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
Paloma Springs Healthcare LLC
T OR C, NM · Medicare-certified · 94 beds
In good standing
For-profitChain member
4 of 5 overall
Paloma Springs Healthcare LLC (T OR C, NM) has an overall rating of 4 out of 5 stars, with strong quality measures (5/5) and staffing (4/5), though its nurse staffing is below the federal benchmark (3.15 vs 4.1 hours/resident/day). Its health inspection rating is 3/5, with recent citations involving pressure ulcer care, food safety, and monthly pharmacist drug-regimen review; there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.15 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 3.15.
Staffing detail
- Registered nurses
- 0.47
- Licensed practical nurses
- 0.50
- Nurse aides
- 2.19
- Weekend nursing
- 2.82
Hours per resident per day.
Total staff turnover: 39%
Registered nurse turnover: 25%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
15.3%Steady
Residents with a fall causing major injury
2.3%Steady
Residents with pressure ulcers (bedsores)
0.6%Improving
Residents with a urinary tract infection
0.3%Worsening
Residents who lost too much weight
3.6%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
4.8%Improving
Residents whose ability to walk got worse
10.9%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
16.1%Worsening
Short-stay residents newly given an antipsychotic
2%Worsening
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
9.7%Improving
Residents with depressive symptoms
0.4%Steady
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
100%Steady
Short-stay residents given the pneumonia vaccine
100%Steady
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 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
- Ownership
- For profit - Corporation
- Chain
- Part of OPCO SKILLED MANAGEMENT · 64 homes · 2.4 stars avg
- Occupancy
- 89.6 residents on an average day (95% 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.