New Mexico › Luna County › Deming
Luna Wellness Rehabilitation, LLC
900 West Ash Street, Deming, NM 88030
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.
Luna Wellness Rehabilitation, LLC, in Deming, New Mexico, is certified for 66 beds under for-profit, limited liability company ownership.
CMS gives it 2 of 5 stars overall, below the New Mexico median of 3; the health inspection rating is 2, staffing 1 and quality measures 5.
Inspectors recorded 58 health deficiencies across the three most recent survey cycles (20, 23, 15 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 87.9 per 100 beds, more than the state median of 47.5.
CMS lists 5 penalties in the period covered: fines totalling $67K and 3 payment denials.
Reported nurse staffing is 3.1 hours per resident per day (0.5 RN), close to the New Mexico median of 3.4.
Compared with county, state and nation
| Measure | This facility | Luna Co. median | New Mexico median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 58 | 58 | 49 | 28.7 |
| Citations per 100 beds | 87.9 | 87.9 | 47.5 | 26.8 |
| Total nurse hours per resident day | 3.1 | 3.1 | 3.4 | 3.9 |
| RN hours per resident day | 0.5 | 0.5 | 0.6 | 0.7 |
| Nursing staff turnover | — | — | 52.9% | 45.8% |
| Fines listed | $66,876 | $66,876 | $19,971 | — |
County and state figures are medians across facilities (1 in the county, 68 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: New Mexico average per facility for the same cycle, as published by CMS. Standard health survey dates: 7 Apr 2025, 16 Jan 2024.
Severity mix: K ×1 G ×1 D ×20 E ×30 F ×5 C ×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)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 13 Mar 2026 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | Complaint investigation | 7 Apr 2026 |
| 13 Mar 2026 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Complaint investigation | 7 Apr 2026 |
| 13 Mar 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Complaint investigation | 12 Jun 2026 |
| 13 Mar 2026 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 7 Apr 2026 |
| 13 Mar 2026 | F0761 | 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. | E | Complaint investigation | 12 Jun 2026 |
| 13 Mar 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 12 Jun 2026 |
| 13 Mar 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 19 Jun 2026 |
| 13 Mar 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 12 Jun 2026 |
| 3 Sep 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 22 Sep 2025 |
| 3 Sep 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 22 Sep 2025 |
| 3 Sep 2025 | F0700 | Try 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. | D | Complaint investigation | 22 Sep 2025 |
| 7 Apr 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 22 May 2025 |
| 7 Apr 2025 | F0758 | Implement 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. | E | Standard survey | 22 May 2025 |
| 7 Apr 2025 | F0625 | Notify 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. | D | Standard survey | 22 May 2025 |
| 7 Apr 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 22 May 2025 |
| 7 Apr 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 22 May 2025 |
| 7 Apr 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 22 May 2025 |
| 7 Apr 2025 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 22 May 2025 |
| 7 Apr 2025 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 22 May 2025 |
| 7 Apr 2025 | F0732 | Post nurse staffing information every day. | C | Standard survey | 22 May 2025 |
| 23 Jul 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | Complaint investigation | 5 Sep 2024 |
| 23 Jul 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 5 Sep 2024 |
| 23 Jul 2024 | F0610 | Respond appropriately to all alleged violations. | E | Complaint investigation | 5 Sep 2024 |
| 23 Jul 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Complaint investigation | 5 Sep 2024 |
| 7 Mar 2024 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | G | Complaint investigation | 15 Apr 2024 |
| 7 Mar 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 15 Apr 2024 |
| 7 Mar 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 15 Apr 2024 |
| 7 Mar 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 15 Apr 2024 |
| 16 Jan 2024 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | F | Standard survey | 15 Apr 2024 |
| 16 Jan 2024 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Standard survey | 15 Apr 2024 |
| 16 Jan 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E | Standard survey | 15 Apr 2024 |
| 16 Jan 2024 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | Standard survey | 15 Apr 2024 |
| 16 Jan 2024 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | E | Standard survey | 15 Apr 2024 |
| 16 Jan 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 15 Apr 2024 |
| 16 Jan 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 15 Apr 2024 |
| 16 Jan 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 15 Apr 2024 |
| 16 Jan 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 15 Apr 2024 |
| 16 Jan 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 15 Apr 2024 |
| 16 Jan 2024 | F0688 | Provide 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. | E | Standard survey | 15 Apr 2024 |
| 16 Jan 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 15 Apr 2024 |
| 16 Jan 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Standard survey | 15 Apr 2024 |
| 16 Jan 2024 | F0758 | Implement 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. | E | Standard survey | 15 Apr 2024 |
| 16 Jan 2024 | F0761 | 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. | E | Standard survey | 15 Apr 2024 |
| 16 Jan 2024 | F0791 | Provide or obtain dental services for each resident. | E | Standard survey | 15 Apr 2024 |
| 16 Jan 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 15 Apr 2024 |
| 16 Jan 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 15 Apr 2024 |
| 16 Jan 2024 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | Standard survey | 15 Apr 2024 |
| 16 Jan 2024 | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | E | Standard survey | 15 Apr 2024 |
| 16 Jan 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 15 Apr 2024 |
| 16 Jan 2024 | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Standard survey | 15 Apr 2024 |
| 16 Jan 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 15 Apr 2024 |
| 8 Aug 2023 | F0563 | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | F | Complaint investigation | 15 Sep 2023 |
| 8 Aug 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 15 Sep 2023 |
| 8 Aug 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 15 Sep 2023 |
| 7 Dec 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 31 Jan 2023 |
| 7 Dec 2022 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 31 Jan 2023 |
| 7 Dec 2022 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 31 Jan 2023 |
| 7 Dec 2022 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 31 Jan 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 13 Mar 2026 | Payment denial | — | 6 days |
| 23 Jul 2024 | Payment denial | — | 9 days |
| 23 Jul 2024 | Fine | $50,905 | |
| 16 Jan 2024 | Payment denial | — | 9 days |
| 16 Jan 2024 | Fine | $15,971 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the New Mexico average. Turnover: nursing staff —, RNs —; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | New Mexico median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 2.4% | 10.0% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.6% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.0% | 3.2% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.7% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 6.7% | 10.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.6% | 4.5% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 14.4% | 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, limited liability company. Legal business name: Luna Wellness & Rehabilitation Llc.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Luna Operations Holdings LLC | Direct ownership interest | NOT APPLICABLE | 04/01/2025 |
| Blanca Peak LLC | Indirect ownership interest | NOT APPLICABLE | 04/01/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Questions and answers
How many deficiencies has Luna Wellness Rehabilitation, LLC been cited for?
58 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 Luna Wellness Rehabilitation, LLC been fined?
Yes. CMS lists fines totalling $67K in the period covered, plus 3 payment denials.
How does staffing at Luna Wellness Rehabilitation, LLC compare?
Reported total nurse staffing is 3.1 hours per resident per day against a New Mexico median of 3.4 and a national average of 3.9.
Who operates Luna Wellness Rehabilitation, LLC?
Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Luna Operations Holdings LLC and Blanca Peak LLC. Individual owners and managers are not listed on this site.
When was Luna Wellness Rehabilitation, LLC last inspected?
The most recent survey or investigation in the CMS record is dated 13 Mar 2026; the most recent standard health survey was 7 Apr 2025.
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.