Deficiency Index

Grants Wellness & Rehabilitation LLC

Grants, New Mexico · CCN 325058

20 surveys since 2011. The first finding at harm level was recorded in 2017.

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

Citations on record
94
Surveys
20
Harm or worse
7
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 file14/20

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

The facility

Certified beds
80
Ownership
For profit - Limited Liability company
Chain
OPCO SKILLED MANAGEMENT
County
Cibola · rural
Medicare-certified since
1991

CMS ratings

Overall
5
Health inspection
4
Staffing
2
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 58 for-profit facilities in New Mexico.

Last survey on record

May 1, 2026

192 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 day3.053.44
Registered-nurse hours per resident day0.48—
Annual nurse turnover58.3%53.8%

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

Enforcement

Fines
$10,839 across 1 penalty

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 jeopardyJ13.2%K—L—
Actual harmG13.2%H—I—
No harm, potential for more than minimalD1238.7%E1135.5%F619.4%
No harm, potential for minimalA—B—C—
CMS’s current file: 31 of the 94 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8803×

    Provide and implement an infection prevention and control program.

  • F5502×

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

  • F5842×

    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.

  • F6412×

    Ensure each resident receives an accurate assessment.

  • F5521×

    Ensure that residents are fully informed and understand their health status, care and treatments.

In the surveyor’s words

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

  • Immediate jeopardy, isolatedF684Mar 20, 2023

    Based on observation, interview, and record review the facility failed to provide quality care for 1 (R #18) of 2 (R #18 and 30) residents reviewed for death, by not monitoring R #18 oxygen saturation levels and ensuring that R #18 had his nasal cannula in place, after a change in condition was identified (needing supplemental oxygen) due to low oxygen saturation measurements the evening before. These deficient practices likely resulted in resident's passing. The findings are: A. Record review of the facility's policy titled INTERACT- Change in Condition Evaluation- CICE, last reviewed 12/02/2021, revealed the following procedure for a change in condition: Purpose: To improve communication between nurses and a provider when nursing is monitoring a change in condition. […]

  • Actual harm, isolatedF689Jan 24, 2024

    Based on observation, record review, and interview the facility failed to protect 1 (R #1) of 1 (R #1) resident from the potential of elopement (when a resident leaves the facility without the knowledge of the staff) and accidents. If the facility fails to properly supervise residents for elopement, serious injury or death may occur if they leave the facility unannounced. The findings are: A. Record review of R #1's face sheet, dated 01/24/24, revealed he was admitted to the facility on [DATE] with multiple diagnoses including: - Dementia (a chronic persistent condition, decline of mental abilities) unspecified severity with other behavioral disturbance, - History of falls, - Muscle wasting and atrophy (loss of muscle mass), - Unspecified injury of head. B. […]

  • Actual harm, isolatedF600Oct 15, 2021

    Based on record review and interview, the facility failed to provide necessary care for 1 (R #1) of 3 (R #'s 1, 2, and 3) residents reviewed for wound care by not: 1. Conducting accurate wound measurements 2. Updating the treatment plan and 3. Not implementing interventions related to R #1's refusal to eat, and 4. Not notifying the physician when the wound began to smell (evidence of infection). These deficient practices likely resulted in the resident becoming septic and contributing to her death. The findings are: A. Record review of R #1's EMR (Electronic Medical Record) revealed that the resident was admitted to the facility on [DATE] with the following pertinent Diagnosis: [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

  • No harm, potential for more than minimal, widespreadF880Nov 18, 2025

    Based on record reviews and interview, the facility failed to:Demonstrate its measures to minimize the risk of Legionella (bacteria naturally found in water that can cause a severe type of lung infection called legionnaires' disease when people inhale tiny water droplets containing the bacteria) in the building's water system, when the Water Management Program (WMP) team failed to develop and implement an adequate Legionnaires Water Management Program (LWMP). If the facility does not have a an adequate LWMP, then residents can be at risk of legionellosis (legionnaires' disease and Pontiac fever, a milder flu-like illness).These failures had the potential to affect all residents in the facility. The findings are:A. […]

  • No harm, potential for more than minimal, widespreadF908Jul 12, 2024

    Based on observation and interview the facility failed to ensure essential equipment was in safe operating condition by not replacing a broken plastic light covering for a light located directly over the cooking area of the stove. This deficient practice has the potential to affect all 33 residents on the facility census that was provided by the administrator on 07/08/24. The findings are: A. On 07/08/24 at 10:13 am during the initial tour of the kitchen, there was a light in the stove hood that had a broken plastic light cover which had tape holding part of the cover together. Pieces of tape hung off of the cover; and a piece of the plastic cover was completely missing. B. […]

Read 25 findings in full →The most serious and the most recent: 25 of 94 on record.

Every survey on record

FindingsAt actual harm or above

  • May 1, 2026Complaint2 findings
  • Jan 22, 2026Complaint3 findings
  • Nov 18, 2025Standard5 findings
  • Jul 12, 2024Standard5 findings
  • Jan 24, 2024Complaint2 findings · 1 harm
  • Mar 20, 2023Standard14 findings · 1 harm
  • Feb 25, 2022Standard1 finding
  • Oct 15, 2021Complaint2 findings · 1 harm
Show the 12 earlier surveys
  • Dec 3, 2020Standard13 findings · 1 harm
  • Feb 12, 2020Complaint2 findings
  • Sep 18, 2019Complaint1 finding · 1 harm
  • May 17, 2019Standard and complaint17 findings
  • Jun 20, 2018Standard4 findings
  • Dec 27, 2017Complaint6 findings · 2 harm
  • Mar 14, 2017Standard5 findings
  • Mar 25, 2015Complaint4 findings
  • Jan 30, 2015Standard and complaint2 findings
  • Mar 7, 2014Standard3 findings
  • Mar 7, 2012—1 finding
  • Feb 10, 2011—2 findings

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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