Valley Manor Care Center

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

59.9% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 52 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 66.7% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 33 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.23 therapist hours per resident per day in 2026Q1 — more than 29% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 9% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 101 beds and averages 66.1 residents a day — about 65% occupied, or roughly 35 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.10 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.92 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.37 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.51 hrs/resident/day on weekends vs 4.34 on weekdays — 19% thinner on weekends. RN hours go from 1.07 to 0.53 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 40% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are unchanged from the previous inspection. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

28 citations, most serious first. The 14 most serious are shown; the remaining 14 are one tap away and print in full.

• Actual harm · G2024-05-23 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
  Provide enough food/fluids to maintain a resident's health.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews, the facility failed to ensure two (#17 and #39) of five residents out of 38 sample residents received the care and services necessary to meet their nutrition and hydration needs and to maintain their highest level of physical well-being. Resident #17 was admitted to the facility on [DATE] with diagnoses of chronic obstructive pulmonary disease (COPD), chronic respiratory failure and severe protein-calorie malnutrition. On 10/4/23, the resident weighed 137 pounds (lbs). On 10/25/23 the resident sustained a 5.8% (percent) (7.88 lbs) weight loss in 21 days, which was considered severe. After the resident sustained the weight loss the facility failed to implement additional nutritional interventions to address the resident's weight loss. The resident sustained an additional 8.5% (11.8 lbs) weight loss from 10/25/23 to 11/22/23, which was considered significant. The facility failed to implement additional nutritional interventions to address the resident's continued severe…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2022-11-17 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on resident and staff interviews and record review, the facility failed to ensure dignified, respectful care for two (#8 and #14) of eight residents reviewed out of 23 sample residents. Resident #14 said she did not receive timely assistance from staff for bathing and other care needs, and as a result she felt lonely and disrespected, wanted to go home, and cried a lot. Resident #8 said she sometimes did not receive dignified, respectful care, and as a result experienced bowel incontinence and felt ashamed, embarrassed, mad and aggravated. Findings include: I. Facility policy The Resident's [NAME] of Rights and Dignity Policy, revised 10/24/22, was provided by the director of nursing (DON) on 11/17/22 at 3:00 p.m. The policy included: The facility must enforce and ensure resident rights are enforced, including the resident has the right to a dignified existence, self-determination, and The facility must treat each resident with respect and dignity and care for each resident in a manner and in an…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2022-11-17 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record review, the facility failed to ensure six (#8, #111, #53, #52, #25 and #51) of eight residents reviewed were free from abuse, neglect and mistreatment out of 23 sample residents. Specifically, the facility failed to ensure: -Resident #8, who was dependent on staff assistance, was free from mistreatment involving rough transfers, and verbal/mental abuse after reporting mistreatment; -Resident #111, who was dependent on staff assistance, was free from neglect when requesting assistance from staff who refused to provide the assistance; -Resident #53, who was dependent on staff assistance, was free from verbal/mental abuse during dining; -Resident #52, who was dependent on staff assistance, was free from physical resident to resident altercations; -Resident #25, who was dependent on staff assistance, was free from physical resident to resident altercations/abuse; and, -Resident #51, who was dependent on staff assistance, was free from physical resident to resident altercations/abuse.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2022-11-17 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review and interviews, the facility failed to ensure effective preventive interventions to prevent pressure injuries for one (#13) of four residents reviewed for pressure injuries out of 23 sample residents. Resident #13 admitted to the facility with diagnosis of hemiplegia and hemiparesis (paralysis) following cerebral infarction (stroke) and was identified by assessment to be at high risk for developing pressure injuries. The resident required extensive two-person assistance with bed mobility, transfers, toileting, and bathing. The facility failed to ensure preventative interventions were implemented which resulted in the resident sustaining a facility acquired unstageable pressure ulcer to Resident #13's foot. These failures led to the resident experiencing tenderness and pain in his left foot. Findings include: I. Professional reference The NPUAP Pressure Injury Stages,The National Pressure Ulcer Advisory Panel, was retrieved on 11/28/22 at…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2026-04-09 · tag F0880 — failed to prevent and control infections — widespread
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, record review and interviews, the facility failed to maintain an effective infection prevention and control program to provide a safe, sanitary and comfortable environment to help prevent the development and transmission of disease on two of four units. Specifically, the facility failed to:-Ensure staff used personal protective equipment (PPE) when performing care for residents who were on enhanced barrier precautions (EBP); and, -Ensure staff wore PPE when handling dirty linen. Findings include: I. EBP failures A. Professional reference According to The Centers for Disease Control and Prevention's (CDC) Hand Hygiene for Healthcare Workers (2/27/24), retrieved on 4/14/26 from https://www.cdc.gov/cleanhands/hcp/clinical-safety/index.html, included the following recommendations for hand hygiene, Hand hygiene protects both healthcare personnel and patients. Cleaning your hands reduces the potential spread of germs, including those resistant toantibiotics. Clean your hands immediately before touching a patient and after touching a patient or the patient's…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-04-09 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review and interviews, the facility failed to provide care to each resident with respect and dignity and care for each resident in a manner and in an environment that promotes maintenance or enhancement of his or her quality of life for four (#3, #6, #55, #61) of eight residents reviewed of 36 sample residents.Specifically, the facility failed to respond to call lights in a timely manner to provide care with dignity for Resident #3, Resident #6, Resident #55 and Resident #61. Findings include:I. Facility policy and procedureThe Call Light, Use of Resident Call System policy, revised October 2021, was provided by the assistant director of nursing (ADON) on 4/9/26 at 5:55 p.m. It read in pertinent part, All facility personnel must be aware of call lights at all times. Answer ALL call lights promptly whether or not you are assigned to the resident. For bedside call lights, a light and a sound will appear and be heard over the door of the resident's room and on the board at the nursing…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-09 · tag F0583 — failed to protect personal privacy — isolated
  Keep residents' personal and medical records private and confidential.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews and record review, the facility failed to keep medical information confidential for one (#20) of one resident out of 36 sample residents.Specifically, the facility failed to ensure Resident #20's medical information was not located in the state survey findings binder in the front lobby of the facility where the public had access to it. Findings include:1. Facility policy and procedureThe Resident Rights policy, revised 4/25/25, was provided by the assistant director of nursing (ADON) on 4/9/26 at 5:55 p.m. It read in pertinent part, Resident rights include, but are not limited to the following categories, each of which is addressed in separate organizational policies: Right to be informed of and participate in treatment, right to choose attending physician, right to be treated with respect and dignity, right to self-determination, right to information and communication, right to privacy and confidentiality, right to a safe environment, right to voice grievances, right to protection from abuse, neglect, and exploitation, discharge, transfer, and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-04-09 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review and interviews, the facility failed to ensure residents were kept free from physical abuse for one (#7) of four residents reviewed for abuse out of 36 sample residents. Specifically, the facility failed to:-Protect Resident #7 from physical abuse by Resident #70; and,-Protect Resident #7 from physical abuse by Resident #64. Findings include:I. Facility policy and procedure The At-Risk Adult Mistreatment Reporting, Investigation and Response policy, dated 3/2/26, was provided by the assistant director of nursing (ADON) on 4/9/26 at 5:35 p.m. The policy read in pertinent part, The policy establishes the commitment to protect the safety, dignity, and well-being of at-risk adults by defining requirements to identify, report, investigate, and respond to suspected mistreatment in accordance with Colorado regulations. To ensure compliance with the mandated report obligations, promotes prompt protective actions, and outlines procedures for internal investigation, administrative…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-09 · tag F0605 — failed to not use drugs as a restraint — isolated
  Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews, the facility failed to ensure two (#21 and #44) of five residents were free from chemical restraints and were receiving the least restrictive approach for their needs out of 36 sample residents. Specifically, the facility failed to follow up on the pharmacist's recommendations for a gradual dose reduction recommendations (GDR) for Resident #21 and Resident #44 for two months. Findings include:I. Facility policy and procedureThe Unnecessary Medication, Psychotropic Medication and Gradual Dose Reduction policy was provided by the director of nursing (DON) On 4/9/26 at 5:35 p.m. The policy read in pertinent part, The purpose of this policy is to ensure that all medications prescribed and administered withinthe long-term care and skilled nursing facilities are clinically appropriate, evidence-based, and aligned with each resident's individualized needs, preferences, and goals of care. The policy outlines expectations for identifying and preventing unnecessary medication use,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-04-09 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews, the facility failed to timely report an allegation of abuse involving three (#43, #39 and #76) of five residents reviewed for abuse out of 36 sample residents.Specifically, the facility failed to-Timely report allegations of abuse by licensed practical nurse (LPN) #3 towards Resident #43;-Report allegations of abuse by LPN #3 towards Resident #39; and, -Report allegations of abuse by the occupational therapist (OT) towards Resident #76. Findings include:I. Facility policy and procedureThe Abuse, Neglect, Exploitation or Misappropriation - Reporting and Investigating policy, initiated 3/2/26, was provided by the nursing home administrator (NHA) on 4/9/26 at 5:35 p.m. It read in pertinent part, This policy establishes (the facility's) commitment to protecting the safety, dignity, and well-being of at-risk adults by defining requirements for identifying, reporting, investigating, and responding to suspected mistreatment in accordance with Colorado regulations. (The facility)…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-04-09 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews, the facility failed to thoroughly and timely investigate an allegation of abuse involving two (#43 and #76) of five residents reviewed for abuse out of 36 sample residents.Specifically, the facility failed to:-Thoroughly investigate an allegation of abuse by licensed practical nurse (LPN) #3 towards Resident #43; and,-Thoroughly investigate an allegation of abuse by the occupational therapist (OT) towards Resident #76. Findings include:I. Facility policy and procedureThe Abuse, Neglect, Exploitation or Misappropriation - Reporting and Investigating policy, initiated 3/2/26, was provided by the nursing home administrator (NHA) on 4/9/26 at 5:35 p.m. It read in pertinent part, This policy establishes (the facility's) commitment to protecting the safety, dignity, and well-being of at-risk adults by defining requirements for identifying, reporting, investigating, and responding to suspected mistreatment in accordance with Colorado regulations. Any (facility) employee or…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-09 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
  Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews, the facility failed to ensure residents with limited range of motion received appropriate treatment and services to increase range of motion and/or to prevent further decrease in range of motion for one (#3) of three residents out of 36 sample residents. Specifically, the facility failed to: -Ensure Resident #3's brace was consistently implemented; and, -Ensure range of motion exercises were consistently completed for Resident #3's contracture. Findings include:I. Facility policy and procedureThe Rehabilitative Services policy and procedure, revised 7/10/19, was provided by the assistant director of nursing (ADON) on 4/9/26 at 5:55 p.m. It read in pertinent part, The facility must ensure that a resident who enters the facility without limited range of motion does not experience reduction in range of motion unless the resident's clinical condition demonstrates that a reduction in range of motion is unavoidable; and a resident with limited range of motion…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-04-09 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews, the facility failed to ensure an environment free from risk of accidents and hazards for one (#44) of four residents reviewed for accident hazards out of 36 sample residents. Specifically, the facility failed to protect Resident #44 from possible ingestion of medications left unattended on the medication cart. Findings include:Record review and interviews confirmed the facility corrected the deficient practice prior to the onsite investigation from 4/6/26 to 4/9/26, resulting in the deficiency being cited as past noncompliance with a correction date of 3/31/26. I. Facility plan of correctionThe corrective action plan was implemented immediately by the facility in response to Resident #44 alleged ingestion of medications. The facility implemented medication cart audits, education and monitoring. The contract nurse was terminated during the investigation. The four medication carts in the facility were audited on 3/16/26 for any discontinued medications and items left on top…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Potential for harm · D2026-04-09 · tag F0700 — isolated
  Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review and interviews, the facility failed to ensure accurate assessments, informed risks, and ongoing monitoring was in place for one (#74) of three residents with bed rails out of 36 sample residents.Specifically, the facility failed to:-Ensure a bed rail safety assessment was completed prior to the bed rail placement on Resident #74's bed; and, -Ensure less restrictive measures were attempted prior to the use of bed rails for Resident #74. Findings include:I. Resident #74A. Resident statusResident #74, age greater than 65, was admitted on [DATE] and discharged [DATE]. According to the April 2026 computerized physician's orders (CPO), diagnoses included restless leg syndrome, osteoporosis, macular degeneration, chronic kidney disease, atherosclerotic heart disease, chronic obstructive pulmonary disease (COPD), presence of urogenital implant, generalized anxiety disorder and chronic pain. The baseline care plan for Resident #74 revealed Resident #74 was dependent on staff for…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$35,968 in federal fines across 1 penalty.

• $35,968 — penalty dated 2024-05-23

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to VOLUNTEERS OF AMERICA SENIOR LIVING — 6 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 29 rows in the source record cover these 21 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2024). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in CO