Starfile / New Mexico

Sunset Villa Healthcare

1515 South Sunset Avenue, Roswell, NM 88203 · CCN 325117

Abuse icon

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

$80,968

Number of fines

2

Number of penalties

2

Payment denials

0

Chain

Chain

OPCO SKILLED MANAGEMENT

Facilities in chain

52

Chain avg overall

2.40 / 5

Inspection citations (61)5 actual harm

1. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-11-21 · Health · corrected 2025-12-22

   Potential for more than minimal harm

2. EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-11-21 · Health · corrected 2025-12-22

   Potential for more than minimal harm

3. EF0610Respond appropriately to all alleged violations.2025-11-21 · Health · corrected 2025-12-22

   Potential for more than minimal harm

4. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-09-02 · Health · corrected 2025-09-26

   Potential for more than minimal harm

5. DF0583Keep residents' personal and medical records private and confidential.2025-02-06 · Health · corrected 2025-03-17

   Potential for more than minimal harm

6. 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.2025-02-06 · Health · corrected 2025-03-17

   Potential for more than minimal harm

7. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-02-06 · Health · corrected 2024-08-02

   Actual harm

8. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-02-06 · Health · corrected 2025-03-17

   Potential for more than minimal harm

9. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-02-06 · Health · corrected 2025-03-17

   Potential for more than minimal harm

10. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-02-06 · Health · corrected 2025-03-17

    Potential for more than minimal harm

11. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-02-06 · Health · corrected 2025-03-17

    Potential for more than minimal harm

12. DF0692Provide enough food/fluids to maintain a resident's health.2025-02-06 · Health · corrected 2025-03-17

    Potential for more than minimal harm

13. 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.2025-02-06 · Health · corrected 2025-03-17

    Potential for more than minimal harm

14. FF0880Provide and implement an infection prevention and control program.2025-02-06 · Health · corrected 2025-03-17

    Potential for more than minimal harm

15. FF0881Implement a program that monitors antibiotic use.2025-02-06 · Health · corrected 2025-03-17

    Potential for more than minimal harm

16. EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2025-02-06 · Health · corrected 2025-03-17

    Potential for more than minimal harm

17. 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.2025-02-06 · Health · corrected 2025-03-17

    Potential for more than minimal harm

18. EF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-06-07 · Health · corrected 2024-07-05

    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.2024-06-07 · Health · corrected 2024-07-05

    Potential for more than minimal harm

20. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-06-07 · Health · corrected 2024-07-05

    Actual harm

21. 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.2024-06-07 · Health · corrected 2024-07-05

    Potential for more than minimal harm

22. EF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2024-03-06 · Health · corrected 2024-04-03

    Potential for more than minimal harm

23. EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2024-03-06 · Health · corrected 2024-04-03

    Potential for more than minimal harm

24. 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.2024-03-06 · Health · corrected 2024-04-03

    Potential for more than minimal harm

25. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2024-03-06 · Health · corrected 2024-04-03

    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.2024-03-06 · Health · corrected 2024-04-03

    Potential for more than minimal harm

27. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-03-06 · Health · corrected 2024-04-03

    Potential for more than minimal harm

28. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2024-03-06 · Health · corrected 2024-04-03

    Potential for more than minimal harm

29. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-03-06 · Health · corrected 2024-04-03

    Potential for more than minimal harm

30. EF0679Provide activities to meet all resident's needs.2024-03-06 · Health · corrected 2024-04-03

    Potential for more than minimal harm

31. FF0680Ensure the activities program is directed by a qualified professional.2024-03-06 · Health · corrected 2024-04-03

    Potential for more than minimal harm

32. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-03-06 · Health · corrected 2024-04-03

    Actual harm

33. EF0685Assist a resident in gaining access to vision and hearing services.2024-03-06 · Health · corrected 2024-04-03

    Potential for more than minimal harm

34. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-03-06 · Health · corrected 2023-09-28

    Potential for more than minimal harm

35. GF0697Provide safe, appropriate pain management for a resident who requires such services.2024-03-06 · Health · corrected 2024-04-03

    Actual harm

36. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-03-06 · Health · corrected 2024-04-03

    Potential for more than minimal harm

37. HF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2024-03-06 · Health · corrected 2024-04-03

    Actual harm

38. 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.2024-03-06 · Health · corrected 2024-04-03

    Potential for more than minimal harm

39. 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.2024-03-06 · Health · corrected 2024-04-03

    Potential for more than minimal harm

40. DF0791Provide or obtain dental services for each resident.2024-03-06 · Health · corrected 2024-04-03

    Potential for more than minimal harm

41. DF0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.2024-03-06 · Health · corrected 2024-04-03

    Potential for more than minimal harm

42. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-03-06 · Health · corrected 2024-04-03

    Potential for more than minimal harm

43. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-03-06 · Health · corrected 2024-04-03

    Potential for more than minimal harm

44. DF0887Educate 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.2024-03-06 · Health · corrected 2024-04-03

    Potential for more than minimal harm

45. EF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2024-03-06 · Health · corrected 2024-04-03

    Potential for more than minimal harm

46. EF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2024-03-06 · Health · corrected 2024-04-03

    Potential for more than minimal harm

47. EF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2024-03-06 · Health · corrected 2024-04-03

    Potential for more than minimal harm

48. FF0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.2024-03-06 · Health · corrected 2024-04-03

    Potential for more than minimal harm

49. DF0558Reasonably accommodate the needs and preferences of each resident.2023-02-02 · Health · corrected 2023-03-03

    Potential for more than minimal harm

50. 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.2023-02-02 · Health · corrected 2023-03-03

    Potential for more than minimal harm

51. FF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-02-02 · Health · corrected 2023-03-03

    Potential for more than minimal harm

52. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-02-02 · Health · corrected 2023-03-03

    Potential for more than minimal harm

53. EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-02-02 · Health · corrected 2023-03-03

    Potential for more than minimal harm

54. 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.2023-02-02 · Health · corrected 2023-03-03

    Potential for more than minimal harm

55. FF0732Post nurse staffing information every day.2023-02-02 · Health · corrected 2023-03-03

    Potential for more than minimal harm

56. EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-02-02 · Health · corrected 2023-03-03

    Potential for more than minimal harm

57. 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.2023-02-02 · Health · corrected 2023-03-03

    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.2023-02-02 · Health · corrected 2023-03-03

    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.2023-02-02 · Health · corrected 2023-03-03

    Potential for more than minimal harm

60. EF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2023-02-02 · Health · corrected 2023-03-03

    Potential for more than minimal harm

61. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2023-02-02 · Health · corrected 2023-03-03

    Potential for more than minimal harm

Ownership

Other facilities in Roswell

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