Deficiency Index

Aztec Healthcare

Aztec, New Mexico · CCN 325071

25 surveys since 2010, 23 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
123
Surveys
25
Harm or worse
23
Immediate jeopardy
7
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy7

Findings at the most serious level CMS records. 2 of these were recorded as past non-compliance — corrected before the survey.

Beyond CMS’s monthly file17/25

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
112
Ownership
For profit - Corporation
Chain
OPCO SKILLED MANAGEMENT
County
San Juan
Medicare-certified since
1992

CMS ratings

Overall
2
Health inspection
2
Staffing
1
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded fewer weighted findings than most of its peer group.

Weighted by harm level, against 23 for-profit facilities of 100–127 beds in New Mexico.

Last survey on record

Apr 9, 2026

214 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day2.753.18
Registered-nurse hours per resident day0.33—
Annual nurse turnover72.1%51.3%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$312,178 across 5 penalties
Payment denials
1
Abuse icon
Flagged by CMS on Care Compare

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ38.1%K—L—
Actual harmG38.1%H—I—
No harm, potential for more than minimalD1540.5%E1232.4%F410.8%
No harm, potential for minimalA—B—C—
CMS’s current file: 37 of the 123 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6583×

    Ensure services provided by the nursing facility meet professional standards of quality.

  • F8803×

    Provide and implement an infection prevention and control program.

  • F5542×

    Allow residents to self-administer drugs if determined clinically appropriate.

  • F5782×

    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.

  • F6412×

    Ensure each resident receives an accurate assessment.

In the surveyor’s words

From the most serious findings on record at Aztec Healthcare, in the surveyor’s own words.

  • Immediate jeopardy, isolatedF578Apr 9, 2026

    Based on record review and interview, the facility failed to ensure advanced directives (code status; documents providing an individual's wishes for emergency and lifesaving care) were accurate within the Electronic Health Record (EHR) for 1 (R #21) of 2 (R #16 and #21) residents reviewed for advance directives, when: The facility failed to ensure R #21's advance directive forms and EHR contained matching and consistent information regarding the residents' end-of-life wishes.The facility staff did not update the resident's advanced directives in the EHR after the resident completed their Medical Orders for Scope of Treatment (MOST; a legal document which outlines the care the resident wants when they become incapacitated and unable to speak for themselves) form. […]

  • Immediate jeopardy, isolatedF580Dec 18, 2024

    PAST NOT COMPLIANCE Based on record review and interview, the facility failed to notify the physician, for 1 (R #7) of 1 (R #7) resident reviewed, of the results of the resident's ordered chest X-ray, complete blood count (CBC; a blood test that measures the number and type of cells in the blood), and comprehensive metabolic panel (CMP; a group of tests to measure various substances in the blood) following a change in condition. This deficient practice likely resulted in delayed treatment for pneumonia (a lung infection that makes it difficult for a person to breathe) and likely contributed to R #7's death. The findings are: A. […]

  • Immediate jeopardy, isolatedF684Dec 18, 2024

    PAST NON-COMPLIANCE Based on record review and interview, the facility failed to notify the physician, for 1 (R #7) of 1 (R #7) resident reviewed, of the results of the resident's ordered chest X-ray, complete blood count (CBC; a blood test that measures the number and type of cells in the blood), and comprehensive metabolic panel (CMP; a group of tests to measure various substances in the blood) following a change in condition. This deficient practice likely resulted in delayed treatment for pneumonia (a lung infection that makes it difficult for a person to breathe) and likely contributed to R #7's death. The findings are: A. […]

  • Actual harm, isolatedF686Jan 28, 2026

    Based on record review and interview, the facility failed to ensure residents received the necessary treatment and services to prevent the development and worsening of pressure ulcers (PU; an injury to skin and underlying tissue resulting from prolonged pressure on the skin) for 1 (R #1) of 1 (R #1) resident when staff failed to: Begin wound care after identification of a coccyx (tailbone area; base of spine) wound.Administer wound care for R #1's coccyx pressure ulcer as ordered.Notify the facility Wound Care Nurse (WCN) and administrative nursing staff of R #1's worsening pressure ulcer and of the development of a new pressure wound on R #1's left ischial (hip bone) in a timely manner. […]

  • Actual harm, isolatedF600Jun 7, 2024

    Based on interview and record review the facility failed to keep residents free from abuse for 4 (R #27, R #28, R #56 and R #134) of 5 (R #20, R #27, R # 28, R #54 and R #134) residents reviewed for abuse when staff failed to: 1. Prevent emotional trauma as a result of not immediately removing the deceased body of R #27's roommate or moving R #27 from the room while waiting for the funeral home. 2. Physical abuse by the same Certified Nurse Aide (CNA) for R #27, 38, 56, and 134. The findings are: Findings for R #27 A. […]

Read 37 findings in full →The most serious and the most recent: 37 of 123 on record.

Every survey on record

FindingsAt actual harm or above

  • Apr 9, 2026Complaint3 findings · 1 harm
  • Jan 28, 2026Complaint2 findings · 1 harm
  • Dec 18, 2024Complaint2 findings · 2 harm
  • Sep 10, 2024Complaint1 finding
  • Jun 7, 2024Standard and complaint6 findings · 1 harm
  • Mar 5, 2024Complaint2 findings
  • Feb 10, 2023Standard and complaint6 findings · 1 harm
  • Aug 17, 2022Complaint2 findings
Show the 17 earlier surveys
  • Jan 7, 2022Standard and complaint17 findings · 1 harm
  • Sep 16, 2021Complaint5 findings · 1 harm
  • Apr 1, 2021Standard and complaint9 findings · 1 harm
  • Jan 16, 2020Complaint11 findings · 2 harm
  • Aug 9, 2019Standard5 findings
  • Nov 29, 2018Complaint2 findings
  • May 17, 2018Standard5 findings
  • Feb 10, 2017Standard10 findings
  • Dec 3, 2015Standard and complaint8 findings · 4 harm
  • May 29, 2014Complaint4 findings
  • Jan 9, 2014—1 finding
  • Aug 8, 2013—5 findings · 3 harm
  • Jul 25, 2013—6 findings · 3 harm
  • Apr 4, 2013—3 findings · 1 harm
  • Feb 28, 2013—3 findings · 1 harm
  • Jan 25, 2012—4 findings
  • Dec 8, 2010—1 finding

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction