Spring River Rehabilitation and Care Center
3200 Mission Arch Drive, Roswell, NM 88201 · CCN 325044
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★☆☆☆☆ 1
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 120
- Avg residents/day
- 91.5
- Phone
- 5756242583
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 | 2024-12-12 | 19 | 16.7 | 9.5 | +2.3 worse |
| 2 | 2024-02-09 | 29 | 16.5 | 9.8 | +12.5 worse |
| 3 | 2022-11-18 | 12 | 16.3 | 9.3 | -4.3 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 2 |
| Resident assessment and care planning | 3 |
| Nursing and physician services | 1 |
| Resident rights | 1 |
| Nutrition and dietary | 1 |
| Pharmacy service | 4 |
| Environmental | 1 |
| Administration | 1 |
| Infection control | 4 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.29 | 54.4% |
| RN staffing (reported) | 0.51 | 61.5% |
| Total nurse staffing (adjusted) | 3.66 | — |
Fines & penalties
- Total fines
- $34,398
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Chain
- Chain
- GENESIS HEALTHCARE
- Facilities in chain
- 193
- Chain avg overall
- 2.40 / 5
Inspection citations (60)1 actual harm
- DF0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.2025-08-06 · Health · corrected 2025-09-02
Potential for more than minimal harm
- DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2025-08-06 · Health · corrected 2025-09-02
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.2025-02-07 · Health · corrected 2025-02-19
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-02-07 · Health · corrected 2025-02-19
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.2025-02-07 · Health · corrected 2025-02-19
Potential for more than minimal harm
- DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2024-12-12 · Health · corrected 2025-02-05
Potential for more than minimal harm
- EF0641Ensure each resident receives an accurate assessment.2024-12-12 · Health · corrected 2025-02-05
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.2024-12-12 · Health · corrected 2025-02-05
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.2024-12-12 · Health · corrected 2025-02-05
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-12-12 · Health · corrected 2025-02-05
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.2024-12-12 · Health · corrected 2025-02-05
Potential for more than minimal harm
- CF0732Post nurse staffing information every day.2024-12-12 · Health · corrected 2025-02-05
Potential for minimal harm
- FF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-12-12 · Health · corrected 2025-02-05
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-12-12 · Health · corrected 2025-02-05
Potential for more than minimal harm
- EF0759Ensure medication error rates are not 5 percent or greater.2024-12-12 · Health · corrected 2025-02-05
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.2024-12-12 · Health · corrected 2025-02-05
Potential for more than minimal harm
- FF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2024-12-12 · Health · corrected 2025-02-05
Potential for more than minimal harm
- FF0865Have a plan that describes the process for conducting QAPI and QAA activities.2024-12-12 · Health · corrected 2025-02-05
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2024-12-12 · Health · corrected 2025-02-05
Potential for more than minimal harm
- FF0881Implement a program that monitors antibiotic use.2024-12-12 · Health · corrected 2025-02-05
Potential for more than minimal harm
- EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-12-12 · Health · corrected 2025-02-05
Potential for more than minimal harm
- EF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.2024-12-12 · Health · corrected 2025-02-05
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2024-11-15 · Health · corrected 2025-02-05
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.2024-11-15 · Health · corrected 2025-02-05
Potential for more than minimal harm
- EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-11-15 · Health · corrected 2025-02-05
Potential for more than minimal harm
- GF0692Provide enough food/fluids to maintain a resident's health.2024-11-15 · Health · corrected 2025-02-05
Actual harm
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-09-06 · Health · corrected 2024-11-19
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-09-06 · Health · corrected 2024-11-19
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2024-09-06 · Health · corrected 2024-11-19
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 admitted2024-09-06 · Health · corrected 2024-11-19
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.2024-09-06 · Health · corrected 2024-11-19
Potential for more than minimal harm
- EF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-09-06 · Health · corrected 2024-11-19
Potential for more than minimal harm
- 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.2024-09-06 · Health · corrected 2024-11-19
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.2024-09-06 · Health · corrected 2024-11-19
Potential for more than minimal harm
- EF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2024-09-06 · Health · corrected 2024-11-19
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-02-09 · Health · corrected 2024-03-19
Potential for more than minimal harm
- EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2024-02-09 · Health · corrected 2024-03-19
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2024-02-09 · Health · corrected 2024-03-19
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-02-09 · Health · corrected 2024-03-19
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-02-09 · Health · corrected 2024-03-19
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-02-09 · Health · corrected 2024-03-19
Potential for more than minimal harm
- EF0679Provide activities to meet all resident's needs.2024-02-09 · Health · corrected 2024-03-19
Potential for more than minimal harm
- EF0685Assist a resident in gaining access to vision and hearing services.2024-02-09 · Health · corrected 2024-03-19
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-02-09 · Health · corrected 2023-12-05
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-02-09 · Health · corrected 2024-03-19
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.2024-02-09 · Health · corrected 2024-03-19
Potential for more than minimal harm
- EF0759Ensure medication error rates are not 5 percent or greater.2024-02-09 · Health · corrected 2024-03-19
Potential for more than minimal harm
- 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.2024-02-09 · Health · corrected 2024-03-19
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-02-09 · Health · corrected 2024-03-19
Potential for more than minimal harm
- DF0567Honor the resident's right to manage his or her financial affairs.2023-12-21 · Health · corrected 2024-02-13
Potential for more than minimal harm
- DF0584Honor 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.2022-11-18 · Health · corrected 2022-12-30
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.2022-11-18 · Health · corrected 2022-12-30
Potential for more than minimal harm
- EF0658Ensure services provided by the nursing facility meet professional standards of quality.2022-11-18 · Health · corrected 2022-12-30
Potential for more than minimal harm
- DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2022-11-18 · Health · corrected 2022-12-30
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-11-18 · Health · corrected 2022-12-30
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2022-11-18 · Health · corrected 2022-12-30
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.2022-11-18 · Health · corrected 2022-12-30
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2022-11-18 · Health · corrected 2022-12-30
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-11-18 · Health · corrected 2022-12-30
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2022-11-18 · Health · corrected 2022-12-30
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| PEAK MEDICAL LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2015-02-02 |
| FC-GEN OPERATIONS INVESTMENT LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2012-12-01 |
| GEN OPERATIONS I LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2012-12-01 |
| GEN OPERATIONS II LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2012-12-01 |
| GENESIS HEALTHCARE INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2015-02-02 |
| GENESIS HEALTHCARE LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2015-02-02 |
| GENESIS HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2015-02-02 |
| HCCF MANAGEMENT GROUP XI LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2022-11-15 |
| SUN HEALTHCARE GROUP INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2022-11-15 |
| SUNBRIDGE HEALTHCARE LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2007-04-20 |
| SUNDANCE REHABILITATION HOLDCO INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2022-11-15 |
| WELLTOWER OP LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-06-01 |
| ZAC PROPERTIES XI LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2022-11-15 |
| FISHMAN, STEVEN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2022-11-15 |
| WHITMAN, ARNOLD | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2022-11-15 |
| MORRIS, DIANE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-04-01 |
| PERRYMAN-JOHNSON, CAROLYN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-06-01 |
| STOLARCZYK, LISA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-06-01 |
| BERG, MICHAEL | Individual | CORPORATE OFFICER | — | 2015-03-02 |
| BRIDGEFORD, LAURA | Individual | CORPORATE OFFICER | — | 2024-06-01 |
| MENDELSON, AVI | Individual | CORPORATE OFFICER | — | 2024-06-01 |
Other facilities in Roswell
| Name | Overall | Beds |
|---|---|---|
| Sunset Villa Healthcare | ★★☆☆☆ | 52 |
| Casa Maria Healthcare | ★☆☆☆☆ | 118 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.