Las Cruces Wellness & Rehabilitation Llc
Inspection Findings
F-Tag F0655
F 0655 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
record review and interview the facility failed to develop a complete baseline care plan for 1 (R #1) of 3 (R #1, R #2, and R #3) residents sampled for enhanced barrier precautions, (an infection control intervention designed to reduce transmission of multidrug-resistant organisms (MDROs)?in nursing homes). This deficient practice could likely result in staff being unaware of the residents' needs. The findings are: R #1 A.
Record review of R #1's medical record no date revealed se was admitted [DATE REDACTED]. B. Record review of R #1's physician's orders dated 11/21/25 revealed R #1 was on enhanced barrier precautions for a surgical wound to right hip and IV (intravenous therapy is a medical process that?administers fluids, medications and nutrients directly into a person's vein) access. C. Record review of R #1's baseline care plan dated 11/23/25 revealed staff did not document R #1 was on enhanced barrier precautions for a surgical wound to right hip and IV access. D. On 11/26/25 at 11:28 am during an interview the DON confirmed the following:
- 1. R #1 did not have the enhanced barrier precautions on her baseline care plan 2. The facility team should
be care planning the EBP for residents.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
11/26/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Las Cruces Wellness & Rehabilitation LLC
175 N Roadrunner Parkway Las Cruces, NM 88011
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0656
F 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
record review and interview the facility failed to develop a complete comprehensive care plan for 2 (R #2 and R #3) of 3 (R #1, R #2, and R #3) residents sampled for enhanced barrier precautions, (an infection control intervention designed to reduce transmission of multidrug-resistant organisms (MDROs)?in nursing homes). This deficient practice could likely result in staff being unaware of the residents' needs. The findings are: R #2 A. Record review of R #2's medical record no date revealed he was admitted [DATE REDACTED]. B.
Record review of R #2's physician's orders dated 11/03/25 revealed R #2 was on enhanced barrier precautions for a wound to left leg and IV (intravenous therapy is a medical process that?administers fluids, medications and nutrients directly into a person's vein) access. C. Record review of R #2's Care Plan dated 11/04/25 revealed staff did not document R #2 was on enhanced barrier precautions for a wound to left leg and IV access. D. On 11/26/25 at 11:28 am during an interview the DON confirmed the following: 1. R #2 did not have the enhanced barrier precautions on his care plan 2. The facility team should be care planning
the EBP for residents. R #3 E. Record review of R #3's medical record no date revealed he was admitted [DATE REDACTED]. F. Record review of R #3's physician's orders dated 10/31/25 revealed R #3 was on enhanced barrier precautions for a wound to right foot and IV access. G. Record review of R #3's Care Plan dated 10/31/25 revealed staff did not document R #3 was on enhanced barrier precautions for a wound to right foot and IV access. H. On 11/26/25 at 11:28 am during an interview the DON confirmed the following: 1. R #3 did not have the enhanced barrier precautions on his care plan 2. The facility team should be care planning the EBP for residents.
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
11/26/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Las Cruces Wellness & Rehabilitation LLC
175 N Roadrunner Parkway Las Cruces, NM 88011
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0689
F 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Based on observation and interview, the facility failed to keep residents free from accidents for all 16 residents who reside on the South Unit (residents were identified by the resident matrix provided by the Administrator on 11/26/25) when they failed to secure a treatment cart (cart with medical supplies and equipment for treatment) when they left it unlocked on the South Unit. This deficient practice could likely result in residents obtaining equipment from the unsecured treatment cart and injuring themselves or others. The findings are: A. On 11/26/25 at 9:08 am, during an observation of the South Unit revealed a treatment cart unlocked with the keys in the cart. No staff were present. B. On 11/26/25 at 9:09 am, during
an interview CNA #1 confirmed it was unlocked and attempted to secure the treatment cart. C. On 11/26/25 at 9:09 am, during an interview, the Wound Care Nurse confirmed the treatment cart was unlocked with the keys in it. D. On 11/26/25 at 11:28 am, during an interview the DON confirmed that if there are no staff present the treatment cart should be locked.
Event ID:
Facility ID:
If continuation sheet
Las Cruces Wellness & Rehabilitation LLC in Las Cruces, NM inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Las Cruces, NM, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Las Cruces Wellness & Rehabilitation LLC or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.