Rocky Mountain Care - The Lodge

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.

58.6% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 153 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 84.5% 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 71 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 0.56 therapist hours per resident per day in 2026Q1 — more than 86% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 5% 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 92 beds and averages 65.4 residents a day — about 71% occupied, or roughly 27 beds typically open. It usually has some room. 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 3.63 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.31 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.08 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 3.25 hrs/resident/day on weekends vs 3.78 on weekdays — 14% thinner on weekends. RN hours go from 1.44 to 0.99 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 70% is well above the national median of 45%. 1 administrator has left in the past year.

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 fewer than at the previous inspection — improving. 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.

This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.

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.

30 citations, most serious first. The 15 most serious are shown; the remaining 15 are one tap away and print in full.

• Immediate jeopardy · Jcited before2024-03-29 · 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

  Based on observations, interviews, record review, and facility document and policy review, the facility failed to provide supervision to prevent accidents related to elopement for 2 (Resident #59 and Resident #38) of 3 residents reviewed for elopement. Specifically, Resident #59 eloped from the facility on 02/24/2024 and was pushing their wheelchair when it was hit by a car. It was determined the facility's noncompliance with one or more requirements of participation caused, or was likely to cause, serious injury, harm, impairment, or death to residents. The Immediate Jeopardy (IJ) was related to State Operations Manual, Appendix PP, 483.25 (Quality of Care) at a scope and severity of J. The IJ began on 02/24/2024 at approximately 8:00 PM when Resident #59 eloped from the facility. On 03/28/2024 at 3:34 PM, the facility Executive Director (ED) was provided with the completed IJ template and notified of the existence of an IJ for accidents. A Removal Plan was requested. The Removal Plan was accepted by the State Survey Agency (SSA) on 03/29/2024 at 7:13 PM. The IJ was removed on…

  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 before2026-06-04 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  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 observation, interview, and record review, the facility did not ensure that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the resident's choices. Specifically, for 4 of 36 sampled residents, a resident's skin condition was not evaluated and treated, a resident had wound care provided without orders, a resident was hospitalized and no documentation was found of the resident's change in condition, and a resident expired at the facility and no documentation could be found of the resident's change in condition. Resident identifiers: 9, 59, 61, and 62.Findings included:1. Resident 9 was admitted to the facility on [DATE] with diagnoses which included hemiplegia and hemiparesis, cerebral infarction, morbid obesity, type 2 diabetes mellitus, fracture of right toe and non-pressure injury of left foot. On [DATE] at 1:09 PM, an interview was conducted with resident 9. Resident 9 stated that he skinned his toes.…

  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 · G2022-01-13 · tag F0697 — failed to manage pain — isolated
  Provide safe, appropriate pain management for a resident who requires such services.
  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 observation, interview, and record the review it was determined the facility did not ensure that pain management was provided to residents who require such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences. Specifically, for 1 out of 30 sampled residents, a resident that had a fall and complained of pain was not provided pain medication for 11 days. Resident identifier: 51. Findings included: Resident 51 was admitted to the facility on [DATE] with diagnoses which included but not limited to alcoholic hepatitis without ascites, muscle weakness, need for assistance with personal care, cognitive communication deficit, pain, cachexia, alcohol dependence, and chronic obstructive pulmonary disease. Resident 51's medical record was reviewed on 1/11/22. An admission Minimum Data Set (MDS) assessment dated [DATE], documented resident 51 was an extensive assistance of one person for bed mobility, transfer, locomotion…

  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 · G2019-10-15 · 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 1. Resident 38 was admitted to the facility on [DATE] with diagnoses which included peripheral vascular disease (PVD) with revascularization to his right leg on 5/13/19, chronic kidney disease, chronic obstructive pulmonary disease, hyperlipidemia, non-pressure chronic ulcer of right calf, type 2 diabetes, pain, benign prostatic hyperplasia, and hypertension. On 10/7/19 at 9:00 AM, an observation was made of resident 38 sleeping in his bed. Resident 38 had bare feet; resident 38's feet were not floated on a pillow. On 10/7/19 at 11:07 AM, an observation was made of resident 38 pushing himself, in his wheelchair, out of his bathroom post shower. Resident 38 was observed barefoot, pushing himself backwards by his heels. Resident 38 was observed only wearing a pair of pants. Resident 38 stated he was waiting for the nurse to put a new dressing on his heel. Resident 38's right heel was observed to have an open pressure sore with some drainage. Resident 38's pressure wound was resting directly on the laminate floor.…

  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 before2019-10-15 · 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 2. Resident 58 was admitted to the facility on [DATE]; he went out to the hospital and was readmitted on [DATE] with diagnoses which included heart failure, cardiomyopathy, weakness, atrial fibrillation, bronchitis, anemia, anxiety, benign prostatic hyperplasia, chronic obstructive pulmonary disease, and hypertension. Resident 58's medical record was reviewed on 10/9/19. A review of resident 58's Medicare admission Minimum Data Set (MDS) assessment dated [DATE] documented that resident 58 had a Brief Interview for Mental Status score of 12 which indicated that resident 58's cognitive status was mildly impaired. Additionally, the MDS documented that resident 58 triggered as needing a fall prevention care plan. [Note: Resident 58's Falls IPOC (interdisciplinary plan of care) was not initiated and fall prevention interventions were not developed until 5/17/19.] A review of resident 58's care plan revealed the following interventions: a. On 5/17/19 Morse Fall Risk Standard Precautions, Bed in low position if…

  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 before2025-03-13 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  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 interview and record review, it was determined that the facility did not ensure, for 1 of 17 sampled residents, that residents received treatment and care in accordance with professional standards of practice. Specifically, the facility did not conduct wound care orders at prescribed by the physician. Resident identifier: 2. Findings Include: 1. Resident 2 was admitted to the facility on [DATE] following surgical repair of a fractured ankle. On March 18, 2025, the surveyor completed a review of Resident 2's medical record and the following entries were observed: Resident 2 had a wound care order that started on October 24, 2024 and was discontinued on November 1, 2024. The order had instructions to complete wound care to the right ankle on Mondays, Wednesdays, and Fridays. Resident 2's Medication Administration Record (MAR) revealed that the wound care order was not completed on October 25, 2024 with a note from the nurse that stated, Resident Unavailable. Resident 2 had a wound care order that started…

  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 · D2025-03-13 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure that residents are free from significant medication errors.
  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 interview and record review, the facility did not ensure residents were free of significant medication errors. Specifically, for 1 of 17 sampled residents, multiple doses of medications, including antibiotics and insulin, were not administered as ordered by the physician. Resident identifier: 9. Findings included: Resident 9 was admitted to the facility on [DATE], and readmitted on [DATE], with a diagnosis which included type 1 diabetes mellitus and hypertension. The surveyor reviewed Resident 9's October 2024 and November 2024 Medication Administration Record (MAR). The MAR revealed Resident 9 was scheduled to receive multiple medications, including medications for hypertension (Amlodipine and Losartain-Hydrocholorothiazide), an antibiotic (Ciprofloxacin), and insulin (Lispro and Lantus). The following medications were observed by the surveyor as not administered per the MAR: In October 2024, the resident did not receive 4 of 13 scheduled doses of Ciprofloxacin. In November 2024 the resident did not…

  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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-03-29 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, record reviews, and facility policy review, the facility failed to protect resident personal health information (PHI) for 1 (Resident #55) of 1 sampled resident reviewed for privacy and 1 (Resident #46) of 4 sampled residents reviewed for dignity. Findings included: A review of a facility policy titled Resident Room Postings, revised in June 2023, revealed, It is the policy of this facility to support a resident's right to personal privacy and confidentiality in all aspects of care and services, to include personal and medical records. The policy revealed, 1. Personal privacy includes accommodations, medical treatment, written and telephone communications, personal care, visits and meetings of resident and family groups, but does not require the facility to provide private rooms for each resident. Further review of the policy revealed, 4. Resident room postings will only be allowed if the resident or resident representative request posting at the bedside (i.e. [id est, that…

  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 · D2024-03-29 · tag F0607 — failed to have anti-abuse policies — isolated
  Develop and implement policies and procedures to prevent abuse, neglect, and theft.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and facility document and policy review, the facility failed to conduct a criminal background check for 1 (Certified Nursing Assistant [CNA] #3) of 6 nursing department staff prior to employment at the facility. Findings included: Review of a facility policy titled, Abuse - Prevention, Investigating and Reporting, last revised on 07/01/2019, revealed under a Screening section, New Employees and Direct Care Volunteers: All potential employees and direct care volunteers will be screened for a history of abuse, neglect or mistreating residents by the following methods: including A criminal background check will be performed on all new employees and direct care volunteers. The policy further revealed Continued employment is contingent upon the Criminal Background investigation and If anything in the employee screening process indicates a history of abuse, the individual will not be hired. Review of a facility Employees list, dated 03/28/2024, indicated the facility hired CNA #3 on 12/20/2023. A review of CNA #3's employee personnel records did not reveal a criminal…

  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 · E2024-03-29 · tag F0943 — pattern
  Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews, facility document review, and facility policy review, the facility failed to ensure 4 (Certified Nursing Assistant [CNA] #3, CNA #13, Nursing Assistant [NA] #26, and Licensed Practical Nurse [LPN] #27) of 6 sampled employees were provided mandatory training related to dementia management and resident abuse prevention. Findings included: A review of a Facility Assessment Tool, dated 02/17/2024 and reviewed by the Quality Assurance and Performance Improvement (QAPI) committee on 03/14/2024, revealed, Staff training/education and competencies, The following training topics will be used to provide a [sic] level and type of support and care needed for our resident population. (this is not an inclusive list): Abuse, neglect and exploitation - training that at a minimum educates staff on- (1) Activities that constitute abuse, neglect, exploitation, and misappropriation of resident property; (2) Procedures for reporting incidents, of abuse, neglect, exploitation, or misappropriation of resident property; and (3) Care/management for persons with dementia and resident…

  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 · D2024-03-29 · tag F0585 — failed to handle grievances — isolated
  Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, interviews, and facility document and policy review, the facility failed to adequately address a grievance filed by a family member of 1 (Resident #328) of 1 sampled resident reviewed for neglect. Specifically, Resident #328's family member filed a grievance related to finding the resident lying in bowel movement and urine on the morning of 10/16/2023, and the facility was unable to provide documentation of the steps taken to investigate the concern or information regarding whether the facility was able to confirm the concern. Findings included: A review of a facility policy titled, Resident and Family Grievances, revised in June 2023, revealed, The Grievance Official is responsible for overseeing the grievance process; receiving and tracking grievances through to their conclusion; leading any necessary investigations by the facility; maintaining the confidentiality of all information associated with grievances; issuing written grievance decisions to the resident; and coordinating with state and federal agencies as necessary in light of specific allegations.…

  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 · D2024-03-29 · 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

  Based on interviews, record reviews, and facility policy review, the facility failed to protect the residents' right to be free from physical abuse by a resident (Resident #228) for 2 (Resident #48 and Resident #42) of 5 sampled residents reviewed for abuse. Findings included: A review of a facility policy titled Abuse - Prevention, Investigating and Reporting, revised on 07/01/2019, revealed, [The facility] takes steps to prevent abuse of residents. This includes abuse from staff, other residents, families or any person having contact with the resident. Every resident has the right to be free from verbal, sexual, physical and mental abuse including abuse facilitated or enabled through the use of technology, corporal punishment, exploitation, misappropriation of resident property, neglect, use of physical or chemical restraints imposed for the purpose of discipline or convenience and involuntary seclusion. A review of Resident #228's Face Sheet revealed the facility admitted the resident on 07/17/2021 with diagnoses that included Wernicke's encephalopathy (a neurological disease),…

  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 · E2022-01-13 · tag F0756 — failed to review each resident's drug regimen — pattern
  Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY 3. Resident 17 was admitted to the facility on [DATE] with diagnoses which included but not limited to dysphagia following cerebral infarction, encephalopathy, dysphagia, mood disorder due to known physiological condition, cognitive communication deficit, pain, type 2 diabetes mellitus, essential hypertension, and acute respiratory failure with hypoxia. Resident 17's medical record was reviewed on 1/13/22. Resident 17's drug regimen was not reviewed by the pharmacist for irregularities in September 2021 and October 2021. 4. Resident 25 was admitted to the facility on [DATE] with diagnoses which included but not limited to metabolic encephalopathy, type 2 diabetes mellitus, anxiety disorder, restlessness and agitation, pain, and urinary tract infection. Resident 25's medical record was reviewed on 1/13/22. Resident 25's drug regimen was not reviewed by the pharmacist for irregularities in September 2021, October 2021, and November 2021. 5. Resident 46 was admitted to the facility on [DATE] with diagnoses which…

  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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2022-01-13 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  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 observation, interview, and record review, it was determined the facility did not ensure residents who were unable to carry out activities of daily living, received the necessary services to maintain good nutrition, grooming, and personal and oral hygiene. Specifically, for 1 out of 30 sampled residents, a resident did not receive the feeding assistance she needed at meal time. Resident identifier: 68. Findings included: Resident 68 was admitted to the facility on [DATE] with diagnoses which included but not limited to cerebral infarction, peripheral vascular disease, need for assistance with personal care, muscle weakness, pain, chronic obstructive pulmonary disease, unspecified dementia without behavioral disturbance, and mood disorder due to known physiological condition with depressive features. The following observations were conducted during the lunch dining service on 1/10/22: a. At 1:05 PM, resident 68 was observed sitting in a wheelchair outside of her room across from the nurses station. A…

  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 before2022-01-13 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  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 observation, interview, and record review it was determined the facility did not ensure that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices. Specifically, for 1 out of 30 sampled residents, a resident who had a fall and complained of pain was not provided a computed tomography (CT) scan timely to rule out a fracture. Resident identifier: 51. Findings included: Resident 51 was admitted to the facility on [DATE] with diagnoses which included but not limited to alcoholic hepatitis without ascites, muscle weakness, need for assistance with personal care, cognitive communication deficit, pain, cachexia, alcohol dependence, and chronic obstructive pulmonary disease. Resident 51's medical record was reviewed on 1/11/22. An admission Minimum Data Set (MDS) assessment dated [DATE], documented resident 51 was an extensive assistance of one person for bed mobility, transfer, locomotion on and off…

  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

$32,029 in federal fines across 1 penalty. 1 Medicare payment denial on record.

• $32,029 — penalty dated 2024-03-29
• Medicare payment denial — starting 2024-05-09 for 22 days

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 ROCKY MOUNTAIN CARE — 10 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 33 rows in the source record cover these 29 parties — each is shown once here with every role it holds. Nothing is omitted.

3 organizational owners 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.

This home reported $1.7M paid to related parties — landlords or management companies under common ownership — equal to about 14% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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 UT