Sunset Villa Healthcare
Roswell, New Mexico · CCN 325117
19 surveys since 2011, 10 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
- 127
- Surveys
- 19
- Harm or worse
- 10
- Immediate jeopardy
- 4
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
- 52
- Ownership
- For profit - Corporation
- Chain
- OPCO SKILLED MANAGEMENT
- County
- Chaves · rural
- Medicare-certified since
- 2004
CMS ratings
- Overall
- 3
- Health inspection
- 2
- Staffing
- 3
- Quality measures
- 5
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
Apr 23, 2026
200 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 | 3.43 | 3.52 |
| Registered-nurse hours per resident day | 0.80 | — |
| Annual nurse turnover | 53.4% | 60.0% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $80,968 across 2 penalties
- 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 | J— | K— | L— |
| Actual harm | G47.3% | H11.8% | I— |
| No harm, potential for more than minimal | D1832.7% | E2647.3% | F610.9% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6563×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F6773×
Provide care and assistance to perform activities of daily living for any resident who is unable.
- F7613×
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.
- F5842×
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- F6002×
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
In the surveyor’s words
From the most serious findings on record at Sunset Villa Healthcare, in the surveyor’s own words.
- Actual harm, patternF740Mar 6, 2024
Based on record review and interview, the facility failed to ensure 3 (R #'s 3, 43, and 51) of 3 (R #'s 3, 43, and 51) residents reviewed for behavioral health concerns received necessary behavioral health care to meet residents needs when staff failed to: 1. Refer R #3 for psychiatric services when staff observed depressive symptoms and R #3 verbalized feelings of depression. 2. Ensure R #43 was receiving psychiatric service to include psychotherapy (talk therapy) to manage depressive symptoms. 3. Refer R #51 for behavioral health services when he was exhibiting disruptive behaviors which resulted in R #51 being transferred to the hospital and not allowed to return to the facility. 4. […]
- Actual harm, isolatedF600Feb 6, 2025
Past Non-Compliance Based on record review, and interview, the facility failed to prevent neglect for 1 (R #24) of 1 (R #24) resident reviewed for abuse and neglect when staff failed to complete rounds (process where nursing staff checks on the status or condition of each resident) timely. This deficient practice likely resulted in R #24 laying on the floor in his room after a fall for approximately three hours. The findings are: A. Record review of R #24's Admission Record revealed R #24 was admitted to the facility on [DATE] with the following multiple diagnoses: 1. Alzheimer's disease, unspecified, 2. Bipolar disorder (a disorder associated with episodes of mood swings ranging from depressive lows to manic highs), moderate, 3. […]
- Actual harm, isolatedF689Jun 7, 2024
Based on record review and interview, the facility failed to prevent an accident for 2 (R #1 and #6) of 2 (R #1 and #6) residents reviewed for falls: 1. When the facility failed to ensure R #1, who was a fall hazard, was not left alone while in the restroom. 2. When therapy failed to use a gait belt for R #6. 3. When the facility failed to immediately assess R #6 following the fall to check for injuries. These deficient practices likely resulted in R #1 and R #6 having falls with injuries that required treatment at the hospital. The findings are: R #1: A. Record review of R #1's face sheet revealed R #1 was admitted into the facility on [DATE] with the following diagnoses: 1. […]
- Actual harm, isolatedF684Mar 6, 2024
Based on record review and interview, the facility failed to ensure that 1(R #1) of 4 (R #,d+[DATE]) residents reviewed received treatment and care in a timely manner and in accordance with professional standards of practice when the facility failed to identify a change in condition and adequately assess R #1 when she informed the nurse that she thought she was having a stroke and then demonstrated unexplained significant weakness during transfer. Several hours later, R #1 became unresponsive and hypoxic (low oxygen in blood). This deficient practice likely resulted in R #1 experiencing a delay in treatment. The findings are: A. Record review of R #1 face sheet revealed R #1 was admitted to the facility on [DATE] with the following diagnoses: 1. […]
- Actual harm, isolatedF697Mar 6, 2024
Based on record review and interview, the facility failed to effectively manage pain for 1 (R #3) of 2 (R #'s 3 and 57) residents reviewed for pain when staff did not assess for pain and provide pain treatment. This deficient practice likely resulted in R #3 experiencing long periods of pain without sufficient relief. A. Record review of R #3's face sheet revealed R #3 was admitted into the facility on [DATE] with the following diagnoses: 1. Pain. 2. Osteoarthritis (Inflammation of one or more joints). 3. Muscle wasting and atrophy (A progressive and degeneration or shrinkage of muscles or nerve tissues). B. […]
Read 29 findings in full →The most serious and the most recent: 29 of 127 on record.
Every survey on record
FindingsAt actual harm or above
- Apr 23, 2026Standard7 findings
- Nov 21, 2025Complaint3 findings
- Sep 2, 2025Complaint1 finding
- Feb 6, 2025Standard and complaint13 findings · 1 harm
- Jun 7, 2024Complaint4 findings · 1 harm
- Mar 6, 2024Standard and complaint27 findings · 3 harm
- Feb 2, 2023Standard13 findings
- Jan 26, 2022Standard7 findings
Show the 11 earlier surveys
- Jun 2, 2021Complaint1 finding
- Dec 15, 2020Standard and complaint9 findings · 1 harm
- Aug 21, 2019Complaint1 finding
- Jul 18, 2019Standard13 findings
- Oct 16, 2018Standard7 findings
- Jan 4, 2018Complaint2 findings · 1 harm
- Aug 31, 2017Standard1 finding
- Aug 5, 2016Standard and complaint2 findings
- Jul 11, 2014Standard5 findings
- Jun 11, 2012—7 findings · 3 harm
- Apr 29, 2011—4 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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