Starfile / New Mexico

Los Alamos Wellness & Rehabilitation

1011 Sombrillo Court, Los Alamos, NM 87544 · CCN 325056

Inspection history vs New Mexico & national averages

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

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$95,761

Number of fines

7

Number of penalties

7

Payment denials

0

Chain

Chain

OPCO SKILLED MANAGEMENT

Facilities in chain

52

Chain avg overall

2.40 / 5

Inspection citations (73)1 immediate jeopardy

1. EF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-12-19 · Health · corrected 2026-02-18

   Potential for more than minimal harm

2. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-12-19 · Health · corrected 2026-02-18

   Potential for more than minimal harm

3. KF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-12-19 · Health · corrected 2026-02-18

   Immediate jeopardy

4. 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.2025-12-19 · Health · corrected 2026-02-18

   Potential for more than minimal harm

5. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-12-19 · Health · corrected 2026-02-18

   Potential for more than minimal harm

6. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-06-17 · Health · corrected 2025-07-21

   Potential for more than minimal harm

7. DF0583Keep residents' personal and medical records private and confidential.2025-03-24 · Health · corrected 2025-04-18

   Potential for more than minimal harm

8. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-03-24 · Health · corrected 2025-04-18

   Potential for more than minimal harm

9. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-03-24 · Health · corrected 2025-04-18

   Potential for more than minimal harm

10. DF0610Respond appropriately to all alleged violations.2025-03-24 · Health · corrected 2025-04-18

    Potential for more than minimal harm

11. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-03-24 · Health · corrected 2025-04-18

    Potential for more than minimal harm

12. DF0761Ensure 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.2025-03-24 · Health · corrected 2025-04-18

    Potential for more than minimal harm

13. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-03-24 · Health · corrected 2025-04-18

    Potential for more than minimal harm

14. DF0578Honor 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.2024-12-09 · Health · corrected 2024-12-18

    Potential for more than minimal harm

15. EF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-12-09 · Health · corrected 2024-12-18

    Potential for more than minimal harm

16. FF0584Honor 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.2024-12-09 · Health · corrected 2024-12-18

    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.2024-12-09 · Health · corrected 2024-12-18

    Potential for more than minimal harm

18. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-12-09 · Health · corrected 2024-12-18

    Potential for more than minimal harm

19. DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2024-12-09 · Health · corrected 2024-12-18

    Potential for more than minimal harm

20. EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-12-09 · Health · corrected 2024-12-18

    Potential for more than minimal harm

21. 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.2024-12-09 · Health · corrected 2024-12-18

    Potential for more than minimal harm

22. FF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.2024-12-09 · Health · corrected 2024-12-18

    Potential for more than minimal harm

23. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-12-09 · Health · corrected 2024-12-18

    Potential for more than minimal harm

24. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-12-09 · Health · corrected 2024-12-18

    Potential for more than minimal harm

25. FF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2024-12-09 · Health · corrected 2024-12-18

    Potential for more than minimal harm

26. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-08-22 · Health · corrected 2024-08-30

    Potential for more than minimal harm

27. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2024-07-22 · Health · corrected 2024-08-12

    Potential for more than minimal harm

28. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-07-22 · Health · corrected 2024-08-12

    Potential for more than minimal harm

29. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-03-18 · Health · corrected 2024-04-18

    Potential for more than minimal harm

30. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-03-18 · Health · corrected 2024-04-18

    Potential for more than minimal harm

31. DF0880Provide and implement an infection prevention and control program.2024-03-18 · Health · corrected 2024-04-18

    Potential for more than minimal harm

32. EF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2023-10-26 · Health · corrected 2023-12-01

    Potential for more than minimal harm

33. 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.2023-10-26 · Health · corrected 2023-12-01

    Potential for more than minimal harm

34. DF0602Protect each resident from the wrongful use of the resident's belongings or money.2023-10-26 · Health · corrected 2023-12-01

    Potential for more than minimal harm

35. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-10-26 · Health · corrected 2023-12-01

    Potential for more than minimal harm

36. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-10-26 · Health · corrected 2023-12-01

    Potential for more than minimal harm

37. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-10-26 · Health · corrected 2023-12-01

    Potential for more than minimal harm

38. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-10-26 · Health · corrected 2023-12-01

    Potential for more than minimal harm

39. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-10-26 · Health · corrected 2023-12-01

    Potential for more than minimal harm

40. DF0692Provide enough food/fluids to maintain a resident's health.2023-10-26 · Health · corrected 2023-12-01

    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.2023-10-26 · Health · corrected 2023-12-01

    Potential for more than minimal harm

42. DF0761Ensure 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.2023-10-26 · Health · corrected 2023-12-01

    Potential for more than minimal harm

43. 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.2023-10-26 · Health · corrected 2023-12-01

    Potential for more than minimal harm

44. EF0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.2023-10-26 · Health · corrected 2023-12-01

    Potential for more than minimal harm

45. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-10-26 · Health · corrected 2023-12-01

    Potential for more than minimal harm

46. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-10-26 · Health · corrected 2023-12-01

    Potential for more than minimal harm

47. FF0880Provide and implement an infection prevention and control program.2023-10-26 · Health · corrected 2023-12-01

    Potential for more than minimal harm

48. DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-10-26 · Health · corrected 2023-10-26

    Potential for more than minimal harm

49. DF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2023-10-26 · Health · corrected 2023-12-01

    Potential for more than minimal harm

50. 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.2022-08-11 · Health · corrected 2022-09-21

    Potential for more than minimal harm

51. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2022-08-11 · Health · corrected 2022-09-21

    Potential for more than minimal harm

52. EF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2022-08-11 · Health · corrected 2022-09-21

    Potential for more than minimal harm

53. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-08-11 · Health · corrected 2022-09-21

    Potential for more than minimal harm

54. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-08-11 · Health · corrected 2022-09-21

    Potential for more than minimal harm

55. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2022-08-11 · Health · corrected 2022-09-21

    Potential for more than minimal harm

56. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-08-11 · Health · corrected 2022-09-21

    Potential for more than minimal harm

57. EF0679Provide activities to meet all resident's needs.2022-08-11 · Health · corrected 2022-09-21

    Potential for more than minimal harm

58. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-08-11 · Health · corrected 2022-09-21

    Potential for more than minimal harm

59. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2022-08-11 · Health · corrected 2022-09-21

    Potential for more than minimal harm

60. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2022-08-11 · Health · corrected 2022-09-21

    Potential for more than minimal harm

61. DF0710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.2022-08-11 · Health · corrected 2022-09-21

    Potential for more than minimal harm

62. DF0730Observe each nurse aide's job performance and give regular training.2022-08-11 · Health · corrected 2022-09-21

    Potential for more than minimal harm

63. EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2022-08-11 · Health · corrected 2022-09-21

    Potential for more than minimal harm

64. 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.2022-08-11 · Health · corrected 2022-09-21

    Potential for more than minimal harm

65. 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.2022-08-11 · Health · corrected 2022-09-21

    Potential for more than minimal harm

66. DF0791Provide or obtain dental services for each resident.2022-08-11 · Health · corrected 2022-09-21

    Potential for more than minimal harm

67. FF0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.2022-08-11 · Health · corrected 2022-09-21

    Potential for more than minimal harm

68. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2022-08-11 · Health · corrected 2022-09-21

    Potential for more than minimal harm

69. DF0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.2022-08-11 · Health · corrected 2022-09-21

    Potential for more than minimal harm

70. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-08-11 · Health · corrected 2022-09-21

    Potential for more than minimal harm

71. FF0880Provide and implement an infection prevention and control program.2022-08-11 · Health · corrected 2022-09-21

    Potential for more than minimal harm

72. DF0888Ensure staff are vaccinated for COVID-192022-08-11 · Health · corrected 2022-09-21

    Potential for more than minimal harm

73. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2022-08-11 · Health · corrected 2022-09-21

    Potential for more than minimal harm

Ownership

Other facilities in Los Alamos

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