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 July 1, 2026
4 of 5 overall
Sierra Health Care Center in T or C, NM has an overall rating of 4 out of 5 stars, with strong quality measures but middling health inspection and staffing ratings. Reported nurse staffing is 3.11 hours per resident per day, below the federal benchmark of 4.1, and it had no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.1064 hrs/resident/day
Quality measures
Last inspection: December 5, 2025Penalties, 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 complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited April 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: E
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
Recent history
- 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 · 2.2 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.