Northrise Wellness & Rehabilitation
Las Cruces, New Mexico · CCN 325111
21 surveys since 2010. 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
- 165
- Surveys
- 21
- Harm or worse
- 3
- Immediate jeopardy
- 0
Findings where a surveyor recorded actual harm to a resident.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 31
- Ownership
- For profit - Limited Liability company
- Chain
- OPCO SKILLED MANAGEMENT
- County
- Dona Ana
- Medicare-certified since
- 2001
- Ownership changed
- In the last 12 months
CMS ratings
- Overall
- 2
- Health inspection
- 2
- Staffing
- 3
- Quality measures
- 3
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 17 facilities with fewer than 66 beds in New Mexico.
Last survey on record
Jun 22, 2026
140 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 | 4.88 | 3.52 |
| Registered-nurse hours per resident day | 0.81 | — |
| Annual nurse turnover | 76.7% | 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
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D3945.9% | E3844.7% | F67.1% |
| No harm, potential for minimal | A— | B— | C22.4% |
Most frequently cited here
In CMS’s current monthly file.
- F6556×
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- F6564×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F8424×
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- F6233×
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- F6253×
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
In the surveyor’s words
From the most serious findings on record at Northrise Wellness & Rehabilitation, in the surveyor’s own words.
- No harm, potential for more than minimal, widespreadF945May 6, 2026
Based on record review and interview, the facility failed to provide infection control training (training that helps staff recognize various infection control prevention to help stop the spread of infections) for 4 (LPN #1, LPN #2, LPN #3 and CNA #1) of 4 (LPN #1, LPN #2, LPN #3 and CNA #1) staff sampled for enhanced barrier precautions (EBP; Infection control measures in nursing homes that require staff to wear gowns and gloves during high-contact care activities to prevent the spread of multidrug-resistant organisms [MDRO's bacteria or fungi that are resistant to one or more classes of antimicrobial agents]) training. […]
- No harm, potential for more than minimal, widespreadF726Dec 11, 2025
Based on record review and interview, the facility failed to ensure that nursing staff had the appropriate competencies and skill sets to provide nursing services for all 121 residents that were in the building between 06/25/24-08/23/24 (residents were identified by the Census Report from 06/25/24-08/23/24 provided by the DON 12/11/25) when the facility employed Staff Member (SM) #1 as LPN when she did not have a license or skill set to provide nursing services to residents. This deficient practice could result in residents receiving inappropriate care and interventions for both routine and emergency situations. The findings are: A. Record review of the facility's investigation report dated 08/29/24 revealed R #1 needed to go to the restroom. SM #1 went to assist R #1. […]
- No harm, potential for more than minimal, widespreadF880Jan 30, 2025
Based on record review and interview, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment 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, widespreadF882Jan 30, 2025
Based on interview and record review, 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 could affect all 27 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 01/29/24 at 3:33 PM, during an interview, the DON stated the following: 1. The IP had some issues with her nursing license. 2. The IP has been on leave due to the issues with her nursing license since 01/10/25. 3. She is now performing IP duties. 4. […]
- No harm, potential for more than minimal, widespreadF725Jan 12, 2023
Based on observation, record review, and interview the facility failed to maintain appropriate staffing levels to meet the needs of the residents. This failure has the potential to affect all 26 residents (residents were identified by the resident matrix as provided by the Administrator on 01/04/23). This deficient practice could likely affect direct patient care and limit residents' abilities to obtain the best possible care while in the facility. The findings are: A. On 01/05/23 at 1:41 PM, during an interview, R #122 stated staff take a long time to answer the call lights in the last couple of weeks due to being short staffed around the holidays. B. […]
Read 23 findings in full →The most serious and the most recent: 23 of 165 on record.
Every survey on record
FindingsAt actual harm or above
- Jun 22, 2026Complaint4 findings
- May 6, 2026Standard and complaint24 findings
- Apr 7, 2026Complaint1 finding
- Feb 20, 2026Complaint3 findings
- Dec 11, 2025Complaint2 findings
- Jan 30, 2025Standard and complaint18 findings
- May 1, 2024Complaint1 finding
- Nov 6, 2023Standard and complaint18 findings
Show the 13 earlier surveys
- Jan 12, 2023Standard14 findings
- Feb 21, 2022Standard and complaint20 findings
- Oct 22, 2021Infection control1 finding
- Feb 12, 2021Standard12 findings
- Sep 9, 2019Standard11 findings
- Aug 10, 2018Standard10 findings
- Apr 12, 2018Complaint1 finding
- Aug 25, 2017Standard7 findings
- Apr 7, 2017Complaint7 findings · 3 harm
- Sep 14, 2016Standard5 findings
- Dec 7, 2015Complaint2 findings
- Jul 17, 2014Standard3 findings
- Oct 21, 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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