| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D36 | E33 | F10 |
| Minimal | A· | B· | C1 |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Feb 19, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 11, 2026 | Fire safety | Fire Safety Standard | 11 | Potential harm | — | Open → |
| Feb 11, 2026 | Health | Health Complaint, Health Standard | 14 | Actual harm | — | Open → |
| Aug 22, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jul 17, 2025 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Apr 25, 2025 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Feb 12, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Nov 15, 2024 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Nov 15, 2024 | Health | Health Standard | 16 | Potential harm | — | Open → |
| Jul 10, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jan 19, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 11, 2023 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Dec 11, 2023 | Health | Health Complaint, Health Standard | 18 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Feb 11, 2026 | Civil money penalty (fine) | $11,190 | — | 325127|Fine|137679 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D36 | E33 | F10 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Feb 19, 2026 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 27, 2026 | Complaint |
| Feb 11, 2026 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Mar 27, 2026 | Complaint |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
34 facilities in 7 states. CMS chain ID 193.
Chain average overall rating (CMS): 2.4
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Eduro Healthcare LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | May 1, 2018 |
| Michael Bewsey | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | May 1, 2018 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Eduro Healthcare LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | May 1, 2018 |
| Michael Bewsey | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | May 1, 2018 |
| Christopher Thompson | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | May 1, 2018 |
| Heidi Williams | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | May 1, 2018 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Skies Healthcare & Rehabilitation Center 9150 Mcmahon Boulevard NW, Albuquerque, NM 87114 CCN 325064SFF Candidate | 1.4 km | 120 | Jul 8, 2026 | 921 IJ | $30k | |
| Rio Rancho Center 4210 Sabana Grande SE, Rio Rancho, NM 87124 CCN 325033 | 5.2 km | 120 | Jul 27, 2026 | 80 | — | |
| The Neighborhood in Rio Rancho 900 Loma Colorado Blvd NE, Rio Rancho, NM 87124 CCN 325130Abuse icon | 6.9 km | 48 | Mar 13, 2026 | 641 harm | $8,278 | |
| Fiesta Park Wellness & Rehabilitation 8820 Horizon Boulevard NE, Albuquerque, NM 87113 CCN 325123Abuse icon | 9.8 km | 105 | Jun 22, 2026 | 481 IJ2 harm | $52k | |
| Ladera Center 5901 Ouray Road NW, Albuquerque, NM 87120 CCN 325037 | 12 km | 120 | Aug 18, 2026 | 1014 IJ1 harm1 open | $21k | |
| The Rehabilitation Center of Albuquerque 5900 Forest Hills Drive NE, Albuquerque, NM 87109 CCN 325034 | 12.2 km | 120 | Aug 7, 2026 | 844 IJ2 harm | $81k | |
| Spanish Trails Wellness & Rehabilitation 1610 N Renaissance Blvd NE, Albuquerque, NM 87107 CCN 325131Abuse icon | 12.3 km | 134 | Jun 10, 2026 | 721 harm2 open | $48k | |
| Albuquerque Heights Healthcare and Rehabilitation 103 Hospital Loop NE, Albuquerque, NM 87109 CCN 325069 | 13.9 km | 134 | Jul 24, 2026 | 921 harm | $8,170 |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 325127 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 325127 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Feb 11, 2026 | K-0222 | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 17, 2026 |
| Feb 11, 2026 | K-0226 | Have horizontal exits used in accordance with safety requirements. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 17, 2026 |
| Feb 11, 2026 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 17, 2026 |
| Feb 11, 2026 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 17, 2026 |
| Feb 11, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 17, 2026 |
| Feb 11, 2026 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 17, 2026 |
| Feb 11, 2026 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 17, 2026 |
| Feb 11, 2026 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 17, 2026 |
| Feb 11, 2026 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 17, 2026 |
| Feb 11, 2026 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 17, 2026 |
| Feb 11, 2026 | F-0578 | Honor 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 27, 2026 |
| Feb 11, 2026 | F-0637 | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 27, 2026 |
| Feb 11, 2026 | F-0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 27, 2026 |
| Feb 11, 2026 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Mar 27, 2026 |
| Feb 11, 2026 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Mar 27, 2026 |
| Feb 11, 2026 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Mar 27, 2026 |
| Feb 11, 2026 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 27, 2026 |
| Feb 11, 2026 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Mar 27, 2026 |
| Feb 11, 2026 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Mar 27, 2026 | Complaint |
| Feb 11, 2026 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Past non-compliance Jan 29, 2026 |
| Feb 11, 2026 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 27, 2026 |
| Feb 11, 2026 | F-0761 | Ensure 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. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Mar 27, 2026 |
| Feb 11, 2026 | F-0791 | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 27, 2026 |
| Feb 11, 2026 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Jul 17, 2026 |
| Aug 22, 2025 | F-0578 | Honor 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 5, 2025 | Complaint |
| Aug 22, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 5, 2025 | Complaint |
| Jul 17, 2025 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 25, 2025 | Complaint |
| Jul 17, 2025 | F-0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 25, 2025 | Complaint |
| Jul 17, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Aug 25, 2025 | Complaint |
| Apr 25, 2025 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 12, 2025 | Complaint |
| Apr 25, 2025 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 12, 2025 | Complaint |
| Apr 25, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 12, 2025 | Complaint |
| Apr 25, 2025 | F-0761 | Ensure 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. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jun 12, 2025 | Complaint |
| Feb 12, 2025 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Mar 14, 2025 | Complaint |
| Feb 12, 2025 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Mar 14, 2025 | ComplaintIDR |
| Nov 15, 2024 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 20, 2024 |
| Nov 15, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 20, 2024 |
| Nov 15, 2024 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 20, 2024 |
| Nov 15, 2024 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 20, 2024 |
| Nov 15, 2024 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Dec 20, 2024 |
| Nov 15, 2024 | F-0584 | Honor 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Dec 20, 2024 |
| Nov 15, 2024 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 20, 2024 |
| Nov 15, 2024 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Dec 20, 2024 |
| Nov 15, 2024 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Dec 20, 2024 |
| Nov 15, 2024 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Dec 20, 2024 |
| Nov 15, 2024 | F-0685 | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 20, 2024 |
| Nov 15, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 20, 2024 |
| Nov 15, 2024 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 20, 2024 |
| Nov 15, 2024 | F-0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Dec 20, 2024 |
| Nov 15, 2024 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Dec 20, 2024 |
| Nov 15, 2024 | F-0761 | Ensure 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. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Dec 20, 2024 |
| Nov 15, 2024 | F-0791 | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 20, 2024 |
| Nov 15, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Dec 20, 2024 |
| Nov 15, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Dec 20, 2024 |
| Jul 10, 2024 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 9, 2024 | Complaint |
| Jul 10, 2024 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Past non-compliance Jul 9, 2024 | Complaint |
| Jan 19, 2024 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Feb 23, 2024 | Complaint |
| Dec 11, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 2, 2024 |
| Dec 11, 2023 | K-0354 | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 2, 2024 |
| Dec 11, 2023 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 2, 2024 |
| Dec 11, 2023 | K-0927 | Have proper fire barriers, ventilation and signs for the transfilling of oxygen. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 2, 2024 |
| Dec 11, 2023 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 2, 2024 | Complaint |
| Dec 11, 2023 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Feb 2, 2024 | Complaint |
| Dec 11, 2023 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Feb 2, 2024 | Complaint |
| Dec 11, 2023 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 2, 2024 |
| Dec 11, 2023 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 2, 2024 |
| Dec 11, 2023 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Feb 2, 2024 | Complaint |
| Dec 11, 2023 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Feb 2, 2024 |
| Dec 11, 2023 | F-0685 | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 2, 2024 |
| Dec 11, 2023 | F-0730 | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Feb 2, 2024 |
| Dec 11, 2023 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Feb 2, 2024 |
| Dec 11, 2023 | F-0761 | Ensure 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. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Feb 2, 2024 |
| Dec 11, 2023 | F-0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Feb 2, 2024 |
| Dec 11, 2023 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Feb 2, 2024 |
| Dec 11, 2023 | F-0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Feb 2, 2024 |
| Dec 11, 2023 | F-0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Feb 2, 2024 |
| Dec 11, 2023 | F-0807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Feb 2, 2024 |
| Dec 11, 2023 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Feb 2, 2024 |
| Dec 11, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Feb 2, 2024 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.24 (case-mix index 1.32).
| Allred Jackson, P.c | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 1, 2022 |
| Eduro Healthcare LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 1, 2018 |
| Forvis Mazars LLP | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 1, 2018 |
| Wsrp, LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 1, 2018 |
| Mary Balderrama | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 6, 2020 |
| Mariah Brown | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 23, 2025 |
| Anna Buckner | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 13, 2022 |
| Joseph Foxhood | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 12, 2020 |
| James Marsh | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 21, 2018 |
| Odinaka Nnanna | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 15, 2024 |
| Christopher Thompson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 1, 2018 |
| Michael Bewsey | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 1, 2018 |
| James Marsh | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | May 21, 2018 |
| Dustin Monroe | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | May 1, 2018 |
| Christopher Thompson | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | May 1, 2018 |
| Ecapital Healthcare Corp | Organization | Mortgage / security interest | 5% OR GREATER SECURITY INTEREST | not provided | Nov 21, 2018 |
| Allred Jackson, P.c | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 17, 2025 |
| Caretrust Gp LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2018 |
| Caretrust Reit Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2018 |
| Ctr Partnership LP | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 17, 2025 |
| Ecapital Healthcare Corp | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 2, 2026 |
| Eduro Healthcare LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 17, 2025 |
| Forvis Mazars LLP | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 17, 2025 |
| Wsrp, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 17, 2025 |
| Mary Balderrama | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 6, 2020 |
| Mariah Brown | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 23, 2025 |
| Anna Buckner | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 13, 2022 |
| Joseph Foxhood | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 12, 2020 |
| Yessenia Gamboa | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 18, 2021 |
| James Marsh | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 21, 2018 |
| Dustin Monroe | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2018 |
| Odinaka Nnanna | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 15, 2024 |
| Christopher Thompson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2018 |
| Heidi Williams | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2018 |