Sunset Villa Healthcare
1515 South Sunset Avenue · Roswell, NM · 88203 · 5756237097
52 certified beds For profit - Limited Liability company Chain: Opco Skilled Management
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- 5 citations involved actual harm to residents.
- 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
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
62% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
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: 3 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.71 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.80 | 0.55–0.75 |
| Weekend hours / resident-day | 3.63 | ≈ weekday level |
| Nursing turnover / year | 62% | median 45% |
| Fines (3-yr window) | 2 · $80,968 |
Inspection citations (61 in the current record)
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Potential for harm · D November 21, 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 December 22, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E November 21, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 22, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E November 21, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected December 22, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E September 2, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected September 26, 2025 · Quality of Life and Care
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Actual harm · G February 6, 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 August 2, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 6, 2025
Keep residents' personal and medical records private and confidential.
Corrected March 17, 2025 · Resident Rights
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Potential for harm · D February 6, 2025
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected March 17, 2025 · Resident Rights
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Potential for harm · D February 6, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected March 17, 2025 · Resident Assessment and Care Planning
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Potential for harm · E February 6, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 17, 2025 · Resident Assessment and Care Planning
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Potential for harm · E February 6, 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 March 17, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 6, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 17, 2025 · Quality of Life and Care
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Potential for harm · D February 6, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected March 17, 2025 · Quality of Life and Care
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Potential for harm · D February 6, 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 March 17, 2025 · Pharmacy Service
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Potential for harm · F February 6, 2025
Provide and implement an infection prevention and control program.
Corrected March 17, 2025 · Infection Control
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Potential for harm · F February 6, 2025
Implement a program that monitors antibiotic use.
Corrected March 17, 2025 · Infection Control
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Potential for harm · E February 6, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected March 17, 2025 · Infection Control
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Potential for harm · E February 6, 2025
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected March 17, 2025 · Infection Control
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Actual harm · G June 7, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 5, 2024 · Quality of Life and Care
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Potential for harm · E June 7, 2024 · found via complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected July 5, 2024 · Resident Assessment and Care Planning
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Potential for harm · D June 7, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected July 5, 2024 · Resident Assessment and Care Planning
-
Potential for harm · F June 7, 2024 · found via complaint
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 July 5, 2024 · Pharmacy Service
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Actual harm · G March 6, 2024
Provide safe, appropriate pain management for a resident who requires such services.
Corrected April 3, 2024 · Quality of Life and Care
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Actual harm · H March 6, 2024
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected April 3, 2024 · Quality of Life and Care
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Actual harm · G March 6, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 3, 2024 · Quality of Life and Care
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Potential for harm · E March 6, 2024
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected April 3, 2024 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 7, 2024 | Fine | $48,109 |
| March 6, 2024 | Fine | $32,859 |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 325117 · certified since April 23, 2004. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.