starfile / New Mexico

Las Cruces Wellness & Rehabilitation LLC

175 N Roadrunner Parkway, Las Cruces, NM 88011 · CCN 325132

Ratings

Overall
★★☆☆☆ 2
Health inspection
★★☆☆☆ 2
Quality measures
★★★★☆ 4
Staffing
★★★★☆ 4

Facility

Ownership type
For profit - Limited Liability company
Certified beds
64
Avg residents/day
37.0
Phone
5753865800

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
12024-07-022516.79.5+8.3 worse
22023-03-142016.59.8+3.5 worse
32021-12-211416.39.3-2.3 better

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation3
Quality of life and care5
Resident assessment and care planning9
Nursing and physician services2
Resident rights4
Pharmacy service1
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)5.1444.4%
RN staffing (reported)0.6440.0%
Total nurse staffing (adjusted)4.23

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 (59)1 actual harm

  1. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-11-26 · Health · corrected 2025-12-31

    Potential for more than minimal harm

  2. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-11-26 · Health · corrected 2025-12-31

    Potential for more than minimal harm

  3. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-11-26 · Health · corrected 2025-12-31

    Potential for more than minimal harm

  4. EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-08-08 · Health · corrected 2025-10-31

    Potential for more than minimal harm

  5. EF0610Respond appropriately to all alleged violations.2025-08-08 · Health · corrected 2025-10-31

    Potential for more than minimal harm

  6. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-08-08 · Health · corrected 2025-10-31

    Potential for more than minimal harm

  7. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-03-18 · Health · corrected 2025-04-15

    Potential for more than minimal harm

  8. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-03-18 · Health · corrected 2025-04-15

    Potential for more than minimal harm

  9. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-03-18 · Health · corrected 2025-04-15

    Potential for more than minimal harm

  10. EF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-07-02 · Health · corrected 2024-08-10

    Potential for more than minimal harm

  11. CF0584Honor 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.2024-07-02 · Health · corrected 2024-08-10

    Potential for minimal harm

  12. EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-07-02 · Health · corrected 2024-08-10

    Potential for more than minimal harm

  13. EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-07-02 · Health · corrected 2024-08-10

    Potential for more than minimal harm

  14. 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.2024-07-02 · Health · corrected 2024-08-10

    Potential for more than minimal harm

  15. DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2024-07-02 · Health · corrected 2024-08-10

    Potential for more than minimal harm

  16. EF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-07-02 · Health · corrected 2024-08-10

    Potential for more than minimal harm

  17. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-07-02 · Health · corrected 2024-08-10

    Potential for more than minimal harm

  18. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-07-02 · Health · corrected 2024-08-10

    Potential for more than minimal harm

  19. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-07-02 · Health · corrected 2024-08-10

    Potential for more than minimal harm

  20. EF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-07-02 · Health · corrected 2024-08-10

    Potential for more than minimal harm

  21. EF0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.2024-07-02 · Health · corrected 2024-08-10

    Potential for more than minimal harm

  22. EF0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.2024-07-02 · Health · corrected 2024-08-10

    Potential for more than minimal harm

  23. 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.2024-07-02 · Health · corrected 2024-08-10

    Potential for more than minimal harm

  24. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-07-02 · Health · corrected 2024-08-10

    Potential for more than minimal harm

  25. DF0880Provide and implement an infection prevention and control program.2024-07-02 · Health · corrected 2024-08-10

    Potential for more than minimal harm

  26. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-04-08 · Health · corrected 2024-05-02

    Potential for more than minimal harm

  27. DF0641Ensure each resident receives an accurate assessment.2023-10-30 · Health · corrected 2023-12-01

    Potential for more than minimal harm

  28. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-10-30 · Health · corrected 2023-12-01

    Potential for more than minimal harm

  29. EF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-03-14 · Health · corrected 2023-04-24

    Potential for more than minimal harm

  30. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-03-14 · Health · corrected 2023-04-24

    Actual harm

  31. EF0610Respond appropriately to all alleged violations.2023-03-14 · Health · corrected 2023-04-24

    Potential for more than minimal harm

  32. EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-03-14 · Health · corrected 2023-04-24

    Potential for more than minimal harm

  33. 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.2023-03-14 · Health · corrected 2023-04-24

    Potential for more than minimal harm

  34. DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2023-03-14 · Health · corrected 2023-04-24

    Potential for more than minimal harm

  35. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-03-14 · Health · corrected 2023-04-24

    Potential for more than minimal harm

  36. EF0679Provide activities to meet all resident's needs.2023-03-14 · Health · corrected 2023-04-24

    Potential for more than minimal harm

  37. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-03-14 · Health · corrected 2023-04-24

    Potential for more than minimal harm

  38. EF0692Provide enough food/fluids to maintain a resident's health.2023-03-14 · Health · corrected 2023-04-24

    Potential for more than minimal harm

  39. EF0697Provide safe, appropriate pain management for a resident who requires such services.2023-03-14 · Health · corrected 2023-04-24

    Potential for more than minimal harm

  40. 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.2023-03-14 · Health · corrected 2023-04-24

    Potential for more than minimal harm

  41. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-03-14 · Health · corrected 2023-04-24

    Potential for more than minimal harm

  42. EF0759Ensure medication error rates are not 5 percent or greater.2023-03-14 · Health · corrected 2023-04-24

    Potential for more than minimal harm

  43. EF0760Ensure that residents are free from significant medication errors.2023-03-14 · Health · corrected 2023-04-24

    Potential for more than minimal harm

  44. FF0761Ensure 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.2023-03-14 · Health · corrected 2023-04-24

    Potential for more than minimal harm

  45. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-03-14 · Health · corrected 2023-04-24

    Potential for more than minimal harm

  46. EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-03-14 · Health · corrected 2023-04-24

    Potential for more than minimal harm

  47. EF0941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.2023-03-14 · Health · corrected 2023-04-24

    Potential for more than minimal harm

  48. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2021-12-21 · Health · corrected 2022-02-21

    Potential for more than minimal harm

  49. EF0558Reasonably accommodate the needs and preferences of each resident.2021-12-21 · Health · corrected 2022-02-21

    Potential for more than minimal harm

  50. DF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2021-12-21 · Health · corrected 2022-02-21

    Potential for more than minimal harm

  51. EF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2021-12-21 · Health · corrected 2022-02-21

    Potential for more than minimal harm

  52. EF0660Plan the resident's discharge to meet the resident's goals and needs.2021-12-21 · Health · corrected 2022-02-21

    Potential for more than minimal harm

  53. DF0679Provide activities to meet all resident's needs.2021-12-21 · Health · corrected 2022-02-21

    Potential for more than minimal harm

  54. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2021-12-21 · Health · corrected 2022-02-21

    Potential for more than minimal harm

  55. DF0697Provide safe, appropriate pain management for a resident who requires such services.2021-12-21 · Health · corrected 2022-02-21

    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.2021-12-21 · Health · corrected 2022-02-21

    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.2021-12-21 · Health · corrected 2022-02-21

    Potential for more than minimal harm

  58. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2021-12-21 · Health · corrected 2022-02-21

    Potential for more than minimal harm

  59. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2021-12-21 · Health · corrected 2022-02-21

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
LC HEALTHCARE HOLDINGS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2024-05-01
GURROCKS TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2024-05-01
LC HCP LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2024-05-01
ZEES K TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2024-05-01
GARETZ, DAVIDIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST2024-05-01
LC HEALTHCARE HOLDINGS LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2024-12-05
GARETZ, DAVIDIndividualCORPORATE OFFICER2024-05-01
ROACH, JENNIFERIndividualW-2 MANAGING EMPLOYEE2024-05-01
SBD TRUSTOrganization5% OR GREATER MORTGAGE INTEREST2024-05-01
ZAFFIG REALTY TRUSTOrganization5% OR GREATER MORTGAGE INTEREST2024-05-01

Other facilities in Las Cruces

NameOverallBeds
Northrise Wellness & Rehabilitation★★★☆☆31
Casa Del Sol Center★★☆☆☆62
Calibre Post Acute, LLC★☆☆☆☆120
Casa De Oro Center★☆☆☆☆158

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