Deficiency Index

Calibre Post Acute, LLC

Las Cruces, New Mexico · CCN 325039

31 surveys since 2010. The first finding at harm level was recorded in 2014.

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

Citations on record
324
Surveys
31
Harm or worse
20
Immediate jeopardy
5
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy5

Findings at the most serious level CMS records.

Beyond CMS’s monthly file22/31

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

The facility

Certified beds
120
Ownership
For profit - Corporation
Chain
Independent
County
Dona Ana
Medicare-certified since
1984

CMS ratings

Overall
1
Health inspection
1
Staffing
3
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded more 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

Mar 3, 2026

251 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 day3.723.18
Registered-nurse hours per resident day0.35—
Annual nurse turnover52.7%51.3%

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

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG22.2%H—I—
No harm, potential for more than minimalD2426.4%E5459.3%F1011.0%
No harm, potential for minimalA—B11.1%C—
CMS’s current file: 91 of the 324 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6845×

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • F6564×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • F6584×

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

  • F8124×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F6093×

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

In the surveyor’s words

From the most serious findings on record at Calibre Post Acute, LLC, in the surveyor’s own words.

  • Actual harm, isolatedF677Feb 20, 2025

    Based on record review and interview, the facility failed to provide activities of daily living (ADL) assistance for 4 (R #8, R #10, R #11, and R #24) of 5 (R #8, R #10, R #11, R #24, and R #25) residents reviewed for ADL care when staff failed to: 1. Assist R #8 and R #11 with toileting. 2. Assist R #10 with ADL care. 3. Assist R #24 with brushing his teeth and showering. These deficient practices caused R #8 and R #25 psychological distress, and feeling embarrassed. The findings are: R #8 A. On 02/18/25 at 8:41 AM, during an interview with CNA #8, he stated on 02/16/25, in the morning, there were only two (2) CNA's working on the South Unit. CNA #8 said there was 58 residents on the South Unit that day. […]

  • Actual harm, isolatedF725Feb 20, 2025

    Based on record reviews, observation, and interviews, the facility failed to ensure the facility had sufficient staff to meet the needs of 5 (R #8, R #10, R #11, R #25, and R #26) of 6 (R #8, R #10, R #11, R #24, R #25, and R #26) residents reviewed for staffing when staff failed to: 1. To transfer R #8. 2. Change R #10's brief. 3. To assist R #11 to the toilet as needed. 4. Assist R #24 with oral care and showers. 5. Change R #25's brief after 30 minutes or longer. This deficient practice caused R #25 psychological distress, feeling embarrassed and crying when discussing how she was left soiled when she has to wait to be changed. The findings are: A. Record review of R #25's Admission Record, (Face Sheet) no date revealed the following: 1. admitted [DATE]. 2. […]

  • No harm, potential for more than minimal, widespreadF812Feb 20, 2025

    Based on observation and interview, the facility failed to store and serve food under sanitary conditions in accordance with professional standards of food service safety for all 98 residents in the facility (residents were identified on the resident matrix provided by the DON on 02/13/25) who eat food prepared in the kitchen when staff failed to: 1. Keep the deep freezer and kitchen floors clean. 2. Keep the stoves and surrounding areas clean from oil. 3. Maintain the quality of the oil (fresh) in the deep fryer. 4. Perform hand hygiene prior to assisting R #24 with meal. These deficient practices could likely lead to foodborne illnesses. The findings are: A. On 02/14/25 at 11:16 AM, during an observation of the kitchen revealed the following: 1. […]

  • No harm, potential for more than minimal, widespreadF726Nov 6, 2024

    Based on interview and record review, the facility failed to ensure the licensed nurses (RN's and LPN's) and CNA's are able to demonstrate competency in skills and techniques necessary to care for residents' needs for 5 (CNA #8, CNA #9, LPN #8, LPN #9, and LPN #10) of 5 (CNA #8, CNA #9, LPN #8, LPN #9, and LPN #10) reviewed for competent nursing staff. This could affect all 94 residents in the facility (residents were identified by Resident Matrix provided by the DON on 10/28/24). This deficient practice could likely result in nurses and CNA's working with residents without adequate knowledge to do so; likely resulting in injury or inappropriate care being provided to the residents. The findings are: A. Record review of LPN #8's personnel files revealed the following: 1. […]

  • No harm, potential for more than minimal, widespreadF761Aug 3, 2023

    Based on observation, interview, and record review, the facility failed to properly store medications, when they failed to: 1) Secure medications in a insulin cart on South Unit, 2) Dispose of a loose tablet stored in the medication cart on North Unit, and 3) Keep temperature logs for a medication refrigerator. This could affect all 95 residents in the facility (Residents were identified by the resident matrix provided by the Administrator on 07/27/23). This deficient practice could result in residents obtaining medications that have no longer effective or that are not prescribed to them resulting in adverse side effects. The findings are: Insulin Cart A. On 07/27/23 at 8:30 AM, during an observation of the south unit, the insulin cart was found to be unlocked. B. […]

Read 36 findings in full →The most serious and the most recent: 36 of 324 on record.

Every survey on record

FindingsAt actual harm or above

  • Mar 3, 2026Standard and complaint14 findings
  • Nov 18, 2025Complaint8 findings
  • Jun 18, 2025Complaint6 findings
  • Feb 20, 2025Complaint9 findings · 2 harm
  • Nov 6, 2024Standard18 findings
  • Aug 23, 2024Complaint3 findings
  • Jan 3, 2024Complaint1 finding
  • Aug 3, 2023Standard and complaint21 findings
Show the 23 earlier surveys
  • Sep 9, 2022Standard22 findings
  • Apr 8, 2022Complaint6 findings
  • Nov 10, 2021Complaint8 findings
  • Sep 17, 2021Complaint9 findings
  • Jun 24, 2021Standard and complaint20 findings
  • Jan 15, 2020Standard17 findings
  • Jan 15, 2019Standard20 findings
  • Feb 5, 2018Standard20 findings · 2 harm
  • Apr 27, 2017Complaint12 findings · 8 harm
  • Feb 10, 2017Standard12 findings
  • Oct 28, 2016Complaint3 findings
  • Sep 23, 2016Standard7 findings
  • Jul 12, 2016Complaint4 findings
  • Jun 1, 2016Complaint14 findings
  • Feb 4, 2016Standard22 findings
  • Nov 9, 2015Complaint1 finding
  • Aug 21, 2015Standard3 findings
  • Feb 13, 2015Standard2 findings
  • Jun 13, 2014Standard and complaint32 findings · 8 harm
  • Jun 27, 2013—2 findings
  • Aug 14, 2012—1 finding
  • May 28, 2011—6 findings
  • Nov 19, 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.

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