F

Luna Wellness Rehabilitation LLC

900 West Ash Street, DEMING, NM 88030
Score: 15 / 100

With a score of 15/100, Luna Wellness Rehabilitation Llc ranks in the bottom tier of New Mexico nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.

Staffing levels are a potential concern at Luna Wellness Rehabilitation Llc, with 3.00 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.

Recent CMS inspections identified 50 deficiencies at Luna Wellness Rehabilitation Llc, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure each resident receives an accurate assessment..

Score Breakdown

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 4 / 20 pts
1 ★ staffing rating
Quality Measures 9 / 15 pts
3 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.00 3.8 Below Average
Registered Nurses (RN) 0.33 0.7 Below Average
Licensed Practical Nurses (LPN) 0.97 0.7 Above Average
Certified Nursing Assistants (CNA) 1.70 2.4 Below Average
Weekend Total Nursing 2.27 3.8 Below Average
Weekend RN Hours 0.33 0.7 Below Average

🔍 Inspection & Deficiency History

50
Total Deficiencies
Sep 2, 2025
Most Recent Inspection
⚪ 1 Minor 🟠 48 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0641 Severity D
    Ensure each resident receives an accurate assessment.
    Sep 2, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0657 Severity D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    Sep 2, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0700 Severity D
    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
    Sep 2, 2025 · Quality of Life and Care Deficiencies
  • Tag 0812 Severity F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Apr 6, 2025 · Nutrition and Dietary Deficiencies
  • Tag 0758 Severity E
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psy
    Apr 6, 2025 · Pharmacy Service Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 6.8% 4.5% Worse
Falls with major injury 6.9% 3.0% Worse
On antipsychotic medication 7.9% 14.5% Better
Urinary tract infections 0.8% 2.5% Better
ADL decline (daily activities) 23.1% 14.0% Worse
Excessive weight loss 3.3% 7.5% Better
New/worsened incontinence 32.3% 45.0% Better

⚠️ Penalties & Fines

2 penalties recorded by CMS

Total fines: $66,876

How This Grade Was Calculated

This facility's grade of F is based on a score of 15 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 1★ → 8 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 1★ → 4 pts (max 20)
  • Quality Measures Rating: 3★ → 9 pts (max 15)
  • Penalty deductions: -10 pts
  • Fine deductions: -6 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
66
Provider Type
Medicare and Medicaid
Resident Council
No
Family Council
No
Sprinkler System
Yes
Last Inspection
Apr 6, 2025
Deficiencies (Cycle 1)
12

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