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Nursing HomeMedicaid Investigative

Casa De Oro Center

On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.

1005 Lujan Hill Road, Las Cruces, NM 88005158 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.0/5

based on 126 Google reviews

5
4
3
2
1

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10/ 10
critical Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Special Focus Facility (under heightened CMS scrutiny)
  • Abuse citation on record
  • Low overall rating (1/5 stars)
  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (33 vs median 16.0)
  • High staff turnover (64%)
  • High RN turnover (70%)

Bottom 25% in NM · Below recommended RN staffing · Worst in GENESIS HEALTHCARE chain · $68,554 in fines · Special Focus Facility (CMS) · Abuse citation

Source: Medicare data

What this means for your family

This facility offers highly regarded physical therapy and wound care, which is excellent for post-surgical recovery. However, families must be vigilant regarding hygiene and communication, as multiple reviewers have reported issues with resident cleanliness and difficulty reaching staff for updates.

Google Reviews

Google Reviews

126 reviews on Google
Families considering Casa De Oro Center will find a wide range of experiences, with many praising the compassionate nursing staff and effective physical therapy for rehab patients. However, there are significant, recurring reports of neglect regarding hygiene, medication errors, and unresponsiveness to family communications. While some visitors find the facility clean and welcoming, others have raised serious alarms regarding cleanliness and resident safety.

Quality Themes

Tap a score for details
Food3.0Staff6.0Clean4.0Activities8.0Meds1.0MemoryN/AComms3.0ValueN/A

Strengths

  • Compassionate and caring nursing staff
  • Effective physical therapy and wound care
  • Welcoming and friendly admissions process
  • Engaging resident activities

Concerns

  • Issues with resident hygiene and cleanliness (mentioned by 4 reviewers)
  • Unresponsive communication with family members (mentioned by 3 reviewers)
  • Staff rudeness or unprofessionalism (mentioned by 5 reviewers)
  • Theft or loss of resident belongings (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'14(1)'17(3)'19(4)'21(4)'23(35)'25(27)'26(6)

Distribution · 132 analyzed

5
92
4
7
3
5
2
1
1
27

How They Respond to Reviews

47%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1I noticed the management is very active in responding to feedback online; how does the facility currently use resident and family input to improve daily operations?
  • 2Could you walk me through your specific protocols for medication management and how you ensure accuracy for every resident?
  • 3What steps are being taken to ensure the dining experience and meal quality meet the nutritional needs and preferences of the residents?
  • 4How does the nursing team approach daily hygiene care and maintaining a clean, comfortable environment for everyone in the facility?
  • 5What kind of engaging activities or social outings are available to help residents stay connected and active during the week?
  • 6In the event of a medical emergency after hours, what is the specific process for notifying the family and coordinating with doctors?

Personalized based on this facility's data


Key Review Excerpts

The staff at Casa De Oro is amazing with my mom she came in and wasn’t the easiest patient, but the treated her with respect and kindness and she is so much better now.

Long-term resident's family · 2024★★★★★

Discharged resident raved about the treatment she received from the physical therapy department that prepared her to return to her home. Kudos to Brian and the entire therapy staff.

Rehab patient's family · 2021★★★★★

My mother-in-law was a patient here from September to November 2019. My family and I were so impressed by the professional, responsive care and friendly, helpful staff.

Short-term resident's family · 2020★★★★★
Source: 126 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.43hrs
58%
Registered nurses for medical care
Total Nursing
3.43hrs
84%
All nurses + aides combined
Staff Turnover
57%
Lower is better (< 30% = good)
RN Turnover
65%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
2/ 5
Better Than Avg

11

measures

Worse Than Avg

5

measures

Mixed Results

1

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.1%
Better than Avg
Here
1.1%
US
12.1%
NM
1.9%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility10.8%
Better than Avg
Here
10.8%
US
19.5%
NM
14.4%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
NM
97.3%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility20.7%
Worse than Avg
Here
20.7%
US
15.5%
NM
14.5%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
NM
98.7%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility10.3%
Better than Avg
Here
10.3%
US
14.4%
NM
13.0%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility94.4%
Better than Avg
Here
94.4%
US
79.8%
NM
86.4%
Dona ana
82.5%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility94.3%
Better than Avg
Here
94.3%
US
81.8%
NM
86.1%
Dona ana
89.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.7%
Worse than Avg
Here
1.7%
US
1.6%
NM
1.2%
Dona ana
1.3%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

21deficiencies
5penalties
Above state avg (16.6)
56 complaint-triggered
$68,554 in fines

Casa De Oro Center has faced recurring serious issues, with families filing complaints that triggered 53 deficiencies across multiple surveys. The facility struggles most persistently with medication management, care planning, and safety hazards, with the same problems appearing repeatedly across surveys despite reported corrections. Recent complaints in 2024-2025 continue to reveal failures in abuse reporting, medication errors, and maintaining safe conditions, suggesting ongoing systemic problems that families should carefully consider.

Apr 9, 2026Complaint
2
0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0842Potential for harm · IsolatedCorrected

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.

Feb 5, 2026Routine
12
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

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

0658Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0791Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide or obtain dental services for each resident.

0605Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

0628Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0687Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate foot care.

0756Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Feb 5, 2026Complaint
1
0657Potential for harm · PatternCorrected

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.

Aug 21, 2025Complaint
6
0609Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0610Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0658Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0760Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0842Potential for harm · PatternCorrected

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.

May 13, 2025Complaint
3
0689Immediate jeopardy · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Mar 3, 2025Complaint
5
0622Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

0657Potential for harm · IsolatedCorrected

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.

0660Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Plan the resident's discharge to meet the resident's goals and needs.

0661Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Federal Penalties

Fine

May 13, 2025

$34,515

Payment Denial

May 13, 2025

28-day denial

Fine

Oct 28, 2024

$34,039

Payment Denial

Oct 28, 2024

6-day denial

Payment Denial

Nov 20, 2023

35-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Casa De Oro Center

Organization Type

for profit

Chain Affiliation

Chain Name

Genesis Healthcare

Chain Size

187 facilities nationwide

Chain avg rating: 2.4/5 · Rank 151 of 188 (Worst)

Ownership & Management

Owners

Peak Medical LLC

Owner · Organization

100%

Gen Operations I LLC

Owner (parent company) · Organization

Gen Operations II LLC

Owner (parent company) · Organization

Genesis Healthcare INC

Owner (parent company) · Organization

Genesis Healthcare LLC

Owner (parent company) · Organization

Genesis Holdings LLC

Owner (parent company) · Organization

Sun Healthcare Group INC

Owner (parent company) · Organization

Sunbridge Healthcare LLC

Owner (parent company) · Organization

Whitman, Arnold

Owner (parent company)

Key personnel

Berg, MichaelOfficer / DirectorBridgeford, LauraOfficer / DirectorMendelson, AviOfficer / DirectorDodson, GeetanjaliManagerSnyder, MaryManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 5 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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