Casa Arena Healthcare LLC in Alamogordo, NM has a 1-star overall rating, with 1-star health inspection and staffing ratings, though quality measures are 4 stars. Reported nurse staffing is 2.85 hours per resident per day, below the 4.1-hour federal benchmark, and there were no fines in the last 24 months.
Last inspection: March 13, 2026Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.8478.
Staffing detail
Registered nurses
0.32
Licensed practical nurses
0.83
Nurse aides
1.69
Weekend nursing
2.59
Hours per resident per day.
Total staff turnover: 66%
Registered nurse turnover: 50%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
26.8%Worsening
Residents with a fall causing major injury
0.3%Worsening
Residents with pressure ulcers (bedsores)
3.1%Improving
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
1%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
5.6%Improving
Residents whose ability to walk got worse
9.3%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
18.5%Worsening
Short-stay residents newly given an antipsychotic
0.5%Improving
Residents with a long-term catheter
0.8%Improving
Residents with new or worsening incontinence
26.6%Improving
Residents with depressive symptoms
0.9%Worsening
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
98.6%Improving
Short-stay residents given the seasonal flu vaccine
71.9%Steady
Short-stay residents given the pneumonia vaccine
80.9%Improving
What the inspectors found
The home failed to ensure nurses and nurse aides had the needed skills to care for each resident and support their well-being. Cited October 2023 — widespread issue, immediate jeopardy to residents.
View the original federal record
F-Tag 726 — 42 CFR §483.35 — S/S: L
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited April 2024 — isolated incident, immediate jeopardy to residents.
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F-Tag 684 — 42 CFR §483.25 — S/S: J
The nursing home failed to ensure residents were free from significant medication errors. Cited October 2023 — isolated incident, actual harm.
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F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited June 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: F
The home failed to submit complete and accurate staffing information based on verifiable records. Cited June 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 851 — 42 CFR §483.70 — S/S: F
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 4 health deficiencies.
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INSPECTION
Health inspection found 1 health deficiency.
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INSPECTION
Health inspection found 4 health deficiencies.
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Penalties & enforcement
On record with Medicare: 2 fines · $124,375 in total fines.
Federal fine
Apr 24, 2024
$108,316
Federal fine
Oct 24, 2023
$16,059
Operator & ownership
Ownership
For profit - Corporation
Chain
Part of OPCO SKILLED MANAGEMENT · 64 homes · 2.4 stars avg
Occupancy
100.5 residents on an average day (86% of 117 beds)
Resident voice
Resident council
Medicare history
Certified for 40 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.