Luna Wellness Rehabilitation LLC

Deming, NM · 66 beds · For profit - Limited Liability company

0 Trust Score
Grade: F CRITICAL Risk → Stable

Red Flags

  • 1-star staffing rating
  • 1 citation(s) at the highest severity level — immediate risk to residents
  • 1 citation(s) where residents suffered actual harm
  • $66,876 in fines
  • RN hours significantly below state average

Green Flags

No positive signals identified yet.

Quick Facts

★☆☆☆☆
CMS Overall
★★☆☆☆
Health Inspection
12
0.7x state avg
Deficiencies
$66,876
Fines (3-yr)
★☆☆☆☆
Staffing

Violation Timeline

September 2, 2025

3 deficiencyies
F0641 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Ensure each resident receives an accurate assessment.

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.

F0700 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

April 6, 2025

9 deficiencyies
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.

F0641 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Ensure each resident receives an accurate assessment.

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.

F0692 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide enough food/fluids to maintain a resident's health.

F0732 No Harm Scope/Severity: C

Nursing and Physician Services Deficiencies

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Post nurse staffing information every day.

F0756 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

F0758 Potential Harm Scope/Severity: E

Pharmacy Service Deficiencies

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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.

F0812 Potential Harm Scope/Severity: F

Nutrition and Dietary Deficiencies

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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F0883 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Develop and implement policies and procedures for flu and pneumonia vaccinations.

July 22, 2024

4 deficiencyies
F0600 Immediate Jeopardy Scope/Severity: K

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.

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 Potential Harm Scope/Severity: E

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Respond appropriately to all alleged violations.

F0657 Potential Harm Scope/Severity: E

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.

March 6, 2024

4 deficiencyies
F0600 Potential Harm Scope/Severity: D

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.

F0610 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Respond appropriately to all alleged violations.

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.

F0740 Actual Harm Scope/Severity: G

Quality of Life and Care Deficiencies

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Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

See full violation history →

Staffing

0.36
RN hrs/res/day
1.06
LPN hrs/res/day
1.85
CNA hrs/res/day
2.48
Weekend hrs/res/day
N/A
Total nurse turnover
N/A
RN turnover

A nurse checks on each resident roughly every 7.3 hours on average.

Fines & Penalties

  • Fine Jul 22, 2024
    $50,905
  • Payment Denial Jul 22, 2024
    Payment Denial
  • Fine Jan 15, 2024
    $15,971
  • Payment Denial Jan 15, 2024
    Payment Denial
Total $66,876

Ownership

For profit - Limited Liability company Independent (not part of a chain)
  • Ownership Data Not Available