Spring River Rehabilitation and Care Center

Roswell, NM · 120 beds · For profit - Corporation

22 Trust Score
Grade: F CRITICAL Risk → Stable

Red Flags

  • 1 citation(s) where residents suffered actual harm

Green Flags

No positive signals identified yet.

Quick Facts

★☆☆☆☆
CMS Overall
★★☆☆☆
Health Inspection
22
1.4x state avg
Deficiencies
$34,398
Fines (3-yr)
★★☆☆☆
Staffing

Violation Timeline

August 5, 2025

2 deficiencyies
F0627 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

F0919 Potential Harm Scope/Severity: D

Environmental Deficiencies

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Make sure that a working call system is available in each resident's bathroom and bathing area.

February 6, 2025

3 deficiencyies
F0580 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

F0658 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Ensure services provided by the nursing facility meet professional standards of quality.

F0842 Potential Harm Scope/Severity: E

Resident Assessment and Care Planning Deficiencies

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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

December 11, 2024

15 deficiencyies
F0604 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

F0641 Potential Harm Scope/Severity: E

Resident Assessment and Care Planning Deficiencies

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Ensure each resident receives an accurate assessment.

F0656 Potential Harm Scope/Severity: E

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.

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.

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.

F0690 Potential Harm Scope/Severity: E

Quality of Life and Care Deficiencies

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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

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: F

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.

F0757 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Ensure each resident’s drug regimen must be free from unnecessary drugs.

F0759 Potential Harm Scope/Severity: E

Pharmacy Service Deficiencies

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Ensure medication error rates are not 5 percent or greater.

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.

F0802 Potential Harm Scope/Severity: F

Nutrition and Dietary Deficiencies

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Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

F0865 Potential Harm Scope/Severity: F

Administration Deficiencies

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Have a plan that describes the process for conducting QAPI and QAA activities.

F0880 Potential Harm Scope/Severity: F

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

F0881 Potential Harm Scope/Severity: F

Infection Control Deficiencies

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Implement a program that monitors antibiotic use.

See full violation history →

Staffing

0.56
RN hrs/res/day
0.90
LPN hrs/res/day
2.20
CNA hrs/res/day
3.35
Weekend hrs/res/day
54%
Total nurse turnover
62%
RN turnover

A nurse checks on each resident roughly every 6.6 hours on average.

Fines & Penalties

  • Fine Nov 14, 2024
    $34,398
Total $34,398

Ownership

For profit - Corporation Chain: GENESIS HEALTHCARE
  • PEAK MEDICAL LLC

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 02/02/2015

    100% Organization
  • FC-GEN OPERATIONS INVESTMENT LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 12/01/2012

    NO PERCENTAGE PROVIDED Organization
  • GEN OPERATIONS I LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 12/01/2012

    NO PERCENTAGE PROVIDED Organization
  • GEN OPERATIONS II LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 12/01/2012

    NO PERCENTAGE PROVIDED Organization
  • GENESIS HEALTHCARE INC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 02/02/2015

    NO PERCENTAGE PROVIDED Organization
  • GENESIS HEALTHCARE LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 02/02/2015

    NO PERCENTAGE PROVIDED Organization
  • GENESIS HOLDINGS 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 11/15/2022

    NO PERCENTAGE PROVIDED Organization
  • SUN HEALTHCARE GROUP INC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 11/15/2022

    NO PERCENTAGE PROVIDED Organization
  • SUNBRIDGE HEALTHCARE LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 04/20/2007

    NO PERCENTAGE PROVIDED Organization
  • SUNDANCE REHABILITATION HOLDCO INC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 11/15/2022

    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 11/15/2022

    NO PERCENTAGE PROVIDED Organization
  • FISHMAN, STEVEN

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 11/15/2022

    NO PERCENTAGE PROVIDED Individual
  • WHITMAN, ARNOLD

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 11/15/2022

    NO PERCENTAGE PROVIDED Individual
  • MORRIS, DIANE

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 04/01/2024

    Individual
  • PERRYMAN-JOHNSON, CAROLYN

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 06/01/2024

    Individual
  • STOLARCZYK, LISA

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 06/01/2024

    Individual
  • BERG, MICHAEL

    CORPORATE OFFICER

    Since since 03/02/2015

    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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