Elder Care Record

New Mexico › Dona Ana County › Las Cruces

Calibre Post Acute, LLC

2029 Sagecrest Ave, Las Cruces, NM 88011

CCN 325039 · For-profit, corporation · 120 certified beds

Special Focus Facility candidate
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Certified for 120 beds, Calibre Post Acute, LLC serves Las Cruces in Dona Ana County, New Mexico and has taken Medicare and Medicaid residents since 1984.

CMS gives it 1 of 5 stars overall, below the New Mexico median of 3; the health inspection rating is 1, staffing 3 and quality measures 4.

Inspectors recorded 91 health deficiencies across the three most recent survey cycles (29, 38, 24 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 75.8 per 100 beds, more than the state median of 47.5.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 3.7 hours per resident per day (0.3 RN), close to the New Mexico median of 3.4; nursing staff turnover is 52.7%.

CMS flags that the facility is a Special Focus Facility candidate.

91health deficiencies, 3 survey cycles2 at actual harm or worse
$0fines listed by CMS0 penalties in period
3.7nurse hours per resident per daystate median 3.4
83%occupancy (residents ÷ beds)100 residents a day

Compared with county, state and nation

MeasureThis facilityDona Ana Co. medianNew Mexico medianUS average
Overall star rating1233.0
Health citations, 3 cycles91834928.7
Citations per 100 beds75.888.347.526.8
Total nurse hours per resident day3.73.73.43.9
RN hours per resident day0.30.50.60.7
Nursing staff turnover52.7%62.3%52.9%45.8%
Fines listed$0$0$19,971—

County and state figures are medians across facilities (6 in the county, 68 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)29
Cycle 238
Cycle 324

Dark bar: this facility. Grey bar: New Mexico average per facility for the same cycle, as published by CMS. Standard health survey dates: 6 Nov 2024, 3 Aug 2023.

Severity mix: G ×2 D ×24 E ×54 F ×10 B ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
3 Mar 2026F0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.EComplaint investigation30 Mar 2026
3 Mar 2026F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DComplaint investigation30 Mar 2026
3 Mar 2026F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation30 Mar 2026
18 Nov 2025F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.EComplaint investigation16 Jan 2026
18 Nov 2025F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.EComplaint investigation16 Jan 2026
18 Nov 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EComplaint investigation16 Jan 2026
18 Nov 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.EComplaint investigation16 Jan 2026
18 Nov 2025F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.EComplaint investigation16 Jan 2026
18 Nov 2025F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EComplaint investigation16 Jan 2026
18 Nov 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation16 Jan 2026
18 Nov 2025F0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.DComplaint investigation16 Jan 2026
18 Jun 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EComplaint investigation25 Jul 2025
18 Jun 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint investigation25 Jul 2025
18 Jun 2025F0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.EComplaint investigation25 Jul 2025
18 Jun 2025F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation25 Jul 2025
18 Jun 2025F0641Ensure each resident receives an accurate assessment.DComplaint investigation25 Jul 2025
18 Jun 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation25 Jul 2025
20 Feb 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.GComplaint investigation2 Apr 2025
20 Feb 2025F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.GComplaint investigation2 Apr 2025
20 Feb 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint investigation2 Apr 2025
20 Feb 2025F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDComplaint investigation2 Apr 2025
20 Feb 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation2 Apr 2025
20 Feb 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation2 Apr 2025
20 Feb 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation2 Apr 2025
20 Feb 2025F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DComplaint investigation2 Apr 2025
20 Feb 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation2 Apr 2025
6 Nov 2024F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.FStandard survey20 Dec 2024
6 Nov 2024F0625Notify 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.EStandard survey20 Dec 2024
6 Nov 2024F0641Ensure each resident receives an accurate assessment.EStandard survey20 Dec 2024
6 Nov 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey20 Dec 2024
6 Nov 2024F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard survey20 Dec 2024
6 Nov 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.EStandard survey20 Dec 2024
6 Nov 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard survey20 Dec 2024
6 Nov 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey20 Dec 2024
6 Nov 2024F0758Implement 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.EStandard survey20 Dec 2024
6 Nov 2024F0791Provide or obtain dental services for each resident.EStandard survey20 Dec 2024
6 Nov 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey20 Dec 2024
6 Nov 2024F0919Make sure that a working call system is available in each resident's bathroom and bathing area.EStandard survey20 Dec 2024
6 Nov 2024F0941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.EStandard survey20 Dec 2024
6 Nov 2024F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard survey20 Dec 2024
6 Nov 2024F0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DStandard survey20 Dec 2024
6 Nov 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey20 Dec 2024
6 Nov 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey20 Dec 2024
6 Nov 2024F0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.DStandard survey20 Dec 2024
23 Aug 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint investigation21 Oct 2024
23 Aug 2024F0610Respond appropriately to all alleged violations.DComplaint investigation21 Oct 2024
23 Aug 2024F0700Try 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.DComplaint investigation21 Oct 2024
3 Jan 2024F0624Prepare residents for a safe transfer or discharge from the nursing home.DComplaint investigation17 Jan 2024
3 Aug 2023F0761Ensure 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.FStandard survey2 Sep 2023
3 Aug 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey2 Sep 2023
3 Aug 2023F0558Reasonably accommodate the needs and preferences of each resident.EStandard survey2 Sep 2023
3 Aug 2023F0578Honor 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.EStandard survey2 Sep 2023
3 Aug 2023F0584Honor 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.EStandard survey16 Jan 2024
3 Aug 2023F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint investigation16 Jan 2024
3 Aug 2023F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EStandard survey16 Jan 2024
3 Aug 2023F0625Notify 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.EStandard survey16 Jan 2024
3 Aug 2023F0641Ensure each resident receives an accurate assessment.EStandard survey2 Sep 2023
3 Aug 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey2 Sep 2023
3 Aug 2023F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard survey2 Sep 2023
3 Aug 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard survey2 Sep 2023
3 Aug 2023F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.EStandard survey2 Sep 2023
3 Aug 2023F0699Provide care or services that was trauma informed and/or culturally competent.EStandard survey2 Sep 2023
3 Aug 2023F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EStandard survey2 Sep 2023
3 Aug 2023F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.EStandard survey2 Sep 2023
3 Aug 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint investigation2 Sep 2023
3 Aug 2023F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard survey16 Jan 2024
3 Aug 2023F0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.EStandard survey2 Sep 2023
3 Aug 2023F0770Provide timely, quality laboratory services/tests to meet the needs of residents.DComplaint investigation2 Sep 2023
3 Aug 2023F0610Respond appropriately to all alleged violations.EComplaint investigation2 Sep 2023
9 Sep 2022F0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.FStandard survey7 Oct 2022
9 Sep 2022F0727Have 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.FStandard survey7 Oct 2022
9 Sep 2022F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.FStandard survey7 Oct 2022
9 Sep 2022F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey7 Oct 2022
9 Sep 2022F0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.FStandard survey7 Oct 2022
9 Sep 2022F0886Perform COVID19 testing on residents and staff.FStandard survey7 Oct 2022
9 Sep 2022F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard survey7 Oct 2022
9 Sep 2022F0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.EStandard survey7 Oct 2022
9 Sep 2022F0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.EStandard survey7 Oct 2022
9 Sep 2022F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EStandard survey7 Oct 2022
9 Sep 2022F0625Notify 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.EStandard survey7 Oct 2022
9 Sep 2022F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey7 Oct 2022
9 Sep 2022F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard survey7 Oct 2022
9 Sep 2022F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.EStandard survey7 Oct 2022
9 Sep 2022F0730Observe each nurse aide's job performance and give regular training.EStandard survey7 Oct 2022
9 Sep 2022F0758Implement 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.EStandard survey7 Oct 2022
9 Sep 2022F0761Ensure 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.EStandard survey7 Oct 2022
9 Sep 2022F0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.EStandard survey7 Oct 2022
9 Sep 2022F0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.EStandard survey7 Oct 2022
9 Sep 2022F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey7 Oct 2022
9 Sep 2022F0908Keep all essential equipment working safely.DStandard survey7 Oct 2022
9 Sep 2022F0880Provide and implement an infection prevention and control program.BStandard survey7 Oct 2022

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing3.72 h
Nurse aides2.35 h
LPN1.02 h
RN0.35 h
Weekend total3.23 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the New Mexico average. Turnover: nursing staff 52.7%, RNs 62.5%; 1 administrator left in the reporting year.

Quality measures

MeasureResidentsThis facilityNew Mexico medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay2.4%10.0%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.3%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.9%0.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.2%3.2%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.7%0.9%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay3.1%10.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay6.0%4.5%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay21.1%13.5%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, corporation. Legal business name: Calibre Post Acute Llc.

No organisations are listed in the CMS ownership record for this facility.

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Dona Ana County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Casa Del Sol CenterLas Cruces623325588.7—10 Mar 2026
Las Cruces Wellness & Rehabilitation LLCLas Cruces753335978.7—26 Nov 2025
Northrise Wellness & RehabilitationLas Cruces3122371229.0—22 Jun 2026
Casa De Oro CenterSFF CandidateLas Cruces1581149862.0$69K9 Jun 2026
Las Cruces Village Nursing & Rehabilitation LLCabuse iconLas Cruces941128388.3—30 Apr 2026

All 6 facilities in Dona Ana County

Questions and answers

How many deficiencies has Calibre Post Acute, LLC been cited for?

91 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The New Mexico median is 49 per facility.

Has Calibre Post Acute, LLC been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Calibre Post Acute, LLC compare?

Reported total nurse staffing is 3.7 hours per resident per day against a New Mexico median of 3.4 and a national average of 3.9.

Who operates Calibre Post Acute, LLC?

Ownership type is for-profit, corporation. Individual owners and managers are not listed on this site.

When was Calibre Post Acute, LLC last inspected?

The most recent survey or investigation in the CMS record is dated 3 Mar 2026; the most recent standard health survey was 6 Nov 2024.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.