Deficiency Index

Gallup Nursing & Rehabilitation LLC

Gallup, New Mexico · CCN 325118

20 surveys since 2011, 9 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
150
Surveys
20
Harm or worse
9
Immediate jeopardy
2
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy2

Findings at the most serious level CMS records.

Beyond CMS’s monthly file16/20

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

The facility

Certified beds
62
Ownership
For profit - Limited Liability company
Chain
OPCO SKILLED MANAGEMENT
County
Mckinley · rural
Medicare-certified since
2008

CMS ratings

Overall
5
Health inspection
5
Staffing
3
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat more weighted findings than its peer group.

Weighted by harm level, against 17 facilities with fewer than 66 beds in New Mexico.

Last survey on record

Jan 23, 2026

290 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 day3.263.52
Registered-nurse hours per resident day0.73—
Annual nurse turnover46.4%60.0%

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 jeopardyJ15.0%K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1260.0%E420.0%F315.0%
No harm, potential for minimalA—B—C—
CMS’s current file: 20 of the 150 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6092×

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

  • F6552×

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

  • F6582×

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

  • F8802×

    Provide and implement an infection prevention and control program.

  • F5501×

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

In the surveyor’s words

From the most serious findings on record at Gallup Nursing & Rehabilitation LLC, in the surveyor’s own words.

  • Immediate jeopardy, isolatedF684Dec 18, 2024

    Based on record review and interview, the facility failed to ensure residents received treatment and care in accordance with professional standards of practice for 1 (R #1) of 3 (R #'s 1, 2 and 3) residents when they failed to properly assess a resident following an unwitnessed fall that resulted in injury. If the facility fails to properly assess residents who have an unwitnessed fall with an injury, then the residents may experience unidentified life-threatening conditions such as a brain bleed. This deficient practice likely contributed to the hospitalization and passing of R #1. The findings are: A. […]

  • No harm, potential for more than minimal, widespreadF761Jun 16, 2023

    Based on observations and interviews, the facility failed to: 1. Ensure that opened and accessed (has been opened or accessed) for a flex pen weren't dated as to when they were initially opened/accessed, by nursing staff. 2. Ensure that undated medications (not dated when opened) were not stored with dated medications that are available for use 3. Ensure that expired supplies are not stored with unexpired supplies in the storage rooms 4. To properly store medications in medications carts. 5. […]

  • No harm, potential for more than minimal, widespreadF812Jun 16, 2023

    Based on observation and interview, the facility failed to store and serve food under sanitary conditions by not ensuring: 1. Freezer units' temperatures were taken daily, 2. Proper handling techniques were used when handling cups and glasses when drinks were distributed to residents served in the dining room 3. Hands were not sanitized prior to handling residents' meals after handling resident's adaptive equipment during a meal. These deficient practices are likely to affect all 57 residents listed on the resident census list provided by the Administrator on 06/16/23; and could likely lead to foodborne illnesses in residents if safe food handling practices are not adhered to. The findings are: A. […]

  • No harm, potential for more than minimal, widespreadF880Jun 16, 2023

    Based on record reviews, interviews and observations, the facility failed to provide proper infection control practices by: 1. Not performing hand hygiene between residents, and 2. Providing resident care, not removing used gloves before entering the hallway. These deficient practices could likely affect all 57 residents in the facility on the census provided by the Center Executive Director (CED) on 06/12/23. Failure to practice infection control standards could likely cause the spread of infection and illnesses to residents and staff within the facility. The findings are: A. On 06/12/23 at 4:04 pm, during observation, Registered Nurse (RN) #1 walked from R #47's room with her gloves on. […]

  • No harm, potential for more than minimal, widespreadF880May 3, 2022

    Based on observation and interview, the facility failed to ensure appropriate infection control practices were in place by not screening individuals coming into the building for signs, symptoms, and exposure to COVID-19 (a highly infectious [CONDITION(S)] disease). This deficient practice could likely affect all 58 residents identified on the resident census list provided by the Administrator in Training (AIT) on 05/03/22. If the facility is not ensuring appropriate infection control practices then residents are at risk of exposure to disease. The findings are: A. On 05/03/22 at 8:45 am upon entering facility, the Surveyor was not fully screened for COVID-19 symptoms. […]

Read 28 findings in full →The most serious and the most recent: 28 of 150 on record.

Every survey on record

FindingsAt actual harm or above

  • Jan 23, 2026Standard6 findings
  • Dec 18, 2024Complaint2 findings · 1 harm
  • Oct 10, 2024Standard and complaint4 findings
  • Jun 16, 2023Standard8 findings
  • Nov 9, 2022Complaint1 finding
  • May 3, 2022Complaint7 findings
  • Mar 17, 2022Standard27 findings
  • Mar 4, 2021Standard and complaint8 findings
Show the 12 earlier surveys
  • Jun 15, 2020Infection control1 finding
  • Mar 12, 2020Complaint3 findings · 1 harm
  • Jul 12, 2019Standard7 findings
  • Sep 20, 2018Standard20 findings
  • Aug 11, 2017Standard10 findings · 3 harm
  • Mar 29, 2017Complaint2 findings
  • Jul 24, 2015Standard10 findings
  • Sep 12, 2014Standard and complaint21 findings · 2 harm
  • Sep 5, 2013—2 findings · 2 harm
  • Aug 2, 2013—3 findings
  • Jun 13, 2012—7 findings
  • May 11, 2011—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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