The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited February 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
Sierra Health Care Center
Registered name: Paloma Springs Healthcare LLC
T OR C, NM · Medicare-certified · 94 beds
In good standing
For-profitChain member
Data as of September 1, 2026
4 of 5 overall
Sierra Health Care Center (T OR C, NM) has an overall rating of 4 out of 5 stars, with strong quality measures (5 out of 5) but more mixed inspection and staffing ratings (3 out of 5 each). Reported nurse staffing is 3.11 hours per resident per day versus the federal benchmark of 4.1, and there were $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.1064 hrs/resident/day
Quality measures
Last inspection: June 25, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1064.
Staffing detail
- Registered nurses
- 0.44
- Licensed practical nurses
- 0.50
- Nurse aides
- 2.16
- Weekend nursing
- 2.81
Hours per resident per day.
Total staff turnover: 30%
Registered nurse turnover: 25%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
13.3%19.6%Worsening
Residents with a fall causing major injury
3.9%0%Improving
Residents with pressure ulcers (bedsores)
1%0%Improving
Residents with a urinary tract infection
0%1.2%Worsening
Residents who lost too much weight
3.3%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
4.8%1.5%Improving
Residents whose ability to walk got worse
6.4%0%Improving
Long-stay residents on antianxiety or sleep medication
17.5%17.4%No change
Short-stay residents newly given an antipsychotic
2.5%0%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
11.1%7.7%Improving
Residents with depressive symptoms
1.7%0%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited April 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to ensure a licensed pharmacist reviewed residents' medications each month and reported any problems as required. Cited February 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 756 — 42 CFR §483.45(c) — S/S: F
The home failed to make sure residents fully understood their health status, care, and treatments. Cited April 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 552 — 42 CFR §483.10 — S/S: E
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited April 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 12 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $19,971 in total fines.
- $19,971
Federal fine
Feb 12, 2024
Operator & ownership
Recent ownership change · Apr 21, 2023
Now operated by Paloma Springs Healthcare LLC, previously Sierra Health Care INC..
- Ownership
- For profit - Corporation
- Chain
- Part of OPCO SKILLED MANAGEMENT · 68 homes · 2.3 stars avg
- Occupancy
- 88.4 residents on an average day (94% of 94 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 34 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.