Paloma Springs Healthcare LLCCMS ratings, inspections and fines
- Address
- 1400 North Silver Street, T Or C, NM 87901
- CCN
- 325062
- Ownership type
- For-profit, corporation
- Certified beds
- 94
- Residents per day
- 88
- CMS flags
- None in the CMS record
Open the watch listCare 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 Paloma Springs Healthcare LLC an overall rating of 4 of 5 stars. The last standard survey was on 28 Apr 2025. The latest survey cycle has 17 health citations. The median for nursing homes in New Mexico is 17. CMS lists 1 fine of $19,971 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.
Changes in the CMS recordFeed of changes in New Mexico (RSS)
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Sierra County median | New Mexico median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 4 | 4.0 | 3.0 | 3.0 |
| Health inspection rating | 3 | 3.0 | 2.0 | 2.8 |
| Staffing rating | 3 | 3.0 | 3.0 | 2.9 |
| Quality measure rating | 5 | 5.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 2 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.
| Survey cycle | Standard survey | Citations | New Mexico median |
|---|---|---|---|
| Cycle 1 (latest) | 28 Apr 2025 | 17 | 17 |
| Cycle 2 | 12 Feb 2024 | 17 | 14 |
| Cycle 3 | No date | 7 | 15 |
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.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 17 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 25 Jun 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | Deficient, Provider has no plan of correction |
| 5 Dec 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 19 Dec 2025 |
| 5 Dec 2025 | F0637 | Assess the resident when there is a significant change in condition | D | Complaint investigation | 19 Dec 2025 |
| 5 Dec 2025 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | D | Complaint investigation | 19 Dec 2025 |
| 19 Aug 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 16 Sep 2025 |
| 28 Apr 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | Standard survey | 16 Jun 2025 |
| 28 Apr 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | Standard survey | 16 Jun 2025 |
| 28 Apr 2025 | F0584 | 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. | D | Standard survey | 16 Jun 2025 |
| 28 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 | 16 Jun 2025 |
| 28 Apr 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 16 Jun 2025 |
| 28 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 | 16 Jun 2025 |
| 28 Apr 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. | E | Standard survey | 16 Jun 2025 |
| 28 Apr 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 16 Jun 2025 |
| 28 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. | E | Standard survey | 16 Jun 2025 |
| 28 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 | 16 Jun 2025 |
| 28 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 | 16 Jun 2025 |
| 28 Apr 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 16 Jun 2025 |
Survey cycle 2: 17 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 23 Jan 2025 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 28 Oct 2024 |
| 12 Feb 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 6 Mar 2024 |
| 12 Feb 2024 | F0585 | Honor 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. | E | Standard survey | 6 Mar 2024 |
| 12 Feb 2024 | F0603 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | E | Standard survey | 6 Mar 2024 |
| 12 Feb 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Standard survey | 6 Mar 2024 |
| 12 Feb 2024 | 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. | E | Standard survey | 6 Mar 2024 |
| 12 Feb 2024 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | Standard survey | 6 Mar 2024 |
| 12 Feb 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 | 6 Mar 2024 |
| 12 Feb 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 | 6 Mar 2024 |
| 12 Feb 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 6 Mar 2024 |
| 12 Feb 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | E | Standard survey | 6 Mar 2024 |
| 12 Feb 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. | F | Standard survey | 6 Mar 2024 |
| 12 Feb 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. | D | Standard survey | 6 Mar 2024 |
| 12 Feb 2024 | F0791 | Provide or obtain dental services for each resident. | E | Standard survey | 6 Mar 2024 |
| 12 Feb 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 6 Mar 2024 |
| 12 Feb 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 6 Mar 2024 |
| 12 Feb 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 6 Mar 2024 |
Survey cycle 3: 7 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 23 Jul 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint investigation | 8 Aug 2024 |
| 2 Nov 2022 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 9 Dec 2022 |
| 2 Nov 2022 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | E | Standard survey | 9 Dec 2022 |
| 2 Nov 2022 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Standard survey | 9 Dec 2022 |
| 2 Nov 2022 | 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 | 9 Dec 2022 |
| 2 Nov 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. | E | Standard survey | 9 Dec 2022 |
| 2 Nov 2022 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 9 Dec 2022 |
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.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 12 Feb 2024 | Fine | $19,971 |
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.
| Staff | This home | New Mexico median | New Mexico average (CMS) |
|---|---|---|---|
| All nurse staff | 3.11 | 3.40 | 3.53 |
| Registered nurses (RN) | 0.44 | 0.60 | 0.63 |
| Licensed practical nurses (LPN) | 0.50 | 0.70 | |
| Nurse aides | 2.16 | 2.21 | |
| All nurse staff, weekends | 2.81 | 3.00 | 3.10 |
- Nurse staff turnover in a year
- 30.0%
- Nurse staff turnover, New Mexico median
- 52.9%
- RN turnover in a year
- 25.0%
- Administrators who left in a year
- 0
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.
| Measure (CMS text) | Residents | This home | New Mexico median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 2.3% | 10.0% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.6% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.9% | 3.2% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.2% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 4.8% | 10.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 0.3% | 4.5% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 16.8% | 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, corporation
- Legal business name
- Paloma Springs Healthcare LLC
- Chain
- Opco Skilled Management (66 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Casa Healthcare, LLC | Direct ownership interest | 1 Mar 2023 | |
| Caliber Advisors LLC | Indirect ownership interest | 1 Mar 2023 | |
| First Sweetzer Holdings LLC | Indirect ownership interest | 1 Mar 2023 | |
| Hatteras Investments LLC | Indirect ownership interest | 1 Mar 2023 | |
| Casa Healthcare, LLC | Operational/managerial control | 1 Apr 2023 | |
| 1400 N Silver Street NM, LLC | Adp of the snf | 1 Mar 2023 | |
| Continuum Rehab Group LLC | Adp of the snf | 1 Mar 2023 | |
| Hallmark Advisors, LLC | Adp of the snf | 1 Mar 2023 | |
| Hansen Hunter LLC | Adp of the snf | 1 Apr 2024 | |
| Opco CA Skilled Mgmt Inc. | Adp of the snf | 1 Mar 2023 | |
| Opco NM Skilled Mgmt, LLC | Adp of the snf | 1 Mar 2023 | |
| The Wright Group Consulting, LLC | Adp of the snf | 1 Apr 2024 | |
| Wilshire Health Realty, LLC | Adp of the snf | 1 Mar 2023 |
The site shows organisations only. It does not show the names of persons.
Other homes in Sierra County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| New Mexico State Veterans Home | Truth Or Consequences | 3 of 5 | 22 | $44,226 | 14 May 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Paloma Springs Healthcare LLC (CCN 325062). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/paloma-springs-healthcare-llc-t-or-c-nm-325062/
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 Paloma Springs Healthcare LLC last inspected?
- The latest inspection with a citation in the CMS record was on 25 Jun 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 12 Feb 2024.
- Who operates Paloma Springs Healthcare LLC?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain Opco Skilled Management. The CMS ownership file names Casa Healthcare, LLC for operational or managerial control. This site does not show the names of persons.
- Is Paloma Springs Healthcare 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.