Clovis Healthcare and Rehabilitation Center

Clovis, NM · 90 beds · For profit - Limited Liability company

0 Trust Score
Grade: F CRITICAL Risk → Stable

Red Flags

  • ⚠ 4 citation(s) at the highest severity level — immediate risk to residents
  • ⚠ 3 citation(s) where residents suffered actual harm
  • ⚠ $81,641 in fines

Green Flags

  • ✓ Below-average deficiency count (5 vs 16 state avg)

Quick Facts

★★★☆☆
CMS Overall
★★★☆☆
Health Inspection
5
0.3x state avg
Deficiencies
$81,641
Fines (3-yr)
★★☆☆☆
Staffing

Violation Timeline

September 25, 2024

5 deficiencyies
F0623 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

F0625 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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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.

F0657 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F0689 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F0761 Potential Harm Scope/Severity: E

Pharmacy Service Deficiencies

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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.

May 15, 2024

9 deficiencyies
F0760 Immediate Jeopardy Scope/Severity: J

Pharmacy Service Deficiencies

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Ensure that residents are free from significant medication errors.

F0600 Actual Harm Scope/Severity: G

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

F0602 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Protect each resident from the wrongful use of the resident's belongings or money.

F0609 Potential Harm Scope/Severity: E

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

F0610 Immediate Jeopardy Scope/Severity: K

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Respond appropriately to all alleged violations.

F0684 Actual Harm Scope/Severity: H

Quality of Life and Care Deficiencies

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Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F0726 Immediate Jeopardy Scope/Severity: J

Nursing and Physician Services Deficiencies

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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.

F0761 Immediate Jeopardy Scope/Severity: J

Pharmacy Service Deficiencies

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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.

F0835 Potential Harm Scope/Severity: F

Administration Deficiencies

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Administer the facility in a manner that enables it to use its resources effectively and efficiently.

February 21, 2024

3 deficiencyies
F0584 Potential Harm Scope/Severity: E

Resident Rights Deficiencies

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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.

F0609 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

F0610 Potential Harm Scope/Severity: E

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Respond appropriately to all alleged violations.

August 17, 2023

3 deficiencyies
F0656 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F0684 Potential Harm Scope/Severity: E

Quality of Life and Care Deficiencies

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Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F0697 Actual Harm Scope/Severity: G

Quality of Life and Care Deficiencies

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Provide safe, appropriate pain management for a resident who requires such services.

See full violation history →

Staffing

0.56
RN hrs/res/day
0.70
LPN hrs/res/day
1.91
CNA hrs/res/day
2.80
Weekend hrs/res/day
48%
Total nurse turnover
50%
RN turnover

A nurse checks on each resident roughly every 7.6 hours on average.

Fines & Penalties

  • Fine May 15, 2024
    $81,641
  • Payment Denial Aug 17, 2023
    Payment Denial
Total $81,641

Ownership

For profit - Limited Liability company Chain: GENESIS HEALTHCARE

  • SUMMIT CARE LLC

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 07/25/2007

    100% Organization

  • FC-GEN OPERATIONS INVESTMENT LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 02/02/2015

    NO PERCENTAGE PROVIDED Organization

  • GEN OPERATIONS I LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 02/02/2015

    NO PERCENTAGE PROVIDED Organization

  • GEN OPERATIONS II LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 02/02/2015

    NO PERCENTAGE PROVIDED Organization

  • GENESIS HEALTHCARE INC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 07/25/2007

    NO PERCENTAGE PROVIDED Organization

  • GENESIS HEALTHCARE LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 02/02/2015

    NO PERCENTAGE PROVIDED Organization

  • HCCF MANAGEMENT GROUP XI LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 02/02/2015

    NO PERCENTAGE PROVIDED Organization

  • SKILLED HEALTHCARE LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 02/05/2018

    NO PERCENTAGE PROVIDED Organization

  • SUMMIT CARE PARENT LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 01/01/2013

    NO PERCENTAGE PROVIDED Organization

  • SUN HEALTHCARE GROUP INC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 02/02/2015

    NO PERCENTAGE PROVIDED Organization

  • SUNDANCE REHABILITATION HOLDCO INC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 01/01/2016

    NO PERCENTAGE PROVIDED Organization

  • WELLTOWER OP LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 06/01/2024

    NO PERCENTAGE PROVIDED Organization

  • ZAC PROPERTIES XI LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 02/02/2015

    NO PERCENTAGE PROVIDED Organization

  • FISHMAN, STEVEN

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 03/01/2015

    NO PERCENTAGE PROVIDED Individual

  • WHITMAN, ARNOLD

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 02/02/2015

    NO PERCENTAGE PROVIDED Individual

  • ORTIZ, RAYMOND

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 06/01/2024

    Individual

  • PADEN, CHERYL

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 06/01/2024

    Individual

  • BERG, MICHAEL

    CORPORATE OFFICER

    Since since 02/02/2015

    Individual

  • BRIDGEFORD, LAURA

    CORPORATE OFFICER

    Since since 06/01/2024

    Individual

  • MENDELSON, AVI

    CORPORATE OFFICER

    Since since 06/01/2024

    Individual

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