Casa Maria Healthcare
1601 South Main Street · Roswell, NM · 88203 · 5756236008
118 certified beds For profit - Limited Liability company Chain: Opco Skilled Management
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $36,895 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
4 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
3 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.21 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.33 | 0.55–0.75 |
| Weekend hours / resident-day | 2.79 | ≈ weekday level |
| Nursing turnover / year | 60% | median 45% |
| Fines (3-yr window) | 3 · $99,368 |
Inspection citations (54 in the current record)
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Potential for harm · D February 5, 2026 · found via complaint
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected February 12, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 18, 2025
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected February 9, 2026 · Resident Rights
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Potential for harm · D December 18, 2025
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected February 9, 2026 · Resident Rights
-
Potential for harm · E December 18, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected February 9, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E December 18, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected February 9, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 18, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 9, 2026 · Resident Assessment and Care Planning
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Potential for harm · E December 18, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected February 9, 2026 · Resident Assessment and Care Planning
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Potential for harm · E December 18, 2025
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected February 9, 2026 · Quality of Life and Care
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Potential for harm · F December 18, 2025
Post nurse staffing information every day.
Corrected February 9, 2026 · Nursing and Physician Services
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Potential for harm · E December 18, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected February 9, 2026 · Pharmacy Service
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Potential for harm · D December 18, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected February 9, 2026 · Pharmacy Service
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Potential for harm · F December 18, 2025
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.
Corrected February 9, 2026 · Pharmacy Service
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Potential for harm · E December 18, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 9, 2026 · Nutrition and Dietary
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Potential for harm · E December 18, 2025
Provide and implement an infection prevention and control program.
Corrected February 9, 2026 · Infection Control
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Potential for harm · F December 18, 2025
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Corrected February 9, 2026 · Environmental
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Potential for harm · D December 18, 2025
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected February 9, 2026 · Environmental
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Potential for harm · D September 11, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected October 8, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E September 11, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected October 8, 2025 · Quality of Life and Care
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Potential for harm · D September 20, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected October 11, 2024 · Resident Rights
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Potential for harm · E September 20, 2024
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected October 11, 2024 · Resident Rights
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Potential for harm · E September 20, 2024
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected October 11, 2024 · Resident Rights
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Potential for harm · E September 20, 2024
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected October 11, 2024 · Resident Rights
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Potential for harm · F September 20, 2024
Honor the resident's right to manage his or her financial affairs.
Corrected October 11, 2024 · Resident Rights
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Potential for harm · F September 20, 2024
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected October 11, 2024 · Resident Rights
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Potential for harm · E September 20, 2024
Ensure each resident receives an accurate assessment.
Corrected October 11, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 10, 2024 | Fine | $36,895 |
| March 13, 2024 | Fine | $41,861 |
| December 22, 2023 | Fine | $20,612 |
Better-scoring options nearby
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 325086 · certified since March 27, 1998. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.