Above average — CMS composite of the measures below.
The next survey window likely opens around April 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Farmington Wellness & Rehabilitation during CMS and state inspections, most recent first.
A dining observation showed residents seated at the same table were not served breakfast at the same time, with meals staggered over many minutes while others watched residents eat. A resident said she preferred to be served with everyone else and did not like watching others eat, and a family member said residents always have to wait so long for food. The DM stated that waiting 22 minutes after another resident at the same table is too long and that residents should be served at the same time or within a few minutes of each other.
Baseline care plans were not completed within 48 hours for several residents, and one resident's plan was also inaccurate. Residents admitted with conditions including fractures, pneumonia, diabetes, cancer, intellectual disabilities, and a scrotal abscess had baseline care plans completed 4 to 5 days after admission. For one resident, the plan did not reflect foley catheter use or wound care needs, and the ADON confirmed the plans should have been completed within 48 hours and accurately reflected each resident's needs.
Unnecessary medications were ordered without appropriate diagnosis-based indications. Two residents had medications ordered for uses that did not match their current diagnoses: one resident received mirtazapine, trazodone, and omeprazole for indications not supported by the record, and another resident received mirtazapine, quetiapine, and melatonin for sleep or behavior management without corresponding diagnoses. The ADON confirmed the indications were not appropriate for the documented conditions.
Unsanitary food handling practices were observed in the kitchen when a cook plated food without a beard restraint, a receptionist entered the kitchen and got ice without a hair restraint, and the cook repeatedly touched food with a gloved hand and wiped it on a dirty apron without sanitizing or changing gloves. The paper meal ticket was also placed on the plate during plating, and the DM confirmed staff should wear hair and beard restraints as applicable, sanitize hands after touching dirty items, and keep meal tickets from touching food.
Infection Control Failures During Wound Care: An LPN failed to wear the required gown throughout wound care for a resident on barrier precautions, blew on hands after applying alcohol-based hand sanitizer, and later rubbed hands on pants after washing and drying them before continuing the dressing change. The LPN confirmed the actions were improper, and the ADON stated that a gown should be worn throughout wound care and that hand hygiene should be performed without blowing on hands or wiping them on pants.
The facility failed to provide a written NOMNC to one resident whose Medicare Part A stay ended, and the ADM confirmed there was no evidence the notice was given. The resident’s MDS showed the Medicare stay had ended, and the ADM stated the expectation was for staff to provide the NOMNC to the resident or representative before coverage ended so they could make informed decisions about care.
PHI was left visible on an unattended computer screen on the med cart, showing a resident’s name, vital signs, and medication information facing the hall. An LPN acknowledged the screen contained PHI and said she should have locked it before walking away.
A resident with a foley catheter, scrotal abscess, active wound infection, and surgical wound care needs did not have a comprehensive care plan completed within the required timeframe after the MDS assessment. The MDS documented moderate cognitive impairment, an indwelling catheter, and wound care requirements, but the care plan was not completed until 24 days later. The ADON stated the care plan was not completed timely and should have been person-centered, accurate, and implemented within 7 days of the MDS.
Failure to assist a resident with meals and report significant weight loss. A resident with moderately impaired cognition, a femur fracture, pneumonia, HTN, and osteoporosis required setup or clean-up help with all meals and was at risk for malnutrition. Staff left a full lunch tray in her room while she was asleep, and records showed a 12.5% weight loss in 16 days with repeated meals under 75%; the physician was not notified of the weight loss.
The facility failed to keep the medication and supply room locked and secured, and expired blood collection tubes were found in medical storage rooms. During observation, the west hall med room was unlocked, and multiple expired blood collection tubes were identified in the [NAME] Hall and East Hall storage areas; an ADON and two LPNs acknowledged the room should be locked and the expired tubes should have been discarded.
A facility failed to maintain a medication error rate below 5%, resulting in a 7.14% error rate when a CMA administered two medications late to a resident. The medications, Capsaicin cream and Erythromycin tablet, were scheduled for 7:30 am but were given at 8:50 am because the CMA was covering for an absent CNA. The DNS expected medications to be administered within a two-hour window, which was not met.
The facility did not ensure that insulin vials were dated and discarded within 28 days as required. A Humulin R insulin vial was found opened and not discarded after the 28-day period, contrary to the manufacturer's instructions. Interviews with a CMA and the DNS confirmed the oversight, potentially leading to a resident receiving less effective or expired medication.
Staggered meal service at shared dining tables
Penalty
Summary
The facility failed to promote care with dignity and respect for 16 residents during a random dining observation when residents seated at the same dining table were not served breakfast at the same time. On 05/05/26 at 7:16 am, surveyors observed two residents at one table, four residents at another table, and three residents at a third table waiting for breakfast. At each table, one resident was served first and the remaining residents watched while that resident ate, with the other meals being served later in staggered intervals. At the table with two residents, the first meal was served at 7:37 am and the second at 7:53 am. At the table with four residents, meals were served at 7:35 am, 7:39 am, 7:52 am, and 7:57 am. At the table with three residents, meals were served at 7:41 am, 7:43 am, and 7:58 am. During interview, a resident stated she would prefer to have her meal served at the same time as everybody else at the table and said she does not like to watch everyone else eat. The son of another resident stated they always have to wait so long for food to be served. The Dietary Manager stated that residents having to wait twenty-two minutes after another resident is served at the same table is too long, and her expectation is for residents seated at the same table to be served at the same time or within a few minutes of each other.
Baseline Care Plans Not Completed or Accurate Within 48 Hours
Penalty
Summary
The facility failed to complete accurate baseline care plans within 48 hours of admission for 4 of 7 residents reviewed. Record review showed that Resident #18, admitted with major depressive disorder, profound intellectual disabilities, other disorders of psychological development, and a developmental disorder of speech and language, did not have a baseline care plan completed until five days after admission. Resident #7, admitted with a left femur neck fracture, essential hypertension, lobar pneumonia, age-related osteoporosis with current pathological fracture, and an unspecified fall, also had a baseline care plan completed four days after admission. Resident #38, admitted with a displaced fracture of the medial condyle of the left femur, liver cell carcinoma, type 2 diabetes mellitus, acute kidney failure, and morbid obesity, had a baseline care plan completed five days after admission. Resident #39 was admitted with inflammatory disorders of the scrotum, peripheral vascular disease, essential hypertension, GERD, esophageal obstruction, BPH without lower urinary tract symptoms, and encounter for surgical aftercare following surgery on the skin and subcutaneous tissue. The admission evaluation documented that he used a foley catheter upon admission and had a scrotal abscess with dressing intact, but the baseline care plan was completed four days after admission and did not indicate the foley catheter use or the need for wound care. During interviews on 05/08/26, the ADON confirmed that each of these baseline care plans should have been completed within 48 hours and that Resident #39's plan should have included the catheter use and wound care needs.
Unnecessary medications were ordered without appropriate diagnosis-based indications
Penalty
Summary
The facility failed to ensure that residents’ drug regimens were free from unnecessary drugs by not ensuring that medications had an adequate indication for use and that the indication matched the resident’s current diagnosis. During record review and interview, the deficiency was identified for 2 of 5 residents reviewed for unnecessary medications, specifically Resident #3 and Resident #18. The report states this deficient practice could likely lead to adverse drug effects and poor patient outcomes. For Resident #3, the record showed admission diagnoses of major depressive disorder, type 2 diabetes mellitus, end stage renal disease, and morbid obesity. Physician orders included mirtazapine 15 mg at bedtime for appetite stimulant, trazodone 50 mg three tablets every 24 hours as needed for obstructive sleep apnea for 14 days, and omeprazole 20 mg daily for end stage renal disease. During interview, the ADON confirmed that mirtazapine was not appropriately indicated for appetite stimulant use, trazodone was not appropriately indicated for obstructive sleep apnea, and omeprazole was not appropriately indicated for ESRD and the resident did not have a diagnosis of acid reflux. For Resident #18, the record showed admission diagnoses of major depressive disorder, profound intellectual disabilities, other disorders of psychological development, and developmental disorder of speech and language. Physician orders included mirtazapine 15 mg at bedtime for sleep management, quetiapine fumarate 50 mg twice daily for behaviors, quetiapine fumarate 100 mg twice daily for behaviors, and melatonin 3 mg as needed for insomnia. The ADON confirmed that mirtazapine was not appropriately indicated for sleep management, quetiapine fumarate was not appropriately indicated for behavior management, and melatonin was not appropriately indicated because the resident did not have a diagnosis of insomnia.
Unsanitary Food Preparation and Plating Practices
Penalty
Summary
Food was prepared and served under unsanitary conditions during a kitchen observation. The cook was not wearing a beard restraint while cooking and plating food, and the Dietary Manager confirmed that a beard restraint should have been worn. A receptionist entered the kitchen without a hair restraint, opened the ice machine, and filled a container with ice. The cook wore a black apron with what appeared to be dried food splatters and used a gloved left hand to touch food, then wiped that gloved hand on the apron each time without sanitizing hands or changing the glove. The paper meal ticket was also handled in a way that placed it on the plate during plating. The ticket was placed on top of the plate, food was plated, and then the ticket was removed from under the food and placed on the plastic meal tray. During interview, the Dietary Manager confirmed that staff entering the kitchen should wear hair restraints and beard restraints as applicable, that hands should be washed or sanitized after touching a dirty item such as an apron, and that paper meal tickets should not be placed on plates or touch the food.
Infection Control Failures During Wound Care
Penalty
Summary
The facility failed to maintain an infection prevention and control program during wound care for one resident. During an observation of wound care for R #56, an Enhance Barrier Precaution sign was posted outside the resident’s door with PPE hanging outside the room, but the LPN did not put on the required gown before starting the dressing change. The LPN applied sanitizer to her hands and blew on them before putting on gloves to perform the wound care. After removing the first set of gloves and washing her hands with soap and water, the LPN dried her hands with paper towels and then rubbed her hands on her pants before putting on gloves to complete the wound care. During interview, the LPN confirmed she should not have blown on her hands after applying alcohol-based hand sanitizer and should not have wiped her hands on her pants after removing gloves. The ADON stated that appropriate PPE, including a gown, should be worn throughout wound care and that hands should be allowed to air-dry after use of alcohol-based cleanser, with proper hand hygiene maintained without wiping hands on pants.
Failure to Provide Medicare Non-Coverage Notice
Penalty
Summary
The facility failed to provide a written Notice of Medicare Non-Coverage (NOMNC) to 1 of 3 residents reviewed for beneficiary notices. Record review showed the resident was originally admitted to the facility on [DATE], and the End of Part A MDS assessment dated 04/01/26 showed the end date for the resident’s most recent Medicare stay was 03/23/26. During an interview on 05/07/26 at 2:40 pm, the Administrator stated the facility had no evidence that the resident received a NOMNC for the stay that ended on 03/23/26 and stated the expectation was for staff to give residents or their representatives a copy of the NOMNC at least three to five days before the end of Medicare Part A coverage.
PHI Left Visible on Unattended Computer Screen
Penalty
Summary
The facility failed to safeguard resident medical record information for 1 of 3 residents reviewed for privacy and confidentiality of records when PHI was left in plain view on a computer screen. During an observation of the unit medication cart on the west hall, an unattended computer screen was seen displaying R #59's name, vital sign information, and medication information facing the hall where unauthorized people could access it. During an interview shortly afterward, LPN #1 stated the screen contained PHI and had been left visible on the medication cart, and acknowledged that she should have locked the computer screen before walking away but did not.
Delayed Comprehensive Care Plan Completion
Penalty
Summary
The facility failed to develop an accurate, comprehensive care plan within seven days of completion of the comprehensive assessment for one resident. R #39 was admitted with diagnoses including inflammatory disorders of the scrotum, peripheral vascular disease, essential hypertension, GERD, esophageal obstruction, benign prostatic hyperplasia without lower urinary tract symptoms, and encounter for surgical aftercare following surgery on the skin and subcutaneous tissue. On admission evaluation, R #39 was using a foley catheter and had a scrotal abscess with dressing intact. The resident’s MDS dated 04/10/26 documented a BIMS score of 12, an indwelling catheter, an active wound infection, and a surgical wound requiring wound care including nonsurgical dressings, ointments, and medications. The comprehensive care plan was not completed until 05/04/26, which was 24 days after the MDS assessment. During interview, the ADON stated the care plan was not completed timely and that it should be person-centered, accurate, and implemented within seven days of the MDS assessment being completed.
Failure to Assist With Meals and Report Significant Weight Loss
Penalty
Summary
The facility failed to maintain acceptable nutritional status for one resident, R #7, by not assisting her with meals as required and by not notifying the physician of significant weight loss. R #7 was admitted with diagnoses including a left femur fracture, HTN, lobar pneumonia, osteoporosis with a current pathological fracture, and an unspecified fall. Her MDS showed a BIMS score of 09, indicating moderately impaired cognition, and that she required setup or clean-up assistance with all meals. Her care plan identified her as at risk for malnutrition, directed staff to maintain her weight within 5% of baseline, and noted she should consume 75% of at least two meals daily. It also stated she needed a calm, quiet setting at mealtimes and preferred to eat in the dining room. An observation on 05/04/26 found R #7 asleep in her bed while a full lunch tray was left on the dresser in her room. Weight records showed she weighed 113.6 pounds on 04/10/26 and 99.4 pounds on 04/26/26, a 12.5% loss in 16 days. Documentation also showed that during April 2026, she did not eat more than 75% of meals on 17 of 21 days. The electronic health record contained no documentation that the physician was notified of the weight loss. During interview, the ADON stated staff should assist residents who require setup or clean-up help with meals and should not simply drop off a meal, even if the resident is asleep, and confirmed the physician was not notified of the weight loss and should have been.
Unlocked Medication Storage Room and Expired Blood Collection Tubes
Penalty
Summary
The facility failed to properly store medical supplies and medications when the medication and supply room was found unlocked during a random observation of the west hall. During an interview, the ADON stated the medical room door should be locked and that it did not meet her expectations because residents should not have access to anything in the room. The facility also failed to dispose of expired blood collection tubes. An observation of the [NAME] Hall medical storage room revealed 63 blue top blood collection tubes, 100 green top blood collection tubes, and 100 gray top blood collection tubes that had expired, and an observation of the East Hall medical storage room revealed two gray top blood collection tubes that had expired. During interviews, two LPNs stated the blood collection tubes had expired and should have been thrown away.
Medication Error Rate Exceeds 5% Due to Late Administration
Penalty
Summary
The facility failed to maintain a medication error rate below 5%, resulting in a 7.14% error rate during a medication administration for a resident. The deficiency occurred when a Certified Medication Aid (CMA) administered two medications late to a resident. The resident's physician orders required the application of Capsaicin cream and the administration of Erythromycin base oral tablet at 7:30 am. However, these medications were administered at 8:50 am due to the CMA being asked to cover for a Certified Nursing Assistant (CNA) who was absent. The Director of Nursing Services expected medications to be administered within a two-hour window, one hour before to one hour after the scheduled time, which was not adhered to in this instance.
Failure to Discard Insulin Vials Within 28 Days
Penalty
Summary
The facility failed to ensure that nurses and Certified Medication Aids (CMAs) properly dated and discarded opened insulin vials within 28 days, as per the manufacturer's instructions. During an observation of the East Hall medication cart, a Humulin R insulin vial, belonging to a resident, was found opened and dated beyond the 28-day discard period. The manufacturer's instructions clearly state that opened vials should be discarded after 28 days, regardless of remaining content. Interviews with a CMA and the Director of Nursing Services confirmed that the staff did not adhere to this protocol, which could result in the resident receiving less effective or expired medication.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Farmington
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| San Juan Care Center | 0 mi | ★★★★★ | 1 | 0 |
| Life Care Center Of Farmington | 0.6 mi | ★★★★★ | 8 | 1 |
| Cedar Ridge Inn | 3.9 mi | ★★★★★ | 4 | 0 |
| Bloomfield Nursing And Rehabilitation Center | 13.3 mi | ★★★★★ | 15 | 0 |
| Aztec Healthcare | 13.4 mi | ★★★★★ | 5 | 1 |
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