Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Las Estancias By Pure Health during CMS and state inspections, most recent first.
A resident with hyperopia had a care plan intervention requiring coordination of an eye care consultation, but staff did not schedule a vision appointment for approximately three months after the care plan update. The resident reported not seeing an eye doctor for over two years and expressed concern about not having a vision appointment. Review of the EHR showed no completed or scheduled vision visit during that period, and the Scheduler acknowledged delaying the call to arrange the appointment. The Social Services Assistant confirmed there was no in-house vision provider and that the appointment should have been scheduled sooner.
The facility's kitchen was found to have several sanitation deficiencies, including unlabeled and undated liquid pitchers in the refrigerator, and unclean counter tops, shelves, floors, and a heated plate dispenser. The Culinary Manager confirmed these conditions did not meet cleanliness expectations, potentially affecting all 115 residents.
The facility failed to develop comprehensive care plans for four residents, resulting in deficiencies related to bed rail use and antibiotic management. Residents with various medical conditions, including osteomyelitis, rheumatoid arthritis, and malignant neoplasm, had bed rails for safety and independence, but their care plans lacked documentation for this aspect of care. Additionally, a resident's antibiotic management was not documented in the care plan, leading to oversight in medication management. Observations and interviews confirmed these deficiencies, with the DON acknowledging the lack of proper care planning.
The facility failed to provide meals that were palatable, attractive, and at a safe temperature, as reported by several residents. Complaints included overcooked, flavorless, and cold food, with some residents opting for outside food. Observations confirmed the lack of visual appeal, and Resident Council minutes documented ongoing concerns. The Culinary Supervisor acknowledged the issues but made changes only upon receiving complaints.
The facility failed to change nasal cannulas for two residents within the recommended seven-day period, as observed during a survey. The nasal cannulas were not dated, and staff could not confirm when they were last changed, despite the facility's protocol to change them weekly. This oversight could lead to the cannulas becoming obstructed and unsanitary, potentially affecting the residents' oxygen therapy.
The facility failed to offer a COVID-19 vaccination to a resident, as evidenced by the absence of documentation in the resident's EHR. This was confirmed by the DON during an interview, highlighting a lapse in the facility's vaccination protocol.
The facility failed to ensure CNAs received the required 12 hours of in-service training per year. Three CNAs did not complete any training past August 2023, yet continued to work shifts. The Administrator confirmed the lack of evidence for ongoing training, indicating a deficiency in maintaining training standards.
A facility failed to ensure the accuracy of a PASRR assessment for a resident with multiple mental health diagnoses, including major depressive disorder and bipolar disorder. The PASRR inaccurately documented that the resident did not have a mental illness, which was confirmed by the President of Clinical Services, indicating a significant oversight in the assessment process.
A resident's care plan was not updated to include specific interventions for fall prevention, continuous oxygen therapy, and recent vision loss. The DON confirmed the lack of an individualized fall protocol and discrepancies in the care plan regarding oxygen therapy and ADL self-care performance deficit. These omissions could result in staff being unaware of the resident's care needs.
A resident with complex medical conditions was prescribed an antibiotic without a stop date, contrary to the facility's antibiotic stewardship policy. The DON confirmed the lack of a care plan and oversight during clinical meetings, leading to potential overuse of antibiotics.
A facility failed to offer the influenza vaccine to a resident, as revealed by a review of the resident's EHR. The DON confirmed the absence of documentation showing that the vaccine was offered, which is essential for preventing flu spread.
Failure to Timely Coordinate Vision Services per Care Plan
Penalty
Summary
The facility failed to coordinate and schedule timely vision services for one resident with a documented need for eye care. The resident’s face sheet showed admission to the facility prior to the events described, and the care plan dated 09/07/25 documented a diagnosis of hyperopia and included an intervention to arrange consultation with an eye care practitioner as required. Review of the electronic health record on 07/07/26 revealed no documentation that a vision appointment had been completed or scheduled. During an interview, the resident reported not having seen an eye doctor in over two years, stated that the facility was aware of this, and confirmed that lack of a vision appointment was one of his major concerns and that he wanted an appointment. The Scheduler, who is responsible for making resident appointments, stated that the resident had not had a vision consultation since admission and that the next appointment was scheduled for 07/01/26. She further stated that she did not call to schedule this appointment until 12/16/25, acknowledging that the appointment should have been scheduled sooner after the care plan update on 09/07/25 indicating the need for a vision appointment. The Social Services Assistant confirmed that the facility no longer had an in-house vision provider and agreed that the resident’s vision appointment should have been scheduled earlier than 12/16/25 following the care plan update.
Sanitation Deficiencies in Kitchen
Penalty
Summary
The facility failed to maintain sanitary conditions in the kitchen, which could potentially affect all 115 residents. During an observation, it was noted that two liquid pitchers in the refrigerator were not labeled or dated, which is against the facility's standards. Additionally, the kitchen's counter tops, shelves, and floors were found to have food particles, spilled liquids, trash, and dust. The heated plate dispenser, used to heat and store plates, also had food particles, spilled liquid, and dust on it. During an interview, the Culinary Manager acknowledged that these conditions did not meet his expectations for cleanliness and confirmed that all food and drink items should be labeled and dated.
Deficient Care Planning for Bed Rail Use and Antibiotic Management
Penalty
Summary
The facility failed to develop and implement accurate, person-centered comprehensive care plans for four residents, leading to deficiencies in addressing their specific needs. Resident #4 was admitted with multiple diagnoses, including acute osteomyelitis, chronic pain syndrome, and rheumatoid arthritis. Despite consenting to bed rails for safety and comfort, there was no care plan addressing their use. Observations confirmed the presence of bed rails, and interviews with the resident and the Director of Nursing (DON) revealed the absence of a care plan for this aspect of care. Similarly, Resident #72, who had diagnoses such as muscle wasting, osteoporosis, and pain in the hip and knee, also consented to bed rails for safety and independence. However, their care plan did not include any documentation regarding the use of bed rails. Observations and interviews confirmed the presence of bed rails and the resident's awareness of their use, but the DON acknowledged the lack of a care plan. Resident #109, admitted with conditions including malignant neoplasm of the tongue and cognitive communication deficit, had an antibiotic prescribed upon admission. However, the care plan did not document the antibiotic management, and there was no stop date for the medication in the electronic medical record. The DON confirmed this oversight. Lastly, Resident #164, with diagnoses such as a fracture of the sacrum and spinal stenosis, also had bed rails for safety and independence, but their care plan lacked documentation for bed rail use. Observations and interviews confirmed the presence and use of bed rails, with the DON acknowledging the deficiency in the care plan.
Deficiency in Meal Quality and Presentation
Penalty
Summary
The facility failed to ensure that meals served to residents were palatable, attractive, and at a safe and appetizing temperature. Multiple residents reported dissatisfaction with the quality of food, describing it as overcooked, lacking flavor, and often served cold. Observations during meal times confirmed that the food lacked visual appeal, with meals being served on neutral-colored dinnerware that did not enhance the presentation. Residents expressed that the food did not meet their expectations, with some opting to have food brought in from outside the facility. Interviews with residents revealed consistent complaints about the food quality, including reports of repetitive menus featuring chicken and pork, and meals that were not in line with national dietary standards. The facility's records showed ongoing concerns about food quality, as documented in Resident Council minutes, where residents repeatedly raised issues about cold and unappetizing food. The Culinary Supervisor acknowledged the lack of color and appeal in the menu offerings and indicated that changes to meals were made only when complaints were received or on an as-needed basis in the dining area.
Failure to Change Nasal Cannulas Timely
Penalty
Summary
The facility failed to adhere to professional standards of practice for respiratory care by not changing the nasal cannulas for two residents, R #46 and R #62, within the recommended seven-day period. During an observation, it was noted that R #46's nasal cannula was not dated, and staff could not confirm when it was last changed. The Assistant Director of Nursing-Facility Wide (ADON-FW) and CNA #6 both acknowledged that the nasal cannulas are typically changed weekly on Sundays, but neither could verify if R #46's cannula had been changed as required. This lack of documentation and adherence to protocol could lead to the nasal cannula becoming obstructed, non-functional, and unsanitary, potentially affecting the resident's oxygen therapy. Similarly, R #62's nasal cannula was also found without a date indicating when it was last changed. The physician's orders for both residents specified oxygen administration via nasal cannula every shift, yet the facility's failure to document and ensure timely changes of the cannulas represents a deviation from the expected standard of care. This oversight in maintaining proper respiratory care equipment could compromise the residents' health by not providing the necessary oxygen therapy effectively.
Failure to Offer COVID-19 Vaccination to Resident
Penalty
Summary
The facility failed to offer COVID-19 vaccinations to one of the five residents reviewed for COVID-19 vaccinations. Specifically, the electronic health record (EHR) of Resident #8 did not contain any documentation indicating that the COVID-19 vaccine was offered or administered to the resident. This was confirmed during an interview with the Director of Nursing (DON), who acknowledged the absence of evidence in the EHR regarding the offer of the COVID-19 vaccination to Resident #8.
Deficiency in CNA In-Service Training Compliance
Penalty
Summary
The facility failed to ensure that Certified Nurse Aides (CNAs) received the required 12 hours of in-service training per year, as evidenced by the records of three CNAs. CNA #1, CNA #2, and CNA #3 did not complete any training past August 2023, which was confirmed by the facility's Administrator during an interview. Despite the lack of evidence of ongoing training, these CNAs continued to work shifts providing care for residents. The Administrator acknowledged that the facility does not have proof of the CNAs completing the necessary training, which is a requirement to meet the care needs of the residents. The personnel files of the CNAs showed that their Caregiver Criminal History Screenings were cleared, but their in-service training records were incomplete, indicating a deficiency in maintaining the required training standards.
Inaccurate PASRR Assessment for Resident with Mental Health Diagnoses
Penalty
Summary
The facility failed to ensure the accuracy of the Pre-Admission Screening and Resident Review (PASRR) assessment for a resident, which is crucial for determining appropriate placement and services in long-term care. The resident was admitted with multiple mental health diagnoses, including major depressive disorder, unspecified psychosis, schizoaffective disorder, anxiety disorder, delusional disorders, and bipolar disorder. However, the PASRR documentation inaccurately stated that the resident did not have a diagnosis or suspected mental illness. This discrepancy was confirmed during an interview with the President of Clinical Services, highlighting a significant oversight in the resident's assessment process.
Failure to Revise Care Plan for Resident's Needs
Penalty
Summary
The facility failed to revise the care plan for a resident, identified as R #21, to address several critical care needs. The care plan did not include specific interventions for fall prevention, despite the resident's history of falls. Additionally, the care plan was not updated to reflect the resident's current medical order for continuous oxygen therapy, as it still listed an as-needed order. Furthermore, the care plan did not address the resident's recent acute vision loss, which occurred after a dialysis session, and did not include interventions to assist with the resident's activities of daily living (ADL) self-care performance deficit related to this vision impairment. The Director of Nursing (DON) confirmed during an interview that the care plan was not accurately revised. The DON was unable to provide a facility fall protocol and acknowledged that there was no individualized fall protocol for the resident. The discrepancies between the care plan and the resident's current medical orders for oxygen therapy were also confirmed. Additionally, the care plan lacked specific interventions to address the resident's impaired visual function and ADL self-care performance deficit. These oversights in updating the care plan could lead to staff being unaware of the resident's care needs and preferences, potentially resulting in the resident not receiving the necessary care.
Failure to Monitor Antibiotic Stop Date
Penalty
Summary
The facility failed to adequately monitor and document the stop date for an antibiotic prescribed to a resident, identified as R #109, who was admitted with multiple complex medical conditions including malignant neoplasm of the tongue, dysphagia, otitis media, and cognitive communication deficit. The resident was prescribed Ofloxacin otic solution for an ear infection, but the physician's order did not include a stop date, which is a requirement according to the facility's antibiotic stewardship policy. This oversight was confirmed during an interview with the Director of Nursing (DON), who acknowledged that the care plan should have included the reason for the antibiotic, start and stop dates, and interventions to prevent infection. The deficiency was further highlighted by the lack of a care plan for the antibiotic use, as confirmed by the DON. The Medical Director's progress notes indicated uncertainty about whether the ear infection was related to the resident's cancer diagnosis, yet the antibiotic was continued without reassessment or a stop date. The DON stated that the administration team reviews all antibiotics during morning clinical meetings, but they overlooked the missing stop date in this case. This failure to adhere to the antibiotic stewardship policy could lead to potential overuse of antibiotics.
Failure to Offer Influenza Vaccine to Resident
Penalty
Summary
The facility failed to offer the influenza vaccine to one of the five residents reviewed for immunizations. Specifically, a review of the electronic health record (EHR) for a resident revealed that the staff did not offer the influenza vaccination. During an interview, the Director of Nursing (DON) confirmed that there was no evidence in the resident's EHR indicating that the influenza vaccine had been offered. This oversight means the resident was not given the opportunity to consent to or decline the vaccine, which is crucial for preventing the spread of the flu within the facility.
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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 Albuquerque
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| South Valley Care Center Llc | 3.7 mi | ★★★★★ | 2 | 0 |
| Ladera Center | 6.5 mi | ★★★★★ | 44 | 0 |
| Odelia Healthcare | 7.6 mi | ★★★★★ | 3 | 0 |
| Manzano Del Sol By Purehealth | 8.7 mi | ★★★★★ | 1 | 0 |
| Advanced Health Care Of Albuquerque | 8.9 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.