Starfile

Starfile / New Mexico

Luna Wellness Rehabilitation LLC

900 West Ash Street, DEMING, NM 88030 · CCN 325079

Ratings

Overall
★☆☆☆☆ 1
Health inspection
★★☆☆☆ 2
Quality measures
★★★☆☆ 3
Staffing
★☆☆☆☆ 1

Facility

Ownership type
For profit - Limited Liability company
Certified beds
66
Avg residents/day
48.6
Phone
5752992800

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
12025-04-071216.79.5-4.7 better
22024-01-163116.59.8+14.5 worse
32022-12-07716.39.3-9.3 better

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care2
Resident assessment and care planning4
Nursing and physician services1
Resident rights1
Nutrition and dietary1
Pharmacy service2
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.00
RN staffing (reported)0.33
Total nurse staffing (adjusted)3.27

Fines & penalties

Total fines
$66,876
Number of fines
2
Number of penalties
4
Payment denials
2

Inspection citations (50)1 immediate jeopardy1 actual harm

  1. DF0641Ensure each resident receives an accurate assessment.2025-09-03 · Health · corrected 2025-09-22

    Potential for more than minimal harm

  2. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-09-03 · Health · corrected 2025-09-22

    Potential for more than minimal harm

  3. DF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.2025-09-03 · Health · corrected 2025-09-22

    Potential for more than minimal harm

  4. DF0625Notify 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.2025-04-07 · Health · corrected 2025-05-22

    Potential for more than minimal harm

  5. DF0641Ensure each resident receives an accurate assessment.2025-04-07 · Health · corrected 2025-05-22

    Potential for more than minimal harm

  6. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-04-07 · Health · corrected 2025-05-22

    Potential for more than minimal harm

  7. DF0692Provide enough food/fluids to maintain a resident's health.2025-04-07 · Health · corrected 2025-05-22

    Potential for more than minimal harm

  8. CF0732Post nurse staffing information every day.2025-04-07 · Health · corrected 2025-05-22

    Potential for minimal harm

  9. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-04-07 · Health · corrected 2025-05-22

    Potential for more than minimal harm

  10. 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.2025-04-07 · Health · corrected 2025-05-22

    Potential for more than minimal harm

  11. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-04-07 · Health · corrected 2025-05-22

    Potential for more than minimal harm

  12. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2025-04-07 · Health · corrected 2025-05-22

    Potential for more than minimal harm

  13. KF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-07-23 · Health · corrected 2024-09-05

    Immediate jeopardy

  14. EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-07-23 · Health · corrected 2024-09-05

    Potential for more than minimal harm

  15. EF0610Respond appropriately to all alleged violations.2024-07-23 · Health · corrected 2024-09-05

    Potential for more than minimal harm

  16. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-07-23 · Health · corrected 2024-09-05

    Potential for more than minimal harm

  17. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-03-07 · Health · corrected 2024-04-15

    Potential for more than minimal harm

  18. DF0610Respond appropriately to all alleged violations.2024-03-07 · Health · corrected 2024-04-15

    Potential for more than minimal harm

  19. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-03-07 · Health · corrected 2024-04-15

    Potential for more than minimal harm

  20. GF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2024-03-07 · Health · corrected 2024-04-15

    Actual harm

  21. FF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2024-01-16 · Health · corrected 2024-04-15

    Potential for more than minimal harm

  22. EF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2024-01-16 · Health · corrected 2024-04-15

    Potential for more than minimal harm

  23. EF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2024-01-16 · Health · corrected 2024-04-15

    Potential for more than minimal harm

  24. EF0638Assure that each resident’s assessment is updated at least once every 3 months.2024-01-16 · Health · corrected 2024-04-15

    Potential for more than minimal harm

  25. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-01-16 · Health · corrected 2024-04-15

    Potential for more than minimal harm

  26. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-01-16 · Health · corrected 2024-04-15

    Potential for more than minimal harm

  27. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-01-16 · Health · corrected 2024-04-15

    Potential for more than minimal harm

  28. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-01-16 · Health · corrected 2024-04-15

    Potential for more than minimal harm

  29. DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2024-01-16 · Health · corrected 2024-04-15

    Potential for more than minimal harm

  30. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-01-16 · Health · corrected 2024-04-15

    Potential for more than minimal harm

  31. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-01-16 · Health · corrected 2024-04-15

    Potential for more than minimal harm

  32. EF0688Provide 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.2024-01-16 · Health · corrected 2024-04-15

    Potential for more than minimal harm

  33. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-01-16 · Health · corrected 2024-04-15

    Potential for more than minimal harm

  34. EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-01-16 · Health · corrected 2024-04-15

    Potential for more than minimal harm

  35. EF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-01-16 · Health · corrected 2024-04-15

    Potential for more than minimal harm

  36. 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.2024-01-16 · Health · corrected 2024-04-15

    Potential for more than minimal harm

  37. 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.2024-01-16 · Health · corrected 2024-04-15

    Potential for more than minimal harm

  38. EF0791Provide or obtain dental services for each resident.2024-01-16 · Health · corrected 2024-04-15

    Potential for more than minimal harm

  39. EF0880Provide and implement an infection prevention and control program.2024-01-16 · Health · corrected 2024-04-15

    Potential for more than minimal harm

  40. FF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2024-01-16 · Health · corrected 2024-04-15

    Potential for more than minimal harm

  41. EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-01-16 · Health · corrected 2024-04-15

    Potential for more than minimal harm

  42. EF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2024-01-16 · Health · corrected 2024-04-15

    Potential for more than minimal harm

  43. EF0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.2024-01-16 · Health · corrected 2024-04-15

    Potential for more than minimal harm

  44. FF0563Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.2023-08-08 · Health · corrected 2023-09-15

    Potential for more than minimal harm

  45. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-08-08 · Health · corrected 2023-09-15

    Potential for more than minimal harm

  46. EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-08-08 · Health · corrected 2023-09-15

    Potential for more than minimal harm

  47. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2022-12-07 · Health · corrected 2023-01-31

    Potential for more than minimal harm

  48. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-12-07 · Health · corrected 2023-01-31

    Potential for more than minimal harm

  49. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2022-12-07 · Health · corrected 2023-01-31

    Potential for more than minimal harm

  50. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-12-07 · Health · corrected 2023-01-31

    Potential for more than minimal harm

Ownership

No ownership records.

Other facilities in DEMING

NameOverallBeds

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