CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 3250562026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Los Alamos Wellness & Rehabilitation

1011 Sombrillo Court · Los Alamos, NM 87544 · Los Alamos County

CMS OVERALL RATING★★☆☆☆2/5CMS field—not our score or recommendation
Certified beds64CMS provider file
Recent citation rows90current CMS citation release
Penalty rows5current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12026-03-30162026-03-3024
Cycle 22024-12-09212024-12-093
Cycle 32023-10-26232023-10-263
02 / CITATION DETAIL

90 rows in the current release

1 rows carry G–L scope/severity codes; 1 carry J–L. 19 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2026-03-30 · FIREE0020Severity F · widespread; potential for more than minimal harm

Emergency Preparedness Deficiencies

Establish policies and procedures including evacuation.

Correction field: Deficient, Provider has no plan of correction
2026-03-30 · HEALTHF0550Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Correction field: Deficient, Provider has date of correction · 2026-05-14
2026-03-30 · HEALTHF0577Severity E · pattern; potential for more than minimal harm

Resident Rights Deficiencies

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Correction field: Deficient, Provider has date of correction · 2026-05-14
2026-03-30 · HEALTHF0600Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-05-14 · complaint
2026-03-30 · HEALTHF0603Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

Correction field: Deficient, Provider has date of correction · 2026-05-14
2026-03-30 · HEALTHF0628Severity E · pattern; potential for more than minimal harm

Resident Rights Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-05-14 · complaint
2026-03-30 · HEALTHF0657Severity E · pattern; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Correction field: Deficient, Provider has date of correction · 2026-05-14
2026-03-30 · HEALTHF0679Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

Correction field: Deficient, Provider has date of correction · 2026-05-14
2026-03-30 · HEALTHF0684Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Correction field: Deficient, Provider has date of correction · 2026-05-14
2026-03-30 · HEALTHF0695Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Correction field: Deficient, Provider has date of correction · 2026-05-14
2026-03-30 · HEALTHF0697Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

Correction field: Deficient, Provider has date of correction · 2026-05-14
2026-03-30 · HEALTHF0842Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Correction field: Deficient, Provider has date of correction · 2026-05-14
2026-03-30 · FIREK0211Severity E · pattern; potential for more than minimal harm

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Correction field: Deficient, Provider has no plan of correction
2026-03-30 · FIREK0222Severity E · pattern; potential for more than minimal harm

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Correction field: Deficient, Provider has no plan of correction
2026-03-30 · FIREK0223Severity D · isolated; potential for more than minimal harm

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Correction field: Deficient, Provider has no plan of correction
2026-03-30 · FIREK0281Severity E · pattern; potential for more than minimal harm

Egress Deficiencies

Install proper backup exit lighting.

Correction field: Deficient, Provider has no plan of correction
2026-03-30 · FIREK0291Severity F · widespread; potential for more than minimal harm

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

Correction field: Deficient, Provider has no plan of correction
2026-03-30 · FIREK0293Severity F · widespread; potential for more than minimal harm

Egress Deficiencies

Have properly located and lighted "Exit" signs.

Correction field: Deficient, Provider has no plan of correction
2026-03-30 · FIREK0300Severity E · pattern; potential for more than minimal harm

Egress Deficiencies

Meet other general requirements that are deficient.

Correction field: Deficient, Provider has no plan of correction
2026-03-30 · FIREK0321Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Correction field: Deficient, Provider has no plan of correction
2026-03-30 · FIREK0324Severity D · isolated; potential for more than minimal harm

Smoke Deficiencies

Provide properly protected cooking facilities.

Correction field: Deficient, Provider has no plan of correction
2026-03-30 · FIREK0345Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

Correction field: Deficient, Provider has no plan of correction
2026-03-30 · FIREK0353Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Correction field: Deficient, Provider has no plan of correction
2026-03-30 · FIREK0355Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

Correction field: Deficient, Provider has no plan of correction
03 / ENFORCEMENT FILE

Penalties reported by CMS

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
2025-12-19Fine$53,3030
2024-02-12Fine$4,9380
2024-01-22Fine$14,8140
2023-12-26Fine$14,1130
2023-08-28Fine$4,2350
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • CASA HEALTHCARE, LLCOrganization · DIRECT OWNERSHIP INTEREST
    NOT APPLICABLE · since 10/01/2023
  • CALIBER ADVISORS LLCOrganization · INDIRECT OWNERSHIP INTEREST
    NOT APPLICABLE · since 10/01/2023
  • FIRST SWEETZER HOLDINGS LLCOrganization · INDIRECT OWNERSHIP INTEREST
    NOT APPLICABLE · since 10/01/2023
  • HATTERAS INVESTMENTS LLCOrganization · INDIRECT OWNERSHIP INTEREST
    NOT APPLICABLE · since 10/01/2023
  • GARETZ, DAVIDIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 10/01/2023
  • CASA HEALTHCARE, LLCOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 10/01/2023
  • GARETZ, DAVIDIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 10/01/2023
  • GURWITZ, SOLOMONIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
    NOT APPLICABLE · since 10/03/2025
  • HAGINS, ELIZABETHIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
    NOT APPLICABLE · since 10/03/2025
  • KAPLAN, ESTHERIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
    NOT APPLICABLE · since 10/03/2025
  • KAPLAN, MOSHAIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
    NOT APPLICABLE · since 10/03/2025
  • MINDLE, ADAMIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
    NOT APPLICABLE · since 10/03/2025
  • STERNSHEIN, JENNIFERIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
    NOT APPLICABLE · since 10/03/2025
  • UNGER, JEFFREYIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
    NOT APPLICABLE · since 10/03/2025
  • ZIMMERMAN, CAROLINEIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
    NOT APPLICABLE · since 10/03/2025
  • 1011 SOMBRILLO COURT NM, LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 10/01/2023
  • CONTINUUM REHAB GROUP LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 10/01/2023
  • HALLMARK ADVISORS, LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 10/01/2023

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Reported hours and turnover

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours3.09per resident day
RN hours0.69per resident day
Weekend nurse hours2.91per resident day
Staff turnover54.2%CMS reported field
06 / LOCAL RECORDS

Other published facilities nearby

Open the New Mexico ledger →

No second facility in the same city met the directory rule.

BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.