Luna Wellness Rehabilitation, LLC
Deming, New Mexico · CCN 325079
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
- 174
- Surveys
- 20
- Harm or worse
- 8
- Immediate jeopardy
- 3
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 66
- Ownership
- For profit - Limited Liability company
- Chain
- Independent
- County
- Luna · rural
- 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 58 for-profit facilities in New Mexico.
Last survey on record
Mar 13, 2026
241 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.14 | 3.44 |
| Registered-nurse hours per resident day | 0.49 | — |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $66,876 across 2 penalties
- Payment denials
- 3
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K11.7% | L— |
| Actual harm | G11.7% | H— | I— |
| No harm, potential for more than minimal | D2034.5% | E3051.7% | F58.6% |
| No harm, potential for minimal | A— | B— | C11.7% |
Most frequently cited here
In CMS’s current monthly file.
- F6564×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F6003×
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- F6413×
Ensure each resident receives an accurate assessment.
- F6573×
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- F7563×
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
In the surveyor’s words
From the most serious findings on record at Luna Wellness Rehabilitation, LLC, in the surveyor’s own words.
- Immediate jeopardy, patternF600Jul 23, 2024
Based on interview and record review, the facility failed to keep residents free from abuse for 6 (R #21, R #22, R #23, R #25, R #26, and R #27) of 6 (R #21, R #22, R #23, R #25, R #26, and R #27) residents sampled for abuse when staff failed to: 1. Implement interventions to prevent R #24 from touching R #21, R #23, R #25, and R #26 without consent. 2. Ensure R #24 did not enter R #25's room and R #27's personal space without permission while not fully clothed. 3. Ensure R #24 did not use sexually inappropriate comments when speaking to R #22. […]
- Actual harm, isolatedF740Mar 7, 2024
Based on observation, record review, and interview, the facility failed to provide metal health services for 1 (R #1) of 2 (R #1 and R #2) residents sampled for abuse, when they failed to provide metal health services for R #1 after she alleged sexual abuse by a staff member providing care to her. This deficiency caused R #1 to have severe psycho-social distress having to deal with sexual abuse and past trauma brought on by the sexual abuse without mental health service. The findings are: A. Record review of R #1's medical record revealed R #1 was admitted on [DATE]. B. Record review of R #1's nursing progress notes revealed the following: 1. 02/01/24 R #1 was admitted for therapy due to a right hip fracture with repair due to a fall. […]
- No harm, potential for more than minimal, widespreadF812Apr 7, 2025
Based on observation and interview, the facility failed to store food under sanitary conditions for all 33 residents (residents were identified by the resident census provided by the Administrator on 03/31/25) when staff failed to: 1. Label and date all items in the kitchen refrigerator. 2. Cover food in the refrigerator. Failure to store food under safe and sanitary conditions could likely to lead to foodborne illnesses in residents. The findings are: A. On 03/31/25 at 1:10 PM, during an observation of the kitchen, revealed the following: 1. The walk-in refrigerator had four trays with 12 bowls of strawberry desserts on each tray. 2. The desserts did not have a cover over them. 3. The desserts did not have a date to indicate when they were prepared. B. […]
- No harm, potential for more than minimal, widespreadF577Jan 16, 2024
Based on interview and observation, the facility failed to post the results of the most recent state survey and make them accessible to residents and the public. This failure could affect all 39 residents in the facility (residents were identified by the Resident Matrix provided by the DON on 01/08/23). If residents are unable to review the latest survey conducted by State Surveyors, then residents, representatives, and visitors are likely unable to know how the facility is doing and make decisions accordingly. The findings are: A. On 01/10/24 at 2:00 PM, an observation of the survey binder revealed that the results of the most recent survey conducted on 08/08/23 were not available in the survey binder. B. […]
- No harm, potential for more than minimal, widespreadF882Jan 16, 2024
Based on interview, the facility failed to designate a qualified, trained, or certified Infection Preventionist (IP) who was responsible for the facility's Infection Prevention and Control Program (IPCP.) This failure affected all 39 residents in the facility (residents were identified by the resident matrix provided by the Administrator on 01/08/24). This deficient practice could likely result in residents being at greater risk of infectious disease. The findings are: A. On 01/16/24 at 3:27 PM, during an interview with the DON, she said the IP was the ADON, but the ADON left the faciity on [DATE]. The DON said she was now responsible for the IP duties. The DON said she did not have specialized training in infection prevention and control.
Read 28 findings in full →The most serious and the most recent: 28 of 174 on record.
Every survey on record
FindingsAt actual harm or above
- Mar 13, 2026Complaint8 findings
- Sep 3, 2025Complaint3 findings
- Apr 7, 2025Standard9 findings
- Jul 23, 2024Complaint4 findings · 1 harm
- Mar 7, 2024Complaint4 findings · 1 harm
- Jan 16, 2024Standard23 findings
- Aug 8, 2023Complaint3 findings
- Dec 7, 2022Standard4 findings
Show the 12 earlier surveys
- Nov 18, 2021Standard9 findings
- Nov 20, 2020Standard and complaint9 findings
- Apr 12, 2019Standard9 findings
- Mar 6, 2018Standard and complaint23 findings · 4 harm
- Jun 1, 2017Standard27 findings · 2 harm
- Nov 18, 2016Complaint2 findings
- Aug 5, 2016Standard12 findings
- Jun 4, 2015Standard1 finding
- Jul 25, 2014Standard and complaint12 findings
- Apr 11, 2013—2 findings
- Mar 30, 2012—1 finding
- Apr 5, 2011—9 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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