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 0.50 therapist hours per resident per day in 2025Q4 — more than 82% of the 13,714 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 13% 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 14% — 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 3.27 hrs/resident/day on weekends vs 3.60 on weekdays — 9% thinner on weekends. RN hours go from 1.29 to 0.98 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 more than at the previous inspection — worsening. 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.

26 citations, most serious first. The 14 most serious are shown; the remaining 12 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 · G2026-06-04 · 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 observation, interview, and record review, for 2 of 36 sampled residents, the facility did not provide each resident assisted nutrition to maintain acceptable parameters of nutritional status. In addition, a resident was not offered a therapeutic diet when there was a nutritional problem. Specifically, a resident who was provided a tube feeding lost a significant amount of weight when the tube feeding was discontinued for 5 days and her oral intake was not meeting her nutritional needs. This example will be cited as a harm. In addition, a resident with a high potassium was not provided low potassium foods when the dialysis center ordered it. Resident identifiers: 6 and 13. Findings included:1. Resident 13 was admitted to the facility on [DATE] with diagnoses which included, but were not limited to, severe protein-calorie malnutrition, alcohol induced chronic pancreatitis, thyrotoxicosis, disorders of electrolyte and fluid balance, peptic ulcer, diverticulosis of intestine, irritable bowel syndrome,…

  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
• Potential for harm · F2026-06-04 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview it was determined that the facility did not store, prepare, distribute and serve food in accordance with professional standards for food service safety. Specifically, the dishmachine temperatures were below the required manufacture temperatures for sanitizing dishes. Findings included:On 6/1/26 at 9:45 AM, an observation was made of the dishmachine. The following temperatures were observed: [Note: All temperatures were in degrees Fahernheit.] Wash was 160 and rinse was 150 for 3 loads of dishes.Wash was 160, rinse was 150 and final rinse was 135. Wash was 160, rinse was 155 and final rinse was 140.Wash was 165, rinse was 155 and final rinse was 130The above cycles were observed to have cups, plates, domes, mugs and bowls. The items were observed to be taken from the dish machine baskets and placed with the clean dishes. On 6/1/26 at 9:55 AM, an interview was conducted with [NAME] 1. [NAME] 1 stated the wash temperature needed to be above 150, rinse above 160 and final rinse above 180. [NAME] 1 stated those temperatures were listed directly on the…

  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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-06-04 · tag F0755 — failed to provide safe pharmacy services — pattern
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  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, for 3 of 36 sampled residents, the facility did not provide routine and emergency drugs and biologicals to its residents. Specifically, a resident's multiple sclerosis medication was not available for administration, another resident's Clonidine, Hydralazine, and Ferrous Fumarate were documented as not available for administration, and a third resident's potassium chloride, topiramate, Myrbetriq, and duloxetine were documented as not available for administration. Resident identifiers: 6, 29, and 39. Findings included: 1. Resident 29 was admitted to the facility on [DATE] with diagnoses which included multiple sclerosis (MS), protein calorie malnutrition, chronic pain syndrome and major depressive disorder. On 6/2/26 at 8:59 AM, an interview was conducted with resident 29. Resident 29 stated there were problems with reordering her MS medications and the scheduled dose was usually changed when medications were reordered. Resident 29 stated the nurses struggled to get her MS…

  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 · D2026-06-04 · 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 interview and record review, for 1 of 36 sampled residents, the facility did not ensure that all alleged violations involving abuse and neglect were reported to the State Survey Agency (SSA). Specifically, the facility waited 5 days to report an allegation of abuse or neglect to the SSA, after a resident sustained a fall which resulted in a fracture. Resident identifier: 76. Findings included:Resident 76 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses which included fall with fracture, major depressive disorder, muscle weakness and osteoporosis. The facility reported on 12/31/25 to the SAA that resident 76 sustained a witnessed fall on 12/25/25. Resident 76 was transferred to the hospital where a fracture of the sacrum was identified. On 6/4/26 at 1:36 PM, an interview was conducted with the Director of Nursing (DON). The DON stated the facility became aware of resident 76's broken sacrum on 12/25/26. The DON stated she did not know it was not reported until 12/31/25 to…

  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 · D2026-06-04 · tag F0676 — failed to keep up residents' daily-living abilities — isolated
  Ensure residents do not lose the ability to perform activities of daily living unless there is 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 observation, interview and record review, for 1 of 36 sampled residents, the facility did not provide appropriate treatments and services to maintain or improve his or her ability to carry out the activities of daily living, which included hygiene and bathing. Specifically, a resident was not provided showers and was observed to have a body odor. Resident identifier: 57. Findings included:Resident 57 was admitted to the facility on [DATE] with diagnoses which included encephalopathy, protein-calorie malnutrition, anxiety disorder and failure to thrive. On 6/2/26 at 8:42 AM, an observation was made of resident 57. Resident 57 was in his room and was observed to have strong body odor. On 6/3/26 at 9:21 AM, an observation was made of resident 57. Resident 57 was observed to bring a meal tray to the nurses station from his room. Resident 57 was observed to have strong body odor and was in the same clothing from 6/2/26. An annual Minimum Data Set assessment dated [DATE] revealed resident 57 needed set up 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-06-04 · 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 observation, interview, and record review, for 1 of 36 sampled residents, the facility did not ensure each resident received adequate supervision and assistance devices to prevent accidents. Specifically, a resident with decreased sensation in her feet utilized hot packs heated in the microwave and staff were not able to determine the temperature prior to application. Resident identifier: 29. Findings included:Resident 29 was admitted to the facility on [DATE] with diagnoses which included multiple sclerosis, protein-calorie malnutrition, chronic pain syndrome and major depressive disorder. A quarterly Minimum Data Set (MDS) assessment dated [DATE], revealed resident 29 had a Brief Interview of Mental Status score of 15 which indicated resident was cognitively intact. The MDS further revealed no acute onset of mental status change, inattention, disorganized thinking, or altered level of consciousness. On 6/2/26 at 8:59 AM, an interview was conducted with resident 29. Resident 29 stated her feet were…

  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 · D2026-06-04 · tag F0698 — failed to provide proper dialysis care — isolated
  Provide safe, appropriate dialysis care/services 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 interview and record review it was determined that the facility did not ensure that residents who required dialysis received 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 36 sampled residents, the facility did not conduct a post dialysis assessment after each dialysis session. Resident identifier: 6. Findings included:Resident 6 was admitted to the facility on [DATE] and re-admitted on [DATE] with diagnoses which included kidney transplant rejection, end stage renal disease, and dependence on renal dialysis. On 6/1/26 at 10:54 AM, an interview was conducted with resident 6. Resident 6 stated that she had dialysis today and would not be back until after 4:00 PM. Resident 6 stated that she had a dialysis port on her left chest. Resident 6 stated that the port dressing was changed weekly at dialysis and she did not have any signs and symptoms of infection in the port.…

  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 · D2026-06-04 · tag F0757 — failed to avoid unnecessary drugs — isolated
  Ensure each resident’s drug regimen must be free from unnecessary drugs.
  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 that the resident's drug regimen was free from any unnecessary drugs. An unnecessary drug was any drug used in excessive dose; for excessive duration; without adequate monitoring; without adequate indications for use; in the presence of adverse consequences; or any combination of the above. Specifically, for 2 out of 36 sampled residents, a resident had medications that were not administered with no documentation of the reason for omission, and insulin was held when it should have been administered per the physician ordered parameters. Additionally, a resident was administered blood pressure medications without a documented blood pressure reading. Resident identifiers: 6 and 59.Findings included:1. Resident 6 was admitted to the facility on [DATE] and re-admitted on [DATE] with diagnoses which included kidney transplant rejection, end stage renal disease, dependence on renal dialysis, pulmonary hypertension, congestive heart failure, 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-06-04 · tag F0770 — failed to provide lab services — isolated
  Provide timely, quality laboratory services/tests to meet the needs of residents.
  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 provide or obtain laboratory services to meet the needs of its residents. Specifically, a resident that had their complete blood count (CBC) and urinalysis (UA) cancelled did not have those labs redrawn. Resident identifier: 39.Findings included:Resident 39 was admitted to the facility on [DATE] with diagnoses which included major depressive disorder, post traumatic stress disorder, borderline personality disorder, generalized anxiety disorder, cognitive communication deficit, and depression. On 5/22/26 at 10:47 AM, a physician's order documented to collect a CBC, comprehensive metabolic panel, and a UA with culture and sensitivity. On 5/22/26 at 6:45 PM, a physician's order documented to re-draw the CBC. On 5/25/26 at 6:00 AM, a physician's order documented to collect a UA culture and sensitivity. The lab reports were reviewed and revealed the CBC specimen clotted and the UA was cancelled because it was never received. On 6/4/26 at 12:10 PM, 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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-06-04 · tag F0775 — isolated
  Keep complete, dated laboratory records in the resident's record.
  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 the facility did not file in the resident's clinical record laboratory reports that were dated and contain the name and address of the testing laboratory. Specifically, for 2 out of 36 sampled residents, the facility did not file the resident's laboratory results in their medical records. Resident identifiers: 6, and 9.Findings included:1. Resident 6 was admitted to the facility on [DATE] and re-admitted on [DATE] with diagnoses which included kidney transplant rejection, end stage renal disease, dependence on renal dialysis, pulmonary hypertension, congestive heart failure, and hypertension. Resident 6's medical records were reviewed. On 3/9/26, resident 6 had a physician order for a lipid panel and hemoglobin A1c initiated. No documentation could be found in resident 6's medical records of the laboratory results for the lipid panel and A1c. On 6/3/26 at 1:53 PM, an interview was conducted with the Director of Nursing (DON). The DON stated that the lipid…

  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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-06-04 · tag F0776 — isolated
  Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
  What the surveyor found here — the official record, unedited, 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 that radiology and diagnostic services were obtained to meet the needs of its residents. Specifically, for 1 of 36 sampled residents, the facility did obtain an x-ray of the right knee when ordered by the physician. Resident identifier: 9. Findings included: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.Resident 9's medical records were reviewed. On 2/6/26, resident 9's physician ordered an x-ray of the left and right knee.No documentation could be found of the right knee x-ray results in resident 9's medical records. On 6/2/26 at 2:44 PM, the Director of Nursing (DON) emailed copies of the left knee x-ray. The DON was informed that the right knee x-ray results were still not available. No results for the right knee x-ray were provided.

  Administration 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

$49,084 in federal fines across 2 penalties. 1 Medicare payment denial on record.

• $17,055 — penalty dated 2026-06-04
• $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