Above average — CMS composite of the measures below.
A standard survey is most likely before around September 2026
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 San Juan Care Center during CMS and state inspections, most recent first.
A resident with major depressive disorder, generalized anxiety disorder, and an adjustment disorder with depressed mood had an inaccurate PASARR Level I screening that failed to include the depression diagnosis, despite PASARR requirements to identify mental illness such as depression. The DON reported that the depression diagnosis was made after admission and acknowledged responsibility for completing PASARR screenings and for not updating the PASARR to reflect the new diagnosis, resulting in an inaccurate PASARR for the resident.
A resident with multiple behavioral health and medical diagnoses was discharged following an incident of aggression, but the facility failed to ensure proper notification, did not confirm receipt of the discharge notice, and did not conduct appropriate discharge planning. Staff interviews confirmed that the resident did not receive his medications or a discharge plan, and there was no confirmation that discharge paperwork was received while the resident was in jail.
A resident with a history of joint replacement and fall risk fell in a shower room due to a non-functional call light, preventing her from requesting assistance. The facility's maintenance records lacked documentation of specific call light inspections, contributing to the oversight. Staff assumed call lights were functional, and the resident's care plan required staff participation in bathing due to mobility issues.
A facility failed to notify a resident's POA when the resident experienced low oxygen saturation and required supplemental oxygen. The resident, with a history of serious medical conditions, showed increased confusion and disorientation, and fell out of bed. Despite these changes, the facility did not inform the family or POA, and the resident was eventually sent to the hospital. Interviews revealed a lack of documentation and communication regarding the resident's condition changes.
Inaccurate PASARR Screening for Resident With Depression
Penalty
Summary
The facility failed to ensure an accurate Preadmission Screening and Resident Review (PASARR) for a resident with mental health diagnoses. Record review showed the resident was admitted with major depressive disorder, generalized anxiety disorder, and later developed an adjustment disorder with depressed mood after admission. The PASARR Level I, dated 04/15/25, required identification of mental illness diagnoses, including depression, but the resident’s diagnosis of depression was not included on the PASARR. During interview, the DON stated the resident received the diagnosis of depression at the facility and acknowledged that the PASARR should have been updated following the new diagnosis, confirming that the PASARR completed on 04/15/25 was inaccurate. This deficient practice was cited as likely to result in the facility not providing the services needed by residents who are identified in the screening process for additional care and services.
Failure to Ensure Proper Notification and Discharge Planning
Penalty
Summary
The facility failed to meet regulatory requirements during the discharge of a resident with schizoaffective disorder, generalized anxiety disorder, opioid dependence, and diabetes mellitus. The resident was discharged after an incident involving aggressive behavior, specifically throwing coffee on the Assistant Director of Nursing, which led to his arrest. Documentation showed that the Medical Director determined the resident was no longer safe to remain in the facility, and the Administrator documented the resident's discharge while he was in jail. However, the facility did not ensure proper notification was given to the resident, did not confirm the resident's receipt of the discharge notice, and failed to conduct appropriate discharge planning. Interviews with facility staff revealed that the discharge paperwork was hand-delivered to the jail but there was no confirmation that the resident actually received it. When the resident returned to the facility, he reported not having received any paperwork while in jail, and only then was a copy of the discharge papers provided. The Director of Nursing and Regional Nurse Consultant both confirmed that discharge planning was not completed and that the resident did not receive his medications upon discharge. The facility also denied the resident reentry due to safety concerns, but failed to follow required procedures for safe and appropriate discharge, including proper notification and planning.
Non-Functional Call Light Leads to Resident Fall in Shower Room
Penalty
Summary
The facility failed to ensure a functional call light system in the shower room, which led to a resident's inability to request immediate assistance when needed. The resident, who had a history of major joint replacement and was at moderate risk for falls, experienced an unwitnessed fall in the shower room. The resident slipped while holding the shower rail, hit her right elbow against the wall, and slid down to the floor, resulting in pain and tenderness in the elbow. The incident occurred despite the resident's care plan indicating the need for staff participation with bathing and transfers due to her self-care performance deficit related to decreased mobility and comorbidities. The facility's records revealed that the call light in the shower room was not functional at the time of the incident. The Maintenance Director was responsible for inspecting call lights weekly, but the inspection reports did not specify which call lights were checked or the outcomes of those inspections. On the day of the incident, the Maintenance Director inspected six resident room call lights but did not document an inspection of the 100 hallway shower room call light. The Director of Nursing stated that staff assumed call lights were functional and did not expect the CNA to check the call light before leaving the resident to bathe privately. Interviews with facility staff confirmed that the call light in the shower room was not operational when the resident fell. The Administrator expected the Maintenance Director to perform random checks on all call lights, including those in shower rooms, but the lack of documentation and specific inspections contributed to the oversight. The resident's representative was informed of the fall and expressed concern about the resident's knee surgery, although the knee was not affected by the fall.
Failure to Notify POA of Resident's Change in Condition
Penalty
Summary
The facility failed to notify the Power of Attorney (POA) of a resident's change in condition when the resident experienced low oxygen saturation levels and required supplemental oxygen. The resident, who had a history of surgical amputation, sepsis, Type II diabetes, and cellulitis, showed increased confusion and disorientation, and fell out of bed without injury. Despite these changes, the facility did not inform the family member or POA about the resident's condition or the need for oxygen therapy. The resident's oxygen saturation dropped to 66%, and later to 47% when the nasal cannula was off, prompting emergency medical services to transport the resident to the hospital. Interviews with the Assistant Director of Nursing (ADON) and the Director of Nursing (DON) revealed that the staff did not notify the family or POA of the resident's condition changes. The ADON, who was not working on the day the resident's condition initially changed, confirmed that there was no documentation of family notification. The DON stated that staff should notify the family or POA when a resident experiences a change in condition, but this protocol was not followed in this case.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 42 citations issued within 25 miles in the last 12 months — including the 2 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Farmington
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Farmington Wellness & Rehabilitation | 0 mi | ★★★★★ | 10 | 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 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for San Juan Care Center.
100% money-back within 48 hours.
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.