Las Cruces Village Nursing & Rehabilitation LLC

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF921Apr 30, 2026

  Based on observation, and interview, the facility failed to provide a safe, functional, sanitary, and comfortable environment for residents, staff and the public for all 89 resident in the facility (residents were identified by the census list provided by the Administrator on 04/29/26) randomly sampled residents, when they failed to ensure a floor drain sink in the [NAME] Janitors room was in operable working condition after the drain became clogged. This deficient practice could likely result in residents living in an environment that puts them at risk of waterborne pathogens such as Legionella contamination microorganisms, bacteria and fungi, which could grow in stagnate accumulating water. The findings are: A. […]

• No harm, potential for more than minimal, widespreadF727Jun 27, 2025

  Based on the record review and interview, the facility failed to ensure RN coverage was provided for 8 consecutive hours a day and for 7 days a week. This failure could potentially affect all 79 residents who lived in the facility (residents were identified by the Resident Matrix provided by the Administrator on 06/23/25. This deficient practice is likely to result in residents not receiving the services they require. The findings are:A. Record review of the Payroll Base Journal (PBJ) Staffing Data Report (report from the data base of the federal agency overseeing certification for long term care facilities) dated Quarter #1 (October 1 through December 31) 2025 revealed no RN coverage for at least 8 consecutive hours on 10/19/24, 10/20/24, 10/26/24, and 10/27/24.B. […]

• No harm, potential for more than minimal, widespreadF812Jun 27, 2025

  Based on observation, interview, and record review, the facility failed to store and serve food under sanitary conditions by professional standards of food service safety, this could affect all 78 residents living in the facility (residents were identified by the Resident Matrix provided by the Administrator on 06/22/25). When they failed to ensure staff maintain refrigerator temperatures in the dietary west wing kitchen. This deficient practice could expose residents to foodborne illnesses, which includes failing to maintain safe food temperatures. […]

• No harm, potential for more than minimal, widespreadF880Jun 27, 2025

  Based on record review and interview, the facility failed to maintain an infection prevention and control program designed to provide a safe and sanitary environment and to help prevent the development and transmission of communicable diseases and infections when they failed to have a water management program to minimize the risk of Legionella [a bacteria that can grow in parts of building water systems that are continually wet (e.g., pipes, faucets, water storage tanks, decorative fountains) and cause a serious type of pneumonia] and other opportunistic pathogens (bacteria that do not usually cause diseases in healthy people but may become extremely injurious to unhealthy individuals) in the building's water system. […]

• No harm, potential for more than minimal, widespreadF882Jun 27, 2025

  A. On 06/26/25 at 10:41 AM, during an interview, ADON #2 confirmed that she is the current IP and confirmed that she has started but has not completed the required IP training and does not have the training certificate yet.B. On 06/27/25 at 10:12 AM, during an interview, the Director of Clinical Services confirmed that ADON #2 had not completed the required IP training to receive her certification.