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Las Cruces Village Nursing & Rehabilitation LLCCMS ratings, inspections and fines

Address
3025 Terrace Drive, Las Cruces, NM 88011
CCN
325067
Ownership type
For-profit, limited liability company
Certified beds
94
Residents per day
88
CMS flags
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CMS star ratings
Overall rating1 of 5
Health inspection rating1 of 5
Staffing rating2 of 5
Quality measure rating4 of 5
Care Compare record (Medicare.gov)

The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.

CMS gives Las Cruces Village Nursing & Rehabilitation LLC an overall rating of 1 of 5 stars. The last standard survey was on 27 Jun 2025. The latest survey cycle has 44 health citations. The median for nursing homes in New Mexico is 17. CMS lists no fines for this home in its penalties file.

Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.

Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .

Since the last CMS update

The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.

Ratings

CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.

CMS star ratings of Las Cruces Village Nursing & Rehabilitation LLC, with medians
Rating (1 to 5 stars)This homeDoña Ana County medianNew Mexico medianUS average (CMS)
Overall rating12.03.03.0
Health inspection rating12.02.02.8
Staffing rating23.03.02.9
Quality measure rating44.04.03.6

A median is the middle value of the homes in the group: 6 homes in the county, 68 homes in the state. What the CMS star ratings measure

Citations by survey cycle

CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.

Health citations of Las Cruces Village Nursing & Rehabilitation LLC in the last three survey cycles
Survey cycleStandard surveyCitationsNew Mexico median
Cycle 1 (latest)27 Jun 20254417
Cycle 212 Mar 20242314
Cycle 3No date1615

Health citations

The record of one deficiency in an inspection. One inspection can give many citations.

Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.

Scope and severity of the 83 citations. Select a cell to show only its rows.
SeverityIsolatedPatternWidespread
Immediate jeopardy to resident health or safetyJ0K0L0
Actual harm that is not immediate jeopardyG0H0I0
No actual harm, potential for more than minimal harm
No actual harm, potential for minimal harmA0B0

Survey cycle 1 (latest): 44 citations

Standard survey of this cycle: .

Health citations of Las Cruces Village Nursing & Rehabilitation LLC in survey cycle 1, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
30 Apr 2026F0551Give the resident's representative the ability to exercise the resident's rights.DComplaint investigation29 May 2026
30 Apr 2026F0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.DComplaint investigation29 May 2026
30 Apr 2026F0575Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.CComplaint investigation29 May 2026
30 Apr 2026F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint investigation29 May 2026
30 Apr 2026F0732Post nurse staffing information every day.CComplaint investigation29 May 2026
30 Apr 2026F0761Ensure 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.EComplaint investigation29 May 2026
30 Apr 2026F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.FComplaint investigation29 May 2026
16 Sep 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation31 Oct 2025
16 Sep 2025F0610Respond appropriately to all alleged violations.DComplaint investigation31 Oct 2025
16 Sep 2025F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDComplaint investigation31 Oct 2025
16 Sep 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EComplaint investigation31 Oct 2025
16 Sep 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.EComplaint investigation31 Oct 2025
16 Sep 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation31 Oct 2025
16 Sep 2025F0761Ensure 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.EComplaint investigation31 Oct 2025
27 Jun 2025F0552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard survey11 Aug 2025
27 Jun 2025F0584Honor 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 survey11 Aug 2025
27 Jun 2025F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.EStandard survey11 Aug 2025
27 Jun 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey11 Aug 2025
27 Jun 2025F0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.DStandard survey11 Aug 2025
27 Jun 2025F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.EComplaint investigation11 Aug 2025
27 Jun 2025F0641Ensure each resident receives an accurate assessment.DStandard survey11 Aug 2025
27 Jun 2025F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey11 Aug 2025
27 Jun 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EComplaint investigation11 Aug 2025
27 Jun 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard survey11 Aug 2025
27 Jun 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard survey11 Aug 2025
27 Jun 2025F0679Provide activities to meet all resident's needs.EStandard survey11 Aug 2025
27 Jun 2025F0680Ensure the activities program is directed by a qualified professional.EStandard survey11 Aug 2025
27 Jun 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey11 Aug 2025
27 Jun 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey11 Aug 2025
27 Jun 2025F0688Provide 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.DStandard survey11 Aug 2025
27 Jun 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey11 Aug 2025
27 Jun 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.EStandard survey11 Aug 2025
27 Jun 2025F0727Have 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 survey11 Aug 2025
27 Jun 2025F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey11 Aug 2025
27 Jun 2025F0791Provide or obtain dental services for each resident.EStandard survey11 Aug 2025
27 Jun 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey11 Aug 2025
27 Jun 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard survey11 Aug 2025
27 Jun 2025F0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DStandard survey11 Aug 2025
27 Jun 2025F0880Provide and implement an infection prevention and control program.FStandard survey11 Aug 2025
27 Jun 2025F0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.FStandard survey11 Aug 2025
27 Jun 2025F0941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.EStandard survey11 Aug 2025
27 Jun 2025F0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.EStandard survey11 Aug 2025
27 Jun 2025F0948Ensure that paid feeding assistants have the training they need.DStandard survey11 Aug 2025
27 Jun 2025F0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.EStandard survey11 Aug 2025

Survey cycle 2: 23 citations

Standard survey of this cycle: .

Health citations of Las Cruces Village Nursing & Rehabilitation LLC in survey cycle 2, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
16 Jun 2025F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation29 Jul 2025
16 Jun 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation29 Jul 2025
13 Feb 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint investigation21 Mar 2025
13 Feb 2025F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint investigation21 Mar 2025
13 Feb 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation21 Mar 2025
16 Dec 2024F0603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).DComplaint investigation31 Jan 2025
16 Dec 2024F0880Provide and implement an infection prevention and control program.FComplaint investigation31 Jan 2025
9 Oct 2024F0602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint investigation30 Oct 2024
12 Mar 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey17 May 2024
12 Mar 2024F0584Honor 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 survey17 May 2024
12 Mar 2024F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EStandard survey17 May 2024
12 Mar 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 survey17 May 2024
12 Mar 2024F0641Ensure each resident receives an accurate assessment.EStandard survey17 May 2024
12 Mar 2024F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard survey17 May 2024
12 Mar 2024F0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.EStandard survey17 May 2024
12 Mar 2024F0679Provide activities to meet all resident's needs.EStandard survey17 May 2024
12 Mar 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard survey17 May 2024
12 Mar 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.EStandard survey17 May 2024
12 Mar 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 survey17 May 2024
12 Mar 2024F0761Ensure 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 survey17 May 2024
12 Mar 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey17 May 2024
12 Mar 2024F0825Provide or get specialized rehabilitative services as required for a resident.EStandard survey17 May 2024
12 Mar 2024F0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.EStandard survey17 May 2024

Survey cycle 3: 16 citations

The CMS provider file has no standard survey date for this cycle.

Health citations of Las Cruces Village Nursing & Rehabilitation LLC in survey cycle 3, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
1 Feb 2023F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.EStandard survey27 Mar 2023
1 Feb 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 survey27 Mar 2023
1 Feb 2023F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EStandard survey27 Mar 2023
1 Feb 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 survey27 Mar 2023
1 Feb 2023F0641Ensure each resident receives an accurate assessment.DStandard survey27 Mar 2023
1 Feb 2023F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedEStandard survey27 Mar 2023
1 Feb 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey27 Mar 2023
1 Feb 2023F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard survey27 Mar 2023
1 Feb 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey27 Mar 2023
1 Feb 2023F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.EStandard survey27 Mar 2023
1 Feb 2023F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EStandard survey27 Mar 2023
1 Feb 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 survey27 Mar 2023
1 Feb 2023F0727Have 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 survey27 Mar 2023
1 Feb 2023F0730Observe each nurse aide's job performance and give regular training.EStandard survey27 Mar 2023
1 Feb 2023F0741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.EStandard survey27 Mar 2023
1 Feb 2023F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard survey27 Mar 2023

The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report

Penalties

A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.

CMS lists no fine and no payment denial for this home in its penalties file.

Staffing

Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.

Nurse staffing hours per resident per day at Las Cruces Village Nursing & Rehabilitation LLC
StaffThis homeNew Mexico medianNew Mexico average (CMS)
All nurse staff3.673.403.53
Registered nurses (RN)0.340.600.63
Licensed practical nurses (LPN)1.050.70
Nurse aides2.272.21
All nurse staff, weekends3.293.003.10
Nurse staff turnover in a year
64.6%
Nurse staff turnover, New Mexico median
52.9%
RN turnover in a year
70.6%
Administrators who left in a year
1

Homes report the hours to CMS in the Payroll-Based Journal.

Quality measures

A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.

Quality measures of Las Cruces Village Nursing & Rehabilitation LLC, average of four quarters (2025Q2-2026Q1)
Measure (CMS text)ResidentsThis homeNew Mexico medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay10.4%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 Stay0.0%0.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay3.9%3.2%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.1%0.9%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay4.6%10.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay2.7%4.5%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay18.1%13.5%13.4%

For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure

Ownership

An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.

Ownership type
For-profit, limited liability company
Setting
Continuing care retirement community
Legal business name
Las Cruces Village Nursing & Rehabilitation LLC
Chain
Opco Skilled Management (66 homes in the CMS chain file)
Organisations in the CMS ownership record of Las Cruces Village Nursing & Rehabilitation LLC
OrganisationRole in the CMS recordInterestSince
3025 NM Holdings LLC5% or greater direct ownership interest100%1 Nov 2024
First Sweetzer Holdings LLCIndirect ownership interest1 Nov 2024
Hatteras Investments, LLCIndirect ownership interest1 Nov 2024
Sasem Investments LLCIndirect ownership interest1 Nov 2024
3025 NM Realty LLCAdp of the snf1 Nov 2024
3025 Terrace Drive NM LLCAdp of the snf1 Nov 2024

The site shows organisations only. It does not show the names of persons.

Other homes in Doña Ana County

The 5 nearest other nursing homes in Doña Ana County, New Mexico
Nursing homeCityOverall ratingCitations, latest cycleFinesLast standard survey
Casa Del Sol CenterLas Cruces3 of 531$018 Mar 2025
Las Cruces Wellness & Rehabilitation LLCLas Cruces3 of 522$02 Jul 2024
Calibre Post Acute, LLCSpecial Focus candidateLas Cruces1 of 529$06 Nov 2024
Northrise Wellness & RehabilitationLas Cruces2 of 534$06 May 2026
Casa De Oro CenterSpecial Focus candidateLas Cruces1 of 522$68,5545 Feb 2026

All 6 nursing homes in Doña Ana County

Official channels

Cite this page

Centers for Medicare & Medicaid Services, Care Compare. Record of Las Cruces Village Nursing & Rehabilitation LLC (CCN 325067). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/las-cruces-village-nursing-rehabilitation-llc-las-cruces-nm-325067/

Provenance

Licence
US government work, public domain
CMS processed the data on

A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.

Questions

When was Las Cruces Village Nursing & Rehabilitation LLC last inspected?
The latest inspection with a citation in the CMS record was on 30 Apr 2026. It was a complaint investigation. It gave 7 citations. The standard survey before the last one was on 12 Mar 2024.
Who operates Las Cruces Village Nursing & Rehabilitation LLC?
The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Opco Skilled Management. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
Is Las Cruces Village Nursing & Rehabilitation LLC a Special Focus Facility?
No. The CMS provider file lists no Special Focus status for this home. CMS lists 1 home in New Mexico as a Special Focus Facility and 5 as candidates.
Where does the data on this page come from?
The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.