Casa Arena Healthcare LLC
205 Moonglow Avenue · Alamogordo, NM · 88310 · 5754344510
117 certified beds For profit - Corporation Chain: Opco Skilled Management
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- 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
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
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.
Total nurse staffing below 3.0 hours per resident-day
2.85 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
66% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
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 | 2.85 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.32 | 0.55–0.75 |
| Weekend hours / resident-day | 2.59 | ≈ weekday level |
| Nursing turnover / year | 66% | median 45% |
| Fines (3-yr window) | 2 · $124,375 |
Inspection citations (91 in the current record)
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Potential for harm · D March 13, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 18, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 13, 2026 · found via complaint
Respond appropriately to all alleged violations.
Corrected April 18, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 13, 2026 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 18, 2026 · Resident Assessment and Care Planning
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Potential for harm · E March 13, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 18, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 23, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected January 17, 2026 · Resident Assessment and Care Planning
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Potential for harm · D July 14, 2025 · found via complaint
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 August 20, 2025 · Resident Rights
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Potential for harm · D July 14, 2025 · found via complaint
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected August 20, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 14, 2025 · found via complaint
Assess the resident when there is a significant change in condition
Corrected August 20, 2025 · Resident Assessment and Care Planning
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No harm found · C July 14, 2025 · found via complaint
Post nurse staffing information every day.
Corrected August 20, 2025 · Nursing and Physician Services
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Potential for harm · D June 5, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected July 20, 2025 · Resident Rights
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Potential for harm · D June 5, 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 20, 2025 · Resident Rights
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Potential for harm · E June 5, 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 July 20, 2025 · Resident Rights
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Potential for harm · E June 5, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected July 20, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 5, 2025
Ensure each resident receives an accurate assessment.
Corrected July 20, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 5, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected July 20, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 5, 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 20, 2025 · Resident Assessment and Care Planning
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Potential for harm · E June 5, 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 20, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 5, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected July 20, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 5, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected July 20, 2025 · Quality of Life and Care
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Potential for harm · F June 5, 2025
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected July 20, 2025 · Nursing and Physician Services
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Potential for harm · E June 5, 2025
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected July 20, 2025 · Quality of Life and Care
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Potential for harm · E June 5, 2025
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected July 20, 2025 · Quality of Life and Care
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Potential for harm · E June 5, 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 20, 2025 · Pharmacy Service
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Potential for harm · D June 5, 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 July 20, 2025 · Pharmacy Service
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Potential for harm · E June 5, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 20, 2025 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 24, 2024 | Fine | $108,316 |
| October 24, 2023 | Fine | $16,059 |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 325043 · certified since September 4, 1985. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.