Spring River Rehabilitation and Care Center
Roswell, New Mexico · CCN 325044
33 surveys since 2010, 25 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
- 199
- Surveys
- 33
- Harm or worse
- 25
- Immediate jeopardy
- 10
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
- 120
- Ownership
- For profit - Limited Liability company
- Chain
- Independent
- County
- Chaves · rural
- Medicare-certified since
- 1985
CMS ratings
- Overall
- 1
- Health inspection
- 1
- Staffing
- 1
- Quality measures
- 2
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.
Weighted by harm level, against 23 for-profit facilities of 100–127 beds in New Mexico.
Last survey on record
Jul 29, 2026
103 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 | 2.95 | 3.18 |
| Registered-nurse hours per resident day | 0.40 | — |
| Annual nurse turnover | 60.5% | 51.3% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $213,903 across 3 penalties
- Payment denials
- 1
- Special focus
- SFF Candidate
- Abuse icon
- Flagged by CMS on Care Compare
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 | J11.1% | K11.1% | L— |
| Actual harm | G11.1% | H— | I— |
| No harm, potential for more than minimal | D4043.5% | E3538.0% | F1112.0% |
| No harm, potential for minimal | A— | B— | C33.3% |
Most frequently cited here
In CMS’s current monthly file.
- F6566×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F6585×
Ensure services provided by the nursing facility meet professional standards of quality.
- F7615×
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.
- F6414×
Ensure each resident receives an accurate assessment.
- F8804×
Provide and implement an infection prevention and control program.
In the surveyor’s words
From the most serious findings on record at Spring River Rehabilitation and Care Center, in the surveyor’s own words.
- Immediate jeopardy, patternF686May 19, 2026
Based on observation, record review, and interview, the facility failed to provide necessary care and services to prevent the worsening of a pressure ulcer (injury to skin and underlying tissue from prolonged pressure) for 1 (R #1) of 5 (R #1, R #2, R #3, R #4, and R #5) residents reviewed for pressure ulcers/skin impairment. Specifically, the facility failed to accurately identify, assess, measure, stage, monitor, document, report, and adjust care for R #1's coccyx/sacral pressure ulcer. […]
- Immediate jeopardy, isolatedF600Jul 29, 2026
Based on observations, record reviews, and interviews, the facility failed to ensure a resident was free from abuse and neglect for 1 (R #1) of 1 (R #1) resident, when facility staff left R #1 outside in direct sunlight for an unknown period of time. This deficient practice could have resulted in R #1 being found unresponsive with severe sunburns. The findings are: A. Record review of the facility's Resident Safety Rounding policy, not dated, revealed the following:1. The facility is to provide routine resident safety rounding and observation to promote resident safety, identify unmet needs, and reduce the risk of accidents, injuries, and adverse events. 2. […]
- Actual harm, isolatedF692Nov 15, 2024
Based on interview and record review, the facility failed to monitor residents' weights, assess the cause of unintentional weight loss and implement interventions to prevent further weight loss for 4 (R #1, R #2, R #3, and R #4) of 4 (R #1, R #2, R #3, and R #4) residents reviewed for nutrition. This deficient practice could likely result in the residents losing weight causing physical and mental health issues. The findings are: R #1 A. Record review of R #1's Face Sheet revealed that she was admitted to the facility on [DATE] with multiple diagnoses including: 1. Sepsis (a serious condition in which the body responds improperly to an infection), unspecified organism. 2. Muscle weakness, (generalized). 3. […]
- No harm, potential for more than minimal, widespreadF725Feb 4, 2026
Based on interview and record review, the facility failed to provide a sufficient number of nursing personnel to meet the individualized care needs of its residents and failed to maintain accurate PPD (Person Per Day) to demonstrate compliance with federal staffing standards. This deficient practice has the potential to affect all 87 residents care residing in the facility. The findings are: A. Record review of the facility's PPD documentation dated 06/01/25 to 12/29/25 revealed the following:1. The facility failed to provide PPD documentation for 06/01/25 to 11/30/25 [change of ownership occurred on 12/01/25].2. Documentation for 12/03/25 revealed two Registered Nurses (RN) were scheduled to work two twelve-hour shifts for a total of 24 hours but 36 hours was reported.3. […]
- No harm, potential for more than minimal, widespreadF812Feb 4, 2026
Based on observation and interview, the facility failed to serve food under sanitary conditions when staff failed to use proper handling techniques of drinks and bowls while distributing meals to residents in the dining room. This deficient practice is likely to affect all 87 residents listed on the census provided by the Director of Operations (DOO) on 12/30/25 and could likely cause an increase in illnesses if safe food handling practices are not followed. The findings are: A. On 12/31/25 at 12:00 pm, an observation of the lunch dining services revealed the following:1. […]
Read 43 findings in full →The most serious and the most recent: 43 of 199 on record.
Every survey on record
FindingsAt actual harm or above
- Jul 29, 2026Complaint2 findings · 1 harm
- May 19, 2026Complaint4 findings · 1 harm
- Apr 6, 2026Standard and complaint12 findings
- Feb 4, 2026Complaint14 findings
- Aug 6, 2025Complaint2 findings
- Feb 7, 2025Complaint3 findings
- Dec 12, 2024Standard17 findings
- Nov 15, 2024Complaint4 findings · 1 harm
Show the 25 earlier surveys
- Sep 6, 2024Complaint9 findings
- Feb 9, 2024Standard and complaint14 findings
- Dec 21, 2023Complaint1 finding
- Nov 18, 2022Standard10 findings
- Apr 28, 2022Complaint1 finding
- Jul 27, 2021Standard3 findings
- Sep 22, 2020Standard3 findings
- Nov 21, 2019Standard6 findings
- Apr 9, 2019Standard4 findings · 2 harm
- Jun 22, 2018Standard11 findings
- Apr 25, 2018Complaint1 finding
- Nov 3, 2017Complaint12 findings · 3 harm
- Aug 18, 2017Standard8 findings
- May 26, 2017Complaint6 findings · 3 harm
- Sep 19, 2016Standard and complaint15 findings · 6 harm
- Jul 22, 2016Complaint4 findings
- May 27, 2016Complaint2 findings · 1 harm
- May 4, 2016Complaint5 findings
- Jan 27, 2016Complaint12 findings · 6 harm
- Aug 19, 2015Standard3 findings
- Sep 13, 2013Standard1 finding
- Aug 31, 2012—2 findings
- Apr 4, 2012—3 findings · 1 harm
- Jul 1, 2011—4 findings
- Jun 29, 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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