| Las Cruces Village Nursing & Rehabilitation LLC | |
| 3025 Terrace Drive, Las Cruces, New Mexico 88011 | |
| (575) 556-2103 | |
| Name | Las Cruces Village Nursing & Rehabilitation LLC |
|---|---|
| Location | 3025 Terrace Drive, Las Cruces, New Mexico |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 94 |
| Occupancy Rate | 93.09% |
| Medicare ID (CCN) | 325067 |
| Legal Business Name | Las Cruces Village Nursing & Rehabilitation LLC |
| Ownership Type | For Profit - Limited Liability Company |
| Chain | Opco Skilled Management (66 nursing homes) |
| Chain Average Overall Rating | 2.3 out of 5 |
| NPI Number | 1023844966 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Las Cruces Village Nursing & Rehabilitation LLC |
| Address | 3025 Terrace Dr, Las Cruces, NM 88011 |
| Phone Number | 575-522-1362 |
| NPI Number | 1730179565 |
| Match | Possible same name, address or phone number |
| Organization Name | The Evangelical Lutheran Good Samaritan Society |
| Doing Business As | Good Samaritan Society - Las Cruces Village |
| Address | 3025 Terrace Dr, Las Cruces, NM 88011 |
| Phone Number | 505-522-1362 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.67 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.34 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.05 | 0.86 |
| Nurse aide hours per resident per day | 2.27 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.29 | 3.42 |
| RN hours per resident per day on the weekend | 0.21 | 0.48 |
| Physical therapist hours per resident per day | 0.18 | 0.07 |
| Total nursing staff turnover | 64.6% | 45.8% |
| Registered nurse turnover | 70.6% | 42.9% |
| Number of administrators who have left the nursing home | 1 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | Yes |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Apr 30, 2026 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921, Environmental, Complaint inspection | Potential for harm, widespread | Corrected by May 29, 2026 |
| Apr 30, 2026 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761, Pharmacy Service, Complaint inspection | Potential for harm, pattern | Corrected by May 29, 2026 |
| Apr 30, 2026 | Give the resident's representative the ability to exercise the resident's rights. F0551, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by May 29, 2026 |
| Apr 30, 2026 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. F0573, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by May 29, 2026 |
| Apr 30, 2026 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by May 29, 2026 |
| Apr 30, 2026 | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. F0575, Resident Rights, Complaint inspection | Minimal harm potential, widespread | Corrected by May 29, 2026 |
| Apr 30, 2026 | Post nurse staffing information every day. F0732, Nursing and Physician Services, Complaint inspection | Minimal harm potential, widespread | Corrected by May 29, 2026 |
| Sep 16, 2025 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, pattern | Corrected by Oct 31, 2025 |
| Sep 16, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, pattern | Corrected by Oct 31, 2025 |
| Sep 16, 2025 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761, Pharmacy Service, Complaint inspection | Potential for harm, pattern | Corrected by Oct 31, 2025 |
| Sep 16, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Oct 31, 2025 |
| Sep 16, 2025 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Oct 31, 2025 |
| Sep 16, 2025 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Oct 31, 2025 |
| Sep 16, 2025 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Oct 31, 2025 |
| Jun 27, 2025 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. F0727, Nursing and Physician Services, Standard inspection | Potential for harm, widespread | Corrected by Aug 11, 2025 |
| Jun 27, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Aug 11, 2025 |
| Jun 27, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, widespread | Corrected by Aug 11, 2025 |
| Jun 27, 2025 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. F0882, Infection Control, Standard inspection | Potential for harm, widespread | Corrected by Aug 11, 2025 |
| Jun 27, 2025 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. F0584, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Aug 11, 2025 |
| Jun 27, 2025 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. F0605, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, pattern | Corrected by Aug 11, 2025 |
| Jun 27, 2025 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. F0628, Resident Rights, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Aug 11, 2025 |
| Jun 27, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Aug 11, 2025 |
| Jun 27, 2025 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Aug 11, 2025 |
| Jun 27, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Aug 11, 2025 |
| Jun 27, 2025 | Provide activities to meet all resident's needs. F0679, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Aug 11, 2025 |
| Jun 27, 2025 | Ensure the activities program is directed by a qualified professional. F0680, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Aug 11, 2025 |
| Jun 27, 2025 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. F0726, Nursing and Physician Services, Standard inspection | Potential for harm, pattern | Corrected by Aug 11, 2025 |
| Jun 27, 2025 | Provide or obtain dental services for each resident. F0791, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Aug 11, 2025 |
| Jun 27, 2025 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Aug 11, 2025 |
| Jun 27, 2025 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. F0941, Administration, Standard inspection | Potential for harm, pattern | Corrected by Aug 11, 2025 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 10.45 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 0.46 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 3.65 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.94 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.82 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 77.71 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.13 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 4.63 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 19.46 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 54.24 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 2.73 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 32.72 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 18.07 | 15.38 |
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