Paloma Springs Healthcare LLC

Nursing Home · T Or C, NM

CMS overall rating 4/5 For profit - Corporation

CMS certification number325062

Contact & location

1400 North Silver Street
T Or C, NM 87901
Sierra County
Phone
(575) 894-7855
ZIP code
87901 – all care providers

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Facility details

Certified beds
94
Residents per day
88.4 (94% occupied)
Ownership
For profit - Corporation
Chain
Opco Skilled Management (66 facilities, avg 2.3★)
Medicare certified since
June 1, 1992
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 4/5
State avg 2.9
Health inspections★★★★★ 3/5
State avg 2.7
Staffing★★★★★ 3/5
State avg 2.8
Quality measures★★★★★ 5/5
State avg 3.8
Long-stay quality★★★★★ 5/5
Short-stay quality★★★★★ 4/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.11 (state 3.53 · U.S. 3.86)
Registered nurses (RN)
0.44 (state 0.63 · U.S. 0.69)
Licensed practical nurses
0.50 (state 0.70 · U.S. 0.86)
Nurse aides
2.16 (state 2.21 · U.S. 2.32)
Weekend total
2.81 (state 3.10 · U.S. 3.42)
Nursing staff turnover
30.0 (state 53.3 · U.S. 45.8)%
RN turnover
25.0 (state 53.6 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
April 28, 2025
Health deficiencies (last cycle)
17.0 (state 17.8 · U.S. 9.3)
From complaints
5
Citations on record (3 years)
41 health · 4 fire safety · includes actual harm
DateCitationSeverityStatus
2026-06-25 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 Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Deficient, Provider has no plan of correction
2025-12-05 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-12-19
2025-12-05 Assess the resident when there is a significant change in condition
F0637 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-12-19
2025-12-05 Assure that each resident’s assessment is updated at least once every 3 months.
F0638 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-12-19
2025-08-19 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 Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-09-16
2025-04-28 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2025-06-16
2025-04-28 Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-06-16
2025-04-28 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-06-16
2025-04-28 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 Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-06-16
2025-04-28 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-06-16
2025-04-28 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-06-16
2025-04-28 Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
F0758 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-06-16
2025-04-28 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 Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-16
2025-04-28 Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
F0625 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-16
2025-04-28 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-16
2025-04-28 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 Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-16
2025-04-28 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 Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-16
2025-01-23 Protect each resident from the wrongful use of the resident's belongings or money.
F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-10-28
2024-07-23 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 Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-08-08
2024-02-12 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection
G
Actual harm
Corrected 2024-03-06
2024-02-12 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2024-03-06
2024-02-12 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2024-03-06
2024-02-12 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-03-06
2024-02-12 Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
F0585 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-03-06
2024-02-12 Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
F0603 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-03-06
2024-02-12 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
F0623 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-03-06
2024-02-12 Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
F0625 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-03-06
2024-02-12 Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
F0636 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-03-06
2024-02-12 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 Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-03-06
2024-02-12 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 Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-03-06
2024-02-12 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-03-06
2024-02-12 Provide or obtain dental services for each resident.
F0791 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-03-06
2024-02-12 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 Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-03-06
2024-02-12 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 Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-03-06
2024-02-12 Develop and implement policies and procedures for flu and pneumonia vaccinations.
F0883 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-03-06
2022-11-02 Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
F0577 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2022-12-09
2022-11-02 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
F0623 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2022-12-09
2022-11-02 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2022-12-09
2022-11-02 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 Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2022-12-09
2022-11-02 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-12-09
2022-11-02 Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
F0625 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-12-09

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

1 penalty in the last three years, including $19,971 in fines.

DateTypeAmount
2024-02-12Fine$19,971

Ownership & management

NameRoleSince
1400 N Silver Street NM, LLC (organization)Administrator · NOT APPLICABLE
Continuum Rehab Group LLC (organization)Administrator · NOT APPLICABLE
Hallmark Advisors, LLC (organization)Administrator · NOT APPLICABLE
Hansen Hunter LLC (organization)Administrator · NOT APPLICABLE
Opco Ca Skilled Mgmt INC. (organization)Administrator · NOT APPLICABLE
Opco NM Skilled Mgmt, LLC (organization)Administrator · NOT APPLICABLE
Stolarczyk, Lisa (individual)Administrator · NOT APPLICABLE
The Wright Group Consulting, LLC (organization)Administrator · NOT APPLICABLE
Williams, Scott (individual)Administrator · NOT APPLICABLE
Wilshire Health Realty, LLC (organization)Administrator · NOT APPLICABLE
Garetz, David (individual)Corporate Officer · NOT APPLICABLE
Casa Healthcare, LLC (organization)Direct Ownership Interest · NOT APPLICABLE
Caliber Advisors LLC (organization)Indirect Ownership Interest · NOT APPLICABLE
First Sweetzer Holdings LLC (organization)Indirect Ownership Interest · NOT APPLICABLE
Hatteras Investments LLC (organization)Indirect Ownership Interest · NOT APPLICABLE
Gurwitz, Solomon (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Hagins, Elizabeth (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Kaplan, Esther (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Kaplan, Mosha (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Mindle, Adam (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Sternshein, Jennifer (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Unger, Jeffrey (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Zimmerman, Caroline (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Casa Healthcare, LLC (organization)Operational/managerial Control · NOT APPLICABLE
Garetz, David (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Paloma Springs Healthcare LLC?

Paloma Springs Healthcare LLC has a 4-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.9-star average in New Mexico.

How many beds does Paloma Springs Healthcare LLC have?

It has 94 certified beds and cares for about 88 residents per day.

Has Paloma Springs Healthcare LLC been fined?

Yes. CMS lists 1 penalty totaling $19,971 in the last three years.

Who owns Paloma Springs Healthcare LLC?

It is part of Opco Skilled Management and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Paloma Springs Healthcare LLC?

(575) 894-7855. The facility is located at 1400 North Silver Street, T Or C, NM 87901.

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.