Mescalero Care Center

454 Lipan Avenue · Mescalero, NM · 88340 · 5754644802

40 certified beds Non profit - Other

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Staffing levels are well below research benchmarks for safe care.
  • Inspection results are getting worse cycle over cycle, not better.
  • No federal fines or payment denials in CMS’s 3-year window.

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Red flags

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

Score breakdown

Inspection record 30% of score 25
Serious harm & abuse 20% 100
Staffing 20% 20
Federal penalties 15% 100
Trend 10% 39
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: not rated

Total nurse hours / resident-day3.48 min · 4.1 strong
RN hours / resident-day0.55–0.75
Weekend hours / resident-day≈ weekday level
Nursing turnover / yearmedian 45%
Fines (3-yr window)none

Inspection citations (62 in the current record)

  • Potential for harm · E December 5, 2025 · found via complaint

    Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

    Corrected January 15, 2026 · Resident Rights

  • Potential for harm · E December 5, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected January 15, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D December 5, 2025 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected January 15, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E December 5, 2025 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected January 15, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D May 19, 2025

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected July 18, 2025 · Resident Rights

  • Potential for harm · E May 19, 2025

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected July 18, 2025 · Resident Rights

  • Potential for harm · E May 19, 2025

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Corrected July 18, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E May 19, 2025

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Corrected July 18, 2025 · Resident Rights

  • Potential for harm · D May 19, 2025

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Corrected July 18, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D May 19, 2025

    Assess the resident when there is a significant change in condition

    Corrected July 18, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D May 19, 2025

    Assure that each resident’s assessment is updated at least once every 3 months.

    Corrected July 18, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D May 19, 2025

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Corrected July 18, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E May 19, 2025

    Ensure each resident receives an accurate assessment.

    Corrected July 18, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D May 19, 2025

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected July 18, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D May 19, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected July 18, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E May 19, 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 July 18, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E May 19, 2025

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected July 18, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E May 19, 2025

    Provide activities to meet all resident's needs.

    Corrected July 18, 2025 · Quality of Life and Care

  • Potential for harm · D May 19, 2025

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected July 18, 2025 · Quality of Life and Care

  • Potential for harm · E May 19, 2025

    Ensure that the resident and his/her doctor meet face-to-face at all required visits.

    Corrected July 18, 2025 · Nursing and Physician Services

  • Potential for harm · E May 19, 2025

    Observe each nurse aide's job performance and give regular training.

    Corrected July 18, 2025 · Nursing and Physician Services

  • Potential for harm · E May 19, 2025

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected July 18, 2025 · Pharmacy Service

  • Potential for harm · E May 19, 2025

    Provide or obtain dental services for each resident.

    Corrected July 18, 2025 · Quality of Life and Care

  • Potential for harm · F May 19, 2025

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

    Corrected July 18, 2025 · Nutrition and Dietary

  • Potential for harm · F May 19, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected July 18, 2025 · Nutrition and Dietary

Showing the 25 most recent. The Safety Report includes every citation with full findings.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 325116 · certified since December 17, 2003. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.