ElderGrade
D

48/100

Below average

Los Alamos Wellness & Rehabilitation

1011 Sombrillo Court, Los Alamos, NM 87544

CMS 1/5 stars (505) 662-4300
Certified beds
66
Occupancy
90%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • Abuse icon on record

    CMS flags this facility for citations of abuse that caused harm, or potential for harm, to residents.

  • 1 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $130,691 in federal fines

    CMS has fined this facility across 6 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

10/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -10 for 1 immediate-jeopardy citation(s) in the last 3 years
  • -10 for 51 total citations against a national median of 17

Staffing

15/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.75 total nurse hours per resident per day (national median 3.77)
  • 0.69 RN hours per resident per day
  • Weekend staffing drops 6% against weekdays

Staff stability

9/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 54% of nursing staff left in the last year

Resident outcomes

12/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 4 of 5 stars on the CMS quality-measure rating

Enforcement history

2/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $130,691 in federal fines across 6 action(s)

Grade ceiling applied

  • Capped at 64 (grade C) — CMS abuse icon on record
  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.09 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.69 hrs
National average 0.69 hrs Better than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 2.91 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 54.20%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 75 citations

Last standard health inspection: December 9, 2024 (1 year ago).

E Mar 30, 2026 F0628 From a complaint

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

No actual harm, potential for more than minimal harm

D Mar 30, 2026 F0600 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

No actual harm, potential for more than minimal harm

K Dec 19, 2025 F0686 From a complaint

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Immediate jeopardy to resident health or safety

E Dec 19, 2025 F0580 From a complaint

Resident Rights Deficiencies

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

No actual harm, potential for more than minimal harm

E Dec 19, 2025 F0684 From a complaint

Quality of Life and Care Deficiencies

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

No actual harm, potential for more than minimal harm

E Dec 19, 2025 F0761 From a complaint

Pharmacy Service Deficiencies

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...

No actual harm, potential for more than minimal harm

E Dec 19, 2025 F0842 From a complaint

Resident Assessment and Care Planning Deficiencies

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

No actual harm, potential for more than minimal harm

E Jun 17, 2025 F0812 From a complaint

Nutrition and Dietary Deficiencies

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

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of OPCO SKILLED MANAGEMENT, which operates 68 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
CASA HEALTHCARE, LLC Organization DIRECT OWNERSHIP INTEREST
CALIBER ADVISORS LLC Organization INDIRECT OWNERSHIP INTEREST
FIRST SWEETZER HOLDINGS LLC Organization INDIRECT OWNERSHIP INTEREST
HATTERAS INVESTMENTS LLC Organization INDIRECT OWNERSHIP INTEREST
GARETZ, DAVID Individual CORPORATE OFFICER
CASA HEALTHCARE, LLC Organization OPERATIONAL/MANAGERIAL CONTROL
GARETZ, DAVID Individual OPERATIONAL/MANAGERIAL CONTROL
GURWITZ, SOLOMON Individual INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE O...
HAGINS, ELIZABETH Individual INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE O...
KAPLAN, ESTHER Individual INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE O...
KAPLAN, MOSHA Individual INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE O...
MINDLE, ADAM Individual INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE O...

What families say

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Common questions about Los Alamos Wellness & Rehabilitation

What is the ElderGrade for Los Alamos Wellness & Rehabilitation? +

Los Alamos Wellness & Rehabilitation holds an ElderGrade of D (48 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Los Alamos Wellness & Rehabilitation? +

Residents receive an average of 3.09 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Los Alamos Wellness & Rehabilitation been cited for harming residents? +

Yes. 1 of the 75 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Los Alamos Wellness & Rehabilitation accept Medicaid? +

Yes, Los Alamos Wellness & Rehabilitation is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.