In 1983, when we opened our first facility in beautiful Truth or Consequences, New Mexico, it was the culmination of five generations of quality health care experience. That facility, Sierra Health Care Center, remains the capstone of the Sierra system, offering a full range of in-patient skilled nursing, therapy, and rehabilitation services. Now, with the addition of our specialized Alzheimer’s and dementia neighborhood, Granny Harkey’s, Sierra Health Care Center is known as one of New Mexico’s finest long-term care facilities, and the model of continuum care in small communities..