Deficiency Index

San Juan Care Center

Farmington, New Mexico · CCN 325085

18 surveys since 2011, 5 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
74
Surveys
18
Harm or worse
5
Immediate jeopardy
1
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy1

Findings at the most serious level CMS records.

Beyond CMS’s monthly file11/18

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

The facility

Certified beds
93
Ownership
For profit - Corporation
Chain
OPCO SKILLED MANAGEMENT
County
San Juan
Medicare-certified since
1992

CMS ratings

Overall
5
Health inspection
5
Staffing
2
Quality measures
4

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

Apr 7, 2026

216 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 day3.163.44
Registered-nurse hours per resident day0.52—
Annual nurse turnover52.9%53.8%

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 jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1252.2%E730.4%F417.4%
No harm, potential for minimalA—B—C—
CMS’s current file: 23 of the 74 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6562×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • F6842×

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • F6952×

    Provide safe and appropriate respiratory care for a resident when needed.

  • F7612×

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

  • F8122×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

In the surveyor’s words

From the most serious findings on record at San Juan Care Center, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF812Jun 13, 2025

    Based on observation and interview, the facility failed to ensure the ice machine drained through an air gap. This deficient practice is likely to affect all residents in the facility. If staff do not maintain the ice machine drain air gaps, then residents are at risk of foodborne illnesses. The findings are: A. On 06/11/25 at 2:45 pm, observation of the kitchen revealed the ice machine did not drain through an air gap. The drainpipe from the ice machine drained below the surface of the floor. B. On 06/11/25 at 2:47 pm, during an interview, the facility's Corporate Maintenance Director stated he was not aware the ice machine did not drain through an air gap. He stated the ice machine should drain through an air gap to prevent backflow into the ice machine.

  • No harm, potential for more than minimal, widespreadF925Jun 13, 2025

    Based on observation, interview, and record review, the facility failed to utilize screens in all windows of the facility to prevent pest from entering the facility. This failure had the potential to affect all residents in the facility. If the facility does not use screens in the windows, then pest could enter the facility and harm or annoy the residents. The findings are: A. Record review of the facility's Grounds and Exterior Inspection, undated, revealed the policy did not address the use of screens to prevent pests from entering the facility. B. On 06/10/25 at 10:10 am, observation revealed the following: - Three windows open in the main dining room without screens in place. - One window open in room [ROOM NUMBER] without a screen in place. […]

  • No harm, potential for more than minimal, widespreadF812Nov 18, 2022

    Based on record review, observation, and interview the facility failed to ensure that the ice-making machine was maintained in a clean and sanitary condition. This deficient practice could likely affect all 86 residents identified on the Facility Matrix provided by Administrator on 11/14/22 by not storing ice in a machine that is free from contamination and allowing the spread of bacteria and viruses. The findings are: A. On 11/16/22 at 11:02 am, during an observation of the facility's ice-making machine it was found to have hard water deposits (mineral deposits such as magnesium and calcium that can leave behind stains on surfaces) that were black in color on a bar that went across the ready-made ice in the ice machine and a black flake of unknown substance was on top of the ready made… […]

  • No harm, potential for more than minimal, widespreadF880Nov 18, 2022

    Based on interview, record review, and observation, the facility failed to ensure that proper infection control practices were consistently followed. The following deficient practices could likely affect any of the 86 residents identified on the Facility Matrix provided by Administrator on 11/14/22 by allowing the spread of infectious agents [bacteria and viruses]. 1. Catheter tubing dragging on the ground under residents wheelchairs for R #'s 21, 64 and 70. 2. Catheter bag being placed on floor for R #50. 3. Laundry room not maintained in sanitary condition. 4. Residents room not sanitary after laundry The findings are: Findings related to catheter tubing: A. On 11/14/22 at 12:42 pm, an observation was made of catheter tubing dragging on the ground, under the wheelchair of R #70. […]

  • No harm, potential for more than minimal, patternF584Jun 13, 2025

    Based on observation, interviews, and record review, the facility failed to: - Ensure dining room linens remained in good repair and free from stains and holes. - Maintain the facility trash and debris free. This deficient practice had the potential to affect residents who utilized the main dining area and various courtyards in the facility. If the facility fails to maintain the facility in a homelike manner, then residents may experience a diminished environment that negatively impacts their dignity and quality of life. The findings are: Dining Room Linens A. Record review of the facility's Housekeeping and Laundry policy, dated August 2020, revealed linens not in good repair are to be sorted out and discarded. B. […]

Read 25 findings in full →The most serious and the most recent: 25 of 74 on record.

Every survey on record

FindingsAt actual harm or above

  • Apr 7, 2026Complaint1 finding
  • Jun 13, 2025Standard and complaint9 findings
  • Mar 4, 2025Complaint1 finding
  • Jan 9, 2025Complaint1 finding
  • Feb 29, 2024Standard6 findings
  • Nov 16, 2023Complaint2 findings
  • Nov 18, 2022Standard5 findings
  • Jun 16, 2022Complaint1 finding
Show the 10 earlier surveys
  • Dec 16, 2021Standard6 findings
  • Oct 8, 2020Standard and complaint4 findings
  • Feb 1, 2019Standard and complaint9 findings
  • May 4, 2018Complaint1 finding
  • Jul 14, 2017Standard and complaint2 findings
  • May 27, 2016Standard3 findings · 1 harm
  • Mar 25, 2015Standard15 findings · 3 harm
  • May 2, 2014Standard3 findings
  • Mar 8, 2012—2 findings
  • Jan 12, 2011—3 findings · 1 harm

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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