The nursing home failed to ensure residents received the behavioral health care and services they needed. Cited March 2024 — limited pattern, actual harm.
View the original federal record
F-Tag 740 — 42 CFR §483.40 — S/S: H
Nursing home report
Sunset Villa Healthcare
Roswell, NM · Medicare-certified · 52 beds
Needs attention
Abuse citationFor-profitChain member
3 of 5 overall
Sunset Villa Healthcare in Roswell, NM has a 3-star overall rating, with a 2-star health inspection rating, 3-star staffing, and 5-star quality measures. It also has a recent abuse citation, $48,109 in fines over the last 24 months, and reported nurse staffing of 3.71 hours per resident per day versus the 4.1-hour federal benchmark.
Facility ratings
Health inspections
Staffing
3.7116 hrs/resident/day
Quality measures
Last inspection: November 21, 2025Penalties, last 24 months: $48,109recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7116.
Staffing detail
- Registered nurses
- 0.80
- Licensed practical nurses
- 0.73
- Nurse aides
- 2.18
- Weekend nursing
- 3.63
Hours per resident per day.
Total staff turnover: 62%
Registered nurse turnover: 63%
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
—4.8%—
Residents with a fall causing major injury
3.1%4.8%Worsening
Residents with pressure ulcers (bedsores)
5%0%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
8.7%0%Improving
Residents whose ability to walk got worse
—4.8%—
Long-stay residents on antianxiety or sleep medication
25%51.6%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
16%2.2%Improving
Residents with depressive symptoms
0%0%No change
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
—95.5%—
Long-stay residents given the pneumonia vaccine
100%97.6%Worsening
Short-stay residents given the seasonal flu vaccine
—93.4%—
Short-stay residents given the pneumonia vaccine
92.1%77.4%Worsening
What the inspectors found
The nursing home failed to protect residents from abuse and neglect by others. Cited February 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited March 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: G
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited March 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
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 13 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $48,109 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $80,968 in total fines.
- $48,109
Federal fine
Jun 7, 2024
- $32,859
Federal fine
Mar 6, 2024
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of OPCO SKILLED MANAGEMENT · 64 homes · 2.4 stars avg
- Occupancy
- 46.6 residents on an average day (90% of 52 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 22 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.