4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Located in Carlsbad, New Mexico, Lakeview Christian Home of the Southwest, INC. is a small nursing home owned by Joanna Knox. The home on West Pierce Street is in a very walkable neighborhood. Most errands can be accomplished on foot, which can be convenient for residents and visiting families. The 35-bed skilled nursing facility is currently operating at full occupancy. It serves post-acute rehabilitation and long-term care residents, with an average stay of 36 days.
The home accepts Medicare, Medicaid, and private pay, providing families multiple options to cover short-term rehabilitation or ongoing nursing care. Nurse staffing averages approximately 4 hours and 7 minutes per resident each day. Nurse aides provide an additional 3 hours and 11 minutes of direct support. Much of the facility’s daily care is provided through this nursing support.
The facility’s clinical services focus on rehabilitation, with on-site therapy alongside home health and hospice programs that extend care into the surrounding community. The home is within a faith-based environment and incorporates those values into daily life and resident care.
State inspections have identified concerns in medication management, care planning, infection control, and safety practices. Families evaluating the home should take a tour and ask how these areas are managed daily, what safeguards are in place for medication storage, and how resident health information is protected.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 8th out of 48 homes in New Mexico for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 54m per day | ▲ 43% State avg: 38m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 18m per day | ▼ 58% State avg: 44m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 43m per day | ▲ 21% State avg: 2h 14m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 31m per day | ▲ 8% State avg: 3h 15m per day · National avg: 3h 27m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 3m per day | ▼ 32% State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 39m per day | ▲ 42% State avg: 27m per day · National avg: 29m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Higher than the New Mexico average: 78.9%Lakeview Christian Home of the Southwest, Inc. is administered by Joanna D. Knox.
In New Mexico, the Department of Health, Division of Health Improvement is the primary regulatory authority that conducts unannounced inspections and investigates quality of care complaints.
This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the New Mexico state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | NM Average | vs. NM Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 32 | 30 | This facility has 7% more total deficiencies than a typical New Mexico nursing home (32 vs. NM avg 30).↑ 7% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
State average 6.8
Last Health inspection on Aug 2025
State average 48.6
State average 7.31
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
29 of 31 citations resulted from standard inspections; and 2 of 31 resulted from complaint investigations.
100% better than State averageState average: 1.1
100% better than State averageState average: 1.3
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with New Mexico average
14% worse than New Mexico average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 15 RN Staff are full-time employees. No contractors work on this role.
15
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hoursAssists with medical care and medications.
All 4 LPN Staff are full-time employees. No contractors work on this role.
4
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursHelps with daily care and mobility.
All 32 CNA Staff are full-time employees. No contractors work on this role.
32
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
171 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Nurse Aide in Training | 46 | 0 | 46 | 9,769 | 92 | 100% | 7.5 |
| Certified Nursing Assistant | 32 | 0 | 32 | 9,440 | 92 | 100% | 7.7 |
| Registered Nurse | 15 | 0 | 15 | 4,624 | 92 | 100% | 7.3 |
| Licensed Practical Nurse | 4 | 0 | 4 | 2,165 | 92 | 100% | 8.9 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 1,322 | 64 | 70% | 7.9 |
| Other Dietary Services Staff | 3 | 0 | 3 | 1,145 | 74 | 80% | 7.2 |
| Dietitian | 1 | 0 | 1 | 480 | 60 | 65% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 466 | 62 | 67% | 7.5 |
| Nurse Practitioner | 1 | 0 | 1 | 411 | 52 | 57% | 7.9 |
| Administrator | 1 | 0 | 1 | 405 | 51 | 55% | 7.9 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 404 | 64 | 70% | 2.9 |
| Physical Therapy Assistant | 1 | 0 | 1 | 315 | 63 | 68% | 5 |
| Occupational Therapy Aide | 0 | 1 | 1 | 107 | 13 | 14% | 8.2 |
| Qualified Social Worker | 1 | 0 | 1 | 79 | 25 | 27% | 3.2 |
| Feeding Assistant | 0 | 1 | 1 | 29 | 4 | 4% | 7.2 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 18 | 3 | 3% | 6 |
| Medical Director | 0 | 1 | 1 | 16 | 2 | 2% | 7.8 |
| Dental Services Staff | 1 | 0 | 1 | 2 | 1 | 1% | 2.3 |
| Other Physician | 0 | 1 | 1 | 2 | 1 | 1% | 2 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.5
20% worse than New Mexico averageNew Mexico average: 9.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.5
In line with New Mexico averageNew Mexico average: 18.3
Percent of long-stay residents whose need for help with daily activities has increased
20.1%
28% worse than New Mexico averageNew Mexico average: 15.6%
Percent of long-stay residents whose ability to move independently worsened
18.5%
In line with New Mexico averageNew Mexico average: 18.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
16.8%
20% better than New Mexico averageNew Mexico average: 21.0%
Percent of long-stay residents experiencing one or more falls with major injury
5.0%
50% worse than New Mexico averageNew Mexico average: 3.3%
Percent of long-stay high risk residents with pressure ulcers
11.2%
91% worse than New Mexico averageNew Mexico average: 5.8%
Percent of long-stay residents with a urinary tract infection
2.0%
114% worse than New Mexico averageNew Mexico average: 1.0%
Percent of long-stay residents who lose too much weight
2.8%
52% better than New Mexico averageNew Mexico average: 5.8%
Percent of long-stay residents who have depressive symptoms
0.7%
58% better than New Mexico averageNew Mexico average: 1.7%
Percent of long-stay residents who received an antipsychotic medication
0.0%
100% better than New Mexico averageNew Mexico average: 12.7%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with New Mexico averageNew Mexico average: 97.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with New Mexico averageNew Mexico average: 98.7%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.5%
11% better than New Mexico averageNew Mexico average: 86.1%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than New Mexico averageNew Mexico average: 1.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.3%
11% better than New Mexico averageNew Mexico average: 86.4%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
46% of new residents, usually for short-term rehab.
23% of new residents, often for short stays.
31% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
79Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Lakeview Christian Home of the Southwest, Inc. from 2012–2024, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 07/2024.
Based on CMS SNF Cost Report for fiscal year ending in 07/2024.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #11 / 49Payroll — State benchmarkedThis home is ranked 11th out of 49 homes in New Mexico for payroll. Shows total annual staff payroll benchmarked to the New Mexico average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in New Mexico that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #19 / 49Payroll % — State benchmarkedThis home is ranked 19th out of 49 homes in New Mexico for payroll %. Shows payroll as a percentage of revenue versus the New Mexico average. Well-run New Mexico facilities typically land around 54–59% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in New Mexico that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents typically stay for a few weeks or months before returning home or moving on.
New residents most often arrive under Medicare (46% of admissions), and a typical Medicare stay runs around 3 - 4 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Carlsbad's city center to Lakeview Christian Home of the Southwest, Inc.'s address, calculated via Google Maps.
Add your location
Info below is compiled from CMS reports & the NM Dept. of Health, senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
| Retirement Ranch | NH HOS MC RC SNF | Clovis | 104
Facility
104
NM AVG
68
Rank
#33 / 144 |
79.8%
Facility
79.8%
NM AVG
77.1
Rank
#59 / 108 | +3% | 7.06
Facility
7.06
NM AVG
4.01
Rank
#1 / 48 | -1% | +76% | $69.0k
Facility
$69.0k
NM AVG
$83.5k
Rank
#39 / 49 | 14
Facility
14
NM AVG
48.6
Rank
#2 / 49 | 2.8
Facility
2.8
NM AVG
7.3
Rank
#2 / 49 | 1 | 83 | A+ |
14
Facility
14
NM AVG
43
Rank
#165 / 207 | Terry Buesgens | $8.8MFiscal year ending 04/2024
Facility
$8.8MFiscal year ending 04/2024
NM AVG
$11.4M
Rank
#22 / 49 | $7.4MFiscal year ending 04/2024
Facility
$7.4MFiscal year ending 04/2024
NM AVG
$5.0M
Rank
#16 / 49 | 85%Fiscal year ending 04/2024
Facility
85%Fiscal year ending 04/2024
NM AVG
46.6%
Rank
#10 / 49 | 325078 | ||||
| San Juan Care Center | NH PC SNF | Farmington | 93
Facility
93
NM AVG
68
Rank
#48 / 144 |
44.1%
Facility
44.1%
NM AVG
77.1
Rank
#98 / 108 | -43% | 3.42
Facility
3.42
NM AVG
4.01
Rank
#36 / 48 | -40% | -15% | $0
Facility
$0
NM AVG
$83.5k
Rank
#1 / 49 | 24
Facility
24
NM AVG
48.6
Rank
#6 / 49 | 4.0
Facility
4.0
NM AVG
7.3
Rank
#5 / 49 | - | 41 | - |
71
Facility
71
NM AVG
43
Rank
#37 / 207 | Walnut Summer LLC | $11.8M*Fiscal year ending 08/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
$11.8M*Fiscal year ending 08/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
NM AVG
$11.4M
Rank
#36 / 49 | $3.8M*Fiscal year ending 08/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
$3.8M*Fiscal year ending 08/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
NM AVG
$5.0M
Rank
#39 / 49 | 32.2%*Fiscal year ending 08/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
32.2%*Fiscal year ending 08/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
NM AVG
46.6%
Rank
#37 / 49 | 325085 | ||||
| Cedar Ridge Inn | NH SNF | Farmington | 101
Facility
101
NM AVG
68
Rank
#36 / 144 |
89.2%
Facility
89.2%
NM AVG
77.1
Rank
#34 / 108 | +16% | 3.77
Facility
3.77
NM AVG
4.01
Rank
#16 / 48 | -42% | -6% | $35.4k
Facility
$35.4k
NM AVG
$83.5k
Rank
#32 / 49 | 27
Facility
27
NM AVG
48.6
Rank
#7 / 49 | 6.8
Facility
6.8
NM AVG
7.3
Rank
#21 / 49 | 2 | 90 | A+ |
71
Facility
71
NM AVG
43
Rank
#37 / 207 | Farmington Operations Holdings LLC | $10.8M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
$10.8M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
NM AVG
$11.4M
Rank
#21 / 49 | $4.5M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
$4.5M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
NM AVG
$5.0M
Rank
#35 / 49 | 41.7%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
41.7%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
NM AVG
46.6%
Rank
#47 / 49 | 325113 | ||||
| Clayton Nursing and Rehab Center | NH MC PC RC SNF | Clayton | 45
Facility
45
NM AVG
68
Rank
#83 / 144 |
68.9%
Facility
68.9%
NM AVG
77.1
Rank
#81 / 108 | -11% | 3.79
Facility
3.79
NM AVG
4.01
Rank
#16 / 48 | +36% | -6% | $0
Facility
$0
NM AVG
$83.5k
Rank
#1 / 49 | 17
Facility
17
NM AVG
48.6
Rank
#3 / 49 | 5.7
Facility
5.7
NM AVG
7.3
Rank
#13 / 49 | - | 31 | - |
63
Facility
63
NM AVG
43
Rank
#60 / 207 | Carolyn Kear | $4.1MFiscal year ending 12/2023
Facility
$4.1MFiscal year ending 12/2023
NM AVG
$11.4M
Rank
#49 / 49 | $1.4MFiscal year ending 12/2023
Facility
$1.4MFiscal year ending 12/2023
NM AVG
$5.0M
Rank
#49 / 49 | 34.3%Fiscal year ending 12/2023
Facility
34.3%Fiscal year ending 12/2023
NM AVG
46.6%
Rank
#38 / 49 | 325100 | ||||
| Lakeview Christian Home of the Southwest, Inc. | NH AL HC HOS SNF | Carlsbad | 35
Facility
35
NM AVG
68
Rank
#92 / 144 | - | - | 4.11
Facility
4.11
NM AVG
4.01
Rank
#8 / 48 | +8% | +2% | $0
Facility
$0
NM AVG
$83.5k
Rank
#1 / 49 | 31
Facility
31
NM AVG
48.6
Rank
#10 / 49 | 7.8
Facility
7.8
NM AVG
7.3
Rank
#29 / 49 | - | 38 | - |
77
Facility
77
NM AVG
43
Rank
#18 / 207 | Joanna Knox | $12.6MFiscal year ending 07/2024
Facility
$12.6MFiscal year ending 07/2024
NM AVG
$11.4M
Rank
#14 / 49 | $8.0MFiscal year ending 07/2024
Facility
$8.0MFiscal year ending 07/2024
NM AVG
$5.0M
Rank
#11 / 49 | 63.2%Fiscal year ending 07/2024
Facility
63.2%Fiscal year ending 07/2024
NM AVG
46.6%
Rank
#19 / 49 | 325087 |
Lakeview Christian Home of the Southwest, Inc. has a walk score of 77. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Lakeview Christian Home of the Southwest, Inc.'s occupancy is 100%.
No, Lakeview Christian Home of the Southwest, Inc. has a no-pet policy.
The team at Lakeview Christian Home of the Southwest, Inc. can be reached at jknox@lakeviewchristian.com.
Lakeview Christian Home of the Southwest, Inc. is registered as a non-profit in NM.
Joanna D. Knox is the administrator of Lakeview Christian Home of the Southwest, Inc..
Lakeview Christian Home of the Southwest, Inc. has 35 beds.
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