nursing home in T Or C, NM
Paloma Springs Healthcare LLC
1400 North Silver Street, T Or C, NM 87901 · (575) 894-7855
★★★★★4
Above average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★3
- Quality measures★★★★★5
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Paloma Springs Healthcare LLC at a glance
Paloma Springs Healthcare LLC is a 94-bed for-profit nursing home in T Or C, New Mexico (Sierra County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the New Mexico average of 2.9.
Residents receive about 3.1 hours of nursing care per day (0.4 of them from registered nurses), worse than the state average of 3.5 hours.
Its most recent standard health inspection (April 28, 2025) found 16 health citations. The New Mexico average is 17.6.
Federal regulators fined it 1 time in the past three years, totaling $19,971.
Nursing staff turnover is 30% per year (state average 53.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 94
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Opco Skilled Management
- Medicare-certified since
- June 1, 1992
- Resident/family council
- Resident
- County
- Sierra County
- CMS Certification Number
- 325062
Ratings
| Measure | This facility | New Mexico avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 2.9 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.7 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 2.9 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 3.8 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 4 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 3.6 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | New Mexico avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.11 hrs | 3.54 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.44 hrs | 0.63 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.16 hrs | 2.20 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.81 hrs | 3.10 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 30% | 53.3% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 25% | 53.6% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | New Mexico avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 16 | 18 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 4 | 5 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 115 | 160.2 | 80.6 | Worse |
Penalties
| Measure | This facility | New Mexico avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $19,971 | $45,849 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 2 | 1 | Average |
Size
| Measure | This facility | New Mexico avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 94 | 101 | 107 | |
| Average residents per day | 88 | 85 | 86 | |
| Occupancy | 94% | 84.5% | 80.9% |
Long-stay residents
| Measure | This facility | New Mexico avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 1.9% | 3.5% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 0.3% | 5.2% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 16.8% | 14.5% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0.6% | 0.9% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.9% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 2.3% | 11.3% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 4.8% | 11.7% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 1.9% | 4% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0.4% | 2% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 17.6% | 14.7% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 7.7% | 20% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 98.7% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 96.7% | 93.6% | Better |
Short-stay residents
| Measure | This facility | New Mexico avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 2.2% | 1.1% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 100% | 86.4% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 100% | 85.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 41 health deficiencies and 4 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 25, 2026 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Deficient, Provider has no plan of correction |
| December 5, 2025 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected December 19, 2025 |
| December 5, 2025 Complaint | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Tag F0637 | D Potential harm, isolated | Corrected December 19, 2025 |
| December 5, 2025 Complaint | Assure that each resident’s assessment is updated at least once every 3 months. Resident Assessment and Care Planning Deficiencies · Tag F0638 | D Potential harm, isolated | Corrected December 19, 2025 |
| August 19, 2025 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected September 16, 2025 |
| April 28, 2025 Fire safety | Address patient/client population and determine types of services needed. Emergency Preparedness Deficiencies · Tag E0007 | F Potential harm, widespread | Corrected May 23, 2025 |
| April 28, 2025 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | E Potential harm, pattern | Corrected May 23, 2025 |
| April 28, 2025 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | E Potential harm, pattern | Corrected May 23, 2025 |
| April 28, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected June 16, 2025 |
| April 28, 2025 Standard | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Tag F0552 | E Potential harm, pattern | Corrected June 16, 2025 |
| April 28, 2025 Standard | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | E Potential harm, pattern | Corrected June 16, 2025 |
| April 28, 2025 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | E Potential harm, pattern | Corrected June 16, 2025 |
| April 28, 2025 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | E Potential harm, pattern | Corrected June 16, 2025 |
| April 28, 2025 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | E Potential harm, pattern | Corrected June 16, 2025 |
| April 28, 2025 Standard | 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. Pharmacy Service Deficiencies · Tag F0758 | E Potential harm, pattern | Corrected June 16, 2025 |
| April 28, 2025 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected June 16, 2025 |
| April 28, 2025 Standard | 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. Resident Rights Deficiencies · Tag F0625 | D Potential harm, isolated | Corrected June 16, 2025 |
| April 28, 2025 Standard | 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. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected June 16, 2025 |
| April 28, 2025 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected June 16, 2025 |
| April 28, 2025 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected June 16, 2025 |
| January 23, 2025 Complaint | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 | D Potential harm, isolated | Corrected October 28, 2024 |
| July 23, 2024 Complaint | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected August 8, 2024 |
| February 12, 2024 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | G Actual harm, isolated | Corrected March 6, 2024 |
| February 12, 2024 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | F Potential harm, widespread | Corrected March 6, 2024 |
| February 12, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected March 6, 2024 |
| February 12, 2024 Standard | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Tag F0791 | E Potential harm, pattern | Corrected March 6, 2024 |
| February 12, 2024 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | E Potential harm, pattern | Corrected March 6, 2024 |
| February 12, 2024 Standard | 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. Resident Rights Deficiencies · Tag F0585 | E Potential harm, pattern | Corrected March 6, 2024 |
| February 12, 2024 Standard | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0603 | E Potential harm, pattern | Corrected March 6, 2024 |
| February 12, 2024 Standard | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Tag F0623 | E Potential harm, pattern | Corrected March 6, 2024 |
| February 12, 2024 Standard | 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. Resident Rights Deficiencies · Tag F0625 | E Potential harm, pattern | Corrected March 6, 2024 |
| February 12, 2024 Standard | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Tag F0636 | E Potential harm, pattern | Corrected March 6, 2024 |
| February 12, 2024 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | E Potential harm, pattern | Corrected March 6, 2024 |
| February 12, 2024 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | E Potential harm, pattern | Corrected March 6, 2024 |
| February 12, 2024 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | E Potential harm, pattern | Corrected March 6, 2024 |
| February 12, 2024 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | E Potential harm, pattern | Corrected March 6, 2024 |
| February 12, 2024 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected March 6, 2024 |
| February 12, 2024 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected March 6, 2024 |
| November 2, 2022 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | E Potential harm, pattern | Corrected December 20, 2022 |
| November 2, 2022 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | E Potential harm, pattern | Corrected December 9, 2022 |
| November 2, 2022 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | E Potential harm, pattern | Corrected December 9, 2022 |
| November 2, 2022 Standard | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Tag F0623 | E Potential harm, pattern | Corrected December 9, 2022 |
| November 2, 2022 Standard | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies · Tag F0577 | E Potential harm, pattern | Corrected December 9, 2022 |
| November 2, 2022 Standard | 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. Resident Rights Deficiencies · Tag F0625 | D Potential harm, isolated | Corrected December 9, 2022 |
| November 2, 2022 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected December 9, 2022 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $19,971 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| February 12, 2024 | Fine | $19,971 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| 1400 N SILVER STREET NM, LLC Organization | adp of the snf | NOT APPLICABLE | 03/01/2023 |
| CONTINUUM REHAB GROUP LLC Organization | adp of the snf | NOT APPLICABLE | 03/01/2023 |
| HALLMARK ADVISORS, LLC Organization | adp of the snf | NOT APPLICABLE | 03/01/2023 |
| HANSEN HUNTER LLC Organization | adp of the snf | NOT APPLICABLE | 04/01/2024 |
| OPCO CA SKILLED MGMT INC. Organization | adp of the snf | NOT APPLICABLE | 03/01/2023 |
| OPCO NM SKILLED MGMT, LLC Organization | adp of the snf | NOT APPLICABLE | 03/01/2023 |
| STOLARCZYK, LISA Individual | adp of the snf | NOT APPLICABLE | 03/07/2024 |
| THE WRIGHT GROUP CONSULTING, LLC Organization | adp of the snf | NOT APPLICABLE | 04/01/2024 |
| WILLIAMS, SCOTT Individual | adp of the snf | NOT APPLICABLE | 03/01/2023 |
| WILSHIRE HEALTH REALTY, LLC Organization | adp of the snf | NOT APPLICABLE | 03/01/2023 |
| GARETZ, DAVID Individual | corporate officer | NOT APPLICABLE | 03/01/2023 |
| CASA HEALTHCARE, LLC Organization | direct ownership interest | NOT APPLICABLE | 03/01/2023 |
| CALIBER ADVISORS LLC Organization | indirect ownership interest | NOT APPLICABLE | 03/01/2023 |
| FIRST SWEETZER HOLDINGS LLC Organization | indirect ownership interest | NOT APPLICABLE | 03/01/2023 |
| HATTERAS INVESTMENTS LLC Organization | indirect ownership interest | NOT APPLICABLE | 03/01/2023 |
| GURWITZ, SOLOMON Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 07/17/2025 |
| HAGINS, ELIZABETH Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 07/17/2025 |
| KAPLAN, ESTHER Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 07/17/2025 |
| KAPLAN, MOSHA Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 07/17/2025 |
| MINDLE, ADAM Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 07/17/2025 |
| STERNSHEIN, JENNIFER Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 04/01/2025 |
| UNGER, JEFFREY Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 07/17/2025 |
| ZIMMERMAN, CAROLINE Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 04/01/2025 |
| CASA HEALTHCARE, LLC Organization | operational/managerial control | NOT APPLICABLE | 04/01/2023 |
| GARETZ, DAVID Individual | operational/managerial control | NOT APPLICABLE | 03/01/2023 |
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Frequently asked questions
What is Paloma Springs Healthcare LLC's rating?
Paloma Springs Healthcare LLC has 4 out of 5 stars on the CMS overall star rating. The average for New Mexico nursing homes is 2.9 stars.
How many inspection citations did Paloma Springs Healthcare LLC receive?
Its most recent standard health inspection found 16 citations, compared with a New Mexico average of 17.6. Every citation is listed on this page with its severity.
Does Paloma Springs Healthcare LLC accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Paloma Springs Healthcare LLC?
It is for profit - corporation and part of Opco Skilled Management. The ownership section on this page lists the owners and managers reported to CMS.
Where is Paloma Springs Healthcare LLC and how do I contact it?
Paloma Springs Healthcare LLC is at 1400 North Silver Street, T Or C, NM 87901. Phone: (575) 894-7855.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.