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.
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
-
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.