Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around November 2026
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 Manzano Del Sol By Purehealth during CMS and state inspections, most recent first.
A required Five-Day Report detailing the results of an abuse investigation was not submitted to the State Survey Agency after an incident involving a resident. Although the initial incident report was sent, facility records and administrator interview confirmed the follow-up report was missing.
A resident with multiple medical conditions experienced two falls shortly after admission, resulting in a right femoral neck fracture and subsequent hospitalization. The facility did not conduct an investigation into the falls or the injury, and the DON did not submit the required Five Day Follow-Up report to the State Agency.
A facility failed to accurately complete the MDS Assessment for a resident, incorrectly documenting the absence of pressure ulcers at both admission and discharge. Despite progress notes indicating a pressure ulcer on the coccyx at admission and a stage 3 pressure ulcer at discharge, the MDS was not updated to reflect these conditions. The DON confirmed the inaccuracies in the MDS coding.
A resident with multiple health issues experienced a significant decline in nutritional intake and weight loss, which the facility staff failed to recognize as a change in condition. Despite worsening symptoms, including pocketing food and drink, elevated heart rate, and low oxygen saturation, the staff delayed sending the resident to the hospital for two days. The resident was eventually hospitalized with dehydration, urinary tract infection, and sepsis, highlighting the facility's inadequate monitoring and delayed response.
The facility failed to prevent accidents and ensure safe transfers, leading to multiple incidents where residents fell due to unlocked beds, improper use of Hoyer lifts, and lack of supervision during transfers. Staff did not adhere to care plans and proper procedures, resulting in falls and potential injuries.
The facility failed to ensure expired supplies were separated from unexpired ones and did not consistently document medication refrigerator temperatures. An expired Medstream dressing change kit was found stored with non-expired supplies, and temperature logs for the medication refrigerator were incomplete, risking the potency and effectiveness of stored medications.
A resident with multiple contractures did not receive a restorative nursing program after rehabilitation services ended. The resident's care plan aimed to improve her range of motion, but no restorative therapy was provided, leading to her being found in a fetal position and unable to get out of bed. The Director of Rehabilitation confirmed the lack of therapy and stated that the resident would benefit from a restorative program.
Failure to Submit Required Five-Day Abuse Investigation Report
Penalty
Summary
The facility failed to complete and submit a required Five-Day Report to the State Survey Agency following an allegation of resident-to-resident abuse. Record review showed that while the initial incident report was submitted to the State Survey Agency, there was no documentation indicating that the follow-up Five-Day Report, which includes the results of the facility's investigation, was ever sent. During an interview, the Administrator confirmed the absence of the Five-Day Report for the incident and stated that it was expected to be submitted within the required timeframe.
Failure to Submit Required Five Day Report After Resident Falls and Injury
Penalty
Summary
The facility failed to complete and submit a Five Day Report to the State Agency following allegations of neglect involving a resident who experienced multiple falls and sustained a right femoral neck fracture. The resident, who had diagnoses including cardiomyopathy, type 2 diabetes mellitus, unspecified dementia, hypoxemia, and atherosclerotic heart disease, was admitted and subsequently fell twice shortly after admission. The falls were documented in the Facility Reported Incident, but the times of the falls were not recorded. The resident complained of pain, which led to the diagnosis of a right femoral neck fracture, and was then discharged to the hospital. A review of the resident's electronic health record revealed no evidence that the facility conducted an investigation into the falls or the resulting fracture. During an interview, the DON stated that no investigation was completed because the resident did not return to the facility after hospitalization. The DON acknowledged awareness of the requirement to submit a Five Day Follow-Up report to the State Agency but did not do so in this case.
Inaccurate MDS Assessment for Pressure Ulcers
Penalty
Summary
The facility failed to ensure an accurate and comprehensive Minimum Data Set (MDS) Assessment for a resident, which is a federally mandated assessment instrument. Upon admission, the resident was documented as having no pressure ulcers, despite progress notes indicating the presence of a pressure ulcer on the coccyx measuring 2 cm by 1.4 cm by 0.2 cm. At discharge, the resident's MDS Assessment again inaccurately indicated no pressure ulcers, even though progress notes documented a stage 3 pressure ulcer. The Director of Nursing confirmed that the resident had a pressure ulcer at both admission and discharge, and acknowledged that the MDS was incorrectly coded.
Failure to Address Resident's Decline Leads to Hospitalization
Penalty
Summary
The facility failed to provide adequate care for a resident who was admitted with multiple diagnoses, including fetal alcohol syndrome, severe intellectual disabilities, urinary tract infection, urinary retention, and dysphagia. The staff did not recognize the resident's decrease in nutritional intake and significant weight loss as a change in condition. Despite the resident's declining health, including a significant weight loss of 13 pounds in a week and a decrease in supplement intake, the staff did not take timely action to address these issues. The resident's condition worsened with symptoms such as pocketing food and drink, elevated heart rate, low oxygen saturation, and fever. Despite these alarming signs, the staff delayed sending the resident to the hospital for two days. The resident was eventually admitted to the hospital with dehydration, urinary tract infection, and sepsis. Interviews with staff and the resident's guardian revealed inconsistencies in communication regarding the resident's condition and care, contributing to the delay in appropriate medical intervention. The facility's staff, including the nurse practitioner and director of nursing, acknowledged the resident's decline but failed to act promptly. The resident's guardian and hospital staff expressed concerns about the resident's malnourishment and dehydration upon hospital admission. The facility's lack of timely response and inadequate monitoring of the resident's condition likely contributed to the resident's severe health deterioration.
Failure to Prevent Accidents and Ensure Safe Transfers
Penalty
Summary
The facility failed to prevent accidents and provide safe transfers for residents, leading to multiple incidents. One resident, admitted with multiple diagnoses including hypotension, anemia, depression, and malnutrition, fell out of bed because the bed was not locked. Staff interviews confirmed that the bed was often moved for various reasons but was not relocked, which led to the resident falling while reaching for water. The facility's care plan for this resident indicated that the bed should always be locked, but this was not adhered to, resulting in the fall and subsequent injury to the resident. Another resident, who was totally dependent on staff for assistance and required a Hoyer lift for transfers, fell when the lift tipped over during a transfer. The incident report revealed that the CNAs assisting the resident did not use the Hoyer lift correctly, causing it to tip and graze the resident's head. The DON confirmed that improper use of the Hoyer lift was the cause of the incident. Despite attending in-service training on the proper usage of Hoyer lifts, the staff failed to follow correct procedures, leading to the resident's fall. Additionally, a resident who required supervision during transfers fell while transferring from a wheelchair to a shower chair because the wheelchair brakes were not locked. The resident and a CNA were present during the incident, but the CNA did not ensure the brakes were locked, resulting in the resident sliding out of the wheelchair. The Director of Rehabilitation confirmed that the CNA should have either reminded the resident to lock the brakes or locked them herself. Another resident also experienced a fall during a transfer with a Hoyer lift, which tipped over due to incorrect use by the staff, as confirmed by the DON and the incident report.
Failure to Manage Expired Supplies and Document Refrigerator Temperatures
Penalty
Summary
The facility failed to ensure that expired supplies were not kept with unexpired supplies and that staff documented the medication refrigerator temperatures. During an observation of the 100 hall medication room, a Medstream dressing change kit was found to be expired and stored with non-expired supplies. A medication technician confirmed the supplies were expired and stated that nursing staff were expected to periodically check and remove expired or soon-to-expire supplies. This oversight could result in the use of expired supplies on residents, potentially compromising their care. Additionally, a review of the 100 hall medication room's refrigerator temperature logs revealed that staff did not document the temperatures on multiple occasions. Insulin and other medications requiring refrigeration were stored in the refrigerator, which had both an analog temperature gauge and a digital temperature sensor. The Director of Nursing confirmed that staff were required to check and document refrigerator temperatures daily to ensure they remained within the appropriate range of 36 to 46 degrees Fahrenheit. The failure to document these temperatures could affect the potency and effectiveness of the medications stored within.
Failure to Provide Restorative Nursing Program
Penalty
Summary
The facility failed to ensure that a resident received appropriate treatment and services to prevent a decrease in range of motion and mobility. The resident, who had multiple contractures in the left shoulder, left lower leg, left ankle and foot, left elbow, and right foot and ankle, was not provided with a restorative nursing program after rehabilitation therapy services ended. The resident's care plan aimed to improve her range of motion and functional abilities, but no restorative therapy was provided after the cessation of rehabilitation services. During an observation, the resident was found lying in bed in a fetal position, unable to get out of bed. The Director of Rehabilitation confirmed that the resident had not received any physical, occupational, or restorative therapy since the rehabilitation services ended. The Director also stated that the resident would benefit from a restorative nursing program to prevent further worsening of her contractures and possibly improve her condition.
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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.
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Nursing homes near Albuquerque
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Princeton Health & Rehabilitation | 1.1 mi | — | 8 | 0 |
| Uptown Rehabilitation Center | 1.8 mi | — | 1 | 0 |
| Advanced Health Care Of Albuquerque | 2.1 mi | — | 0 | 0 |
| Odelia Healthcare | 2.5 mi | — | 0 | 0 |
| Sandia Ridge Center | 2.7 mi | — | 11 | 0 |
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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.