Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around January 2027
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Canyon Transitional Rehabilitation Center, Llc during CMS and state inspections, most recent first.
The facility's kitchen was found unsanitary due to improper food storage and labeling. Observations revealed undated and expired food items, improperly sealed deli ham, and leaking ham juice contaminating other foods. Staff interviews confirmed these issues, with the kitchen manager attributing the state to staff rushing. A prior audit by the interim dietician also noted unlabeled food.
The facility failed to notify the physician for two residents experiencing significant issues: one in severe pain and another missing several doses of an IV antibiotic. The staff did not document or communicate these issues, leading to a lack of prompt medical intervention.
A resident with a history of severe malnutrition and gastrostomy status experienced a clogged g-tube, which the facility staff failed to unclog despite multiple attempts using various methods. The resident was transferred to the hospital, where the g-tube was successfully unclogged by interventional radiology. The facility's actions did not align with professional standards and their own policies, leading to a deficiency.
A facility experienced a high medication error rate of 48.75% due to late administration and lack of communication with residents about their medications. Nurse #1 administered medications late to several residents due to staffing issues and did not inform them about the medications being given. Additionally, a resident missed a dose of vancomycin due to pharmacy delivery issues, highlighting a breakdown in the facility's medication management system.
A resident missed several doses of vancomycin due to the pharmacy not delivering the medication and a clogged PICC line. Despite calls to the pharmacy and attempts to unclog the line, the issues persisted. The DON and NP were not informed in a timely manner, leading to a lack of coordination in addressing the problem.
The facility failed to properly label and store medications, leading to deficiencies. Observations revealed an open Lispro insulin vial and Vancomycin syrup without opening dates in the medication refrigerator, and a multivitamin bottle on a medication cart belonging to discharged residents. The Nurse Manager and a CMA confirmed these oversights, which could result in residents receiving less effective or expired medications.
The facility failed to maintain a clean and homelike environment for residents on the 400 hall, where a strong odor of urine and feces was present. A resident with a bedside commode often left the lid open, contributing to the smell. A CNA confirmed this practice, and another resident reported being bothered by the odors.
A resident's advance directive was incomplete as the Medical Orders for Scope of Treatment (MOST) form was not signed, despite the resident electing a do not resuscitate (DNR) status. The Director of Nursing confirmed the oversight.
The facility failed to complete comprehensive care plans for two residents, affecting areas such as ADL care, psychotropic medication use, and management of medical conditions like diabetes and cardiovascular symptoms. The care plans lacked specific goals and interventions, which could impact the staff's ability to provide adequate preventative care. The Director of Nursing confirmed the incompleteness of these care plans.
A resident experienced significant pain despite being administered Tylenol, which was ineffective. The resident requested additional pain medication, but the nurse did not notify the physician or document the change in condition. The Unit Manager confirmed that staff should have documented the issue and informed the physician.
A nurse failed to perform hand hygiene before and after administering medications to a resident, potentially risking the spread of infectious agents among 23 residents in the facility. The nurse acknowledged the oversight during an interview.
Sanitation Deficiency in Kitchen Management
Penalty
Summary
The facility failed to maintain the kitchen in a sanitary manner, as observed during a walk-through of the kitchen refrigerator. Multiple food items were found either not dated or past their use-by date, including unidentified sandwiches, mashed potatoes, egg salad with unclear dates, and sliced cheese that was hard and discolored. Additionally, a container of deli ham was not sealed, and a large container of leftovers was neither labeled nor dated. Ham stored in a cardboard box was placed on a shelf above the leftovers, and juice from the ham leaked onto the foil covering the leftovers. Interviews with kitchen staff revealed further issues. A kitchen assistant acknowledged the presence of unlabeled food and confirmed that the juice on the leftovers was from improperly stored ham. The kitchen manager admitted that the staff left the kitchen in disarray after the weekend, suggesting they were in a rush. An interim registered dietician reported conducting a sanitary audit of the kitchen prior to these observations and found unlabeled food in the refrigerator.
Failure to Notify Physician of Pain and Missed Medication Doses
Penalty
Summary
The facility failed to notify the physician or nurse practitioner for two residents experiencing significant medical issues. One resident was in severe pain, rated at an 11 on a scale of 1 to 10, and was only administered Tylenol, which was ineffective. Despite the resident's request for additional pain relief and the nurse's awareness of the situation, no further action was taken to notify the physician or obtain an alternative pain management order. The staff did not document any further progress notes or notify the physician about the resident's unrelieved pain, which was a deviation from expected protocol. Another resident missed several doses of a prescribed intravenous antibiotic, vancomycin, due to the medication not being delivered by the pharmacy. The nursing staff failed to inform the nurse practitioner about the missed doses, which could have prompted further medical intervention or adjustments in treatment. The nurse practitioner only became aware of the missed doses through an on-call provider's report days later. The lack of communication and documentation regarding the missed medication doses was a significant oversight in the resident's care management.
Failure to Maintain and Care for Resident's Gastrostomy Tube
Penalty
Summary
The facility failed to provide care that met professional standards for a resident with a gastrostomy tube (g-tube), leading to a deficiency. The facility's policy on enteral management and medication administration through enteral tubes was not adhered to, as evidenced by the inability to unclog the resident's g-tube. The resident, who had a history of severe protein-calorie malnutrition, aphasia, dysphasia, dysarthria, and gastrostomy status, experienced a clogged g-tube. Despite attempts by the staff to unclog the tube using various methods, including warm water, carbonated beverages, and pressure, they were unsuccessful. The staff also used a declogger wand and soda, which the Director of Nursing later acknowledged might not be considered best practice. The resident was eventually sent to the emergency room for further evaluation and treatment. At the hospital, the g-tube was unclogged using a syringe with pressure by interventional radiology. The resident was stable and discharged back to the facility. The report highlights that the facility's failure to effectively manage the resident's g-tube according to professional standards and facility policy resulted in the resident being transferred to the hospital for a procedure that could have been avoided with proper care.
High Medication Error Rate Due to Late Administration and Communication Failures
Penalty
Summary
The facility failed to maintain a medication error rate below 5%, resulting in a significantly high error rate of 48.75% during medication administration for 7 out of 11 residents reviewed. This deficiency was observed during a survey where staff administered 80 medications with 39 errors. The errors were primarily due to late administration and lack of communication with residents about their medications. Nurse #1 was observed administering medications late to several residents, including R #25, R #32, R #317, R #130, R #131, and R #132. The delay was attributed to the absence of a Certified Medication Aide, which led to Nurse #1 covering additional duties. During the administration, Nurse #1 did not inform residents about the medications they were receiving, which is a critical step in ensuring residents are aware of their treatment and can report any issues or side effects. Additionally, there was a failure in medication delivery from the pharmacy, as noted with R #132, who missed a scheduled dose of vancomycin due to non-delivery. This highlights a breakdown in the facility's medication management system, contributing to the high error rate. The facility's staff, including Nurse #4, acknowledged the requirement to administer medications within a two-hour window, yet this standard was not met, further exacerbating the issue.
Failure to Administer Vancomycin Timely Due to Pharmacy and PICC Line Issues
Penalty
Summary
The facility failed to administer vancomycin, an antibiotic medication, to a resident in a timely manner as per the physician's order. The resident, who was admitted with multiple diagnoses including osteomyelitis of the vertebra, discitis, and bacteremia, missed several doses of vancomycin due to the medication not being delivered by the pharmacy and issues with the resident's PICC line. The resident's Medication Administration Record indicated missed doses on multiple occasions due to these issues. Nurse #1 observed that the vancomycin was not available because the pharmacy did not deliver it, despite her calls to the pharmacy. Additionally, the resident's PICC line was clogged, preventing the administration of the medication. A specialized nurse attempted to unclog the line but was unsuccessful, and a new PICC line was needed. The Director of Nursing was unaware of the situation, and the Nurse Practitioner was not informed of the missed doses until reviewing the on-call provider's report. The lack of communication and coordination among the nursing staff, pharmacy, and specialized nurses contributed to the failure to administer the medication as ordered. The Director of Nursing stated that if she had been informed, she would have taken steps to address the issue, including checking the medication room stock and contacting the pharmacy and specialized team. The Nurse Practitioner also indicated that he would have taken action if notified, such as contacting the Infectious Disease Team and ordering a vancomycin trough blood level test.
Medication Storage and Labeling Deficiencies
Penalty
Summary
The facility failed to ensure proper labeling and storage of medications, which led to several deficiencies. During an observation of the medication refrigerator, it was found that a Lispro insulin vial and a Vancomycin syrup bottle were open without an opening date. The insulin vial belonged to a resident who was actively receiving it, while the Vancomycin syrup belonged to a resident who had been discharged. The manufacturer's instructions for Lispro insulin require that opened vials be discarded after 28 days, but this was not adhered to. The Nurse Manager confirmed that staff are required to date opened insulin vials and discard medications belonging to discharged residents. Additionally, an observation of a medication cart revealed an open multivitamin bottle that was not dated and belonged to a discharged resident. A CMA acknowledged that the multivitamin should have been removed from the cart following the resident's discharge. These practices could result in residents receiving less effective or expired medications, affecting all 70 residents in the facility.
Failure to Maintain a Clean and Homelike Environment
Penalty
Summary
The facility failed to provide a clean and homelike environment for the 21 residents living on the 400 hall. During an initial tour, a strong odor of urine and feces was detected throughout the hallway. A resident with a bedside commode admitted to not always closing the lid after use, which contributed to the odor. Observations confirmed that the commode was left open with urine inside. A CNA corroborated that the resident's habit of leaving the commode lid open was a source of the hallway's urine smell. Another resident expressed discomfort due to the persistent odors in the hallway.
Incomplete Advance Directives for a Resident
Penalty
Summary
The facility failed to ensure that advance directives were complete for a resident reviewed for advance directives. Specifically, the resident had elected a do not resuscitate (DNR) status, which is a medical order instructing healthcare providers not to perform cardiopulmonary resuscitation (CPR) if the patient's heart stops beating or breathing stops. However, the Medical Orders for Scope of Treatment (MOST) form, which serves as an advance directive, was not signed by the resident. This oversight was confirmed during an interview with the Director of Nursing, who acknowledged that the form should have been signed by the resident but was not.
Incomplete Care Plans for Two Residents
Penalty
Summary
The facility failed to complete comprehensive care plans for two residents, which could potentially affect the staff's ability to implement preventative measures for the residents' health and well-being. For Resident #23, the care plans were incomplete in areas such as activities of daily living (ADL) care, psychotropic medication use, and respiratory complications. The care plan lacked detailed goals and interventions, such as the number of days the resident would not exhibit signs of respiratory distress. The resident had multiple diagnoses, including muscle weakness, lack of coordination, and respiratory failure with hypoxia, and was on several psychotropic medications. Similarly, for Resident #166, the care plans were incomplete in areas including ADL care, cardiovascular symptoms, diabetes management, and anticoagulant medication use. The care plan did not specify goals such as the number of days without signs of hypo/hyperglycemia or bleeding due to anticoagulation therapy. This resident had a complex medical history, including type 2 diabetes with complications, cerebrovascular disease, and a history of venous thrombosis. The Director of Nursing acknowledged that the care plans for both residents were incomplete.
Inadequate Pain Management for Resident
Penalty
Summary
The facility failed to provide adequate and timely pain relief for a resident, identified as R #29, who was experiencing significant pain. On the morning of 11/25/24, R #29 was observed rubbing her hand and crying, indicating a high level of pain. She reported to a CNA that the Tylenol she had been given was ineffective and requested medication for her nerve pain. The CNA informed the nurse, but the nurse stated that R #29 only had Tylenol prescribed for pain and was not due for another dose. The nurse did not notify the physician about the resident's ongoing pain or the ineffectiveness of the medication. The medical records showed that R #29's pain level was documented as a 10 out of 10 shortly before the Tylenol was administered, and staff later noted that the medication was ineffective. Despite this, no further action was taken to address the resident's pain, and there was no documentation of notifying the physician or making a progress note about the change in the resident's condition. The Unit Manager later confirmed that staff should have documented the change in condition and notified the physician when the Tylenol was found to be ineffective.
Infection Control Breach During Medication Administration
Penalty
Summary
The facility failed to maintain proper infection prevention practices when a nurse did not perform hand hygiene before and after handling medications for a resident. During an observation, Nurse #1 was seen administering medications without performing hand hygiene, which includes hand washing, antiseptic handwash, or using an alcohol-based hand rub. In a subsequent interview, Nurse #1 acknowledged that she should have performed hand hygiene both prior to and after administering medications. This deficient practice could likely result in the spread of infectious agents among the 23 residents in the 100 hall.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 221 citations issued within 25 miles in the last 12 months — including the 7 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Albuquerque
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| La Vida Llena | 0.6 mi | — | 11 | 0 |
| Bear Canyon Rehabilitation Center | 0.7 mi | — | 2 | 0 |
| Sandia Ridge Center | 2 mi | — | 11 | 0 |
| Uptown Rehabilitation Center | 3.1 mi | — | 1 | 0 |
| Las Palomas Center | 3.3 mi | — | 14 | 6 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Canyon Transitional Rehabilitation Center, Llc.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.