Colorado Veterans Community Living Ctr at Homelake
3749 Sherman Ave, Monte Vista, CO 81144 · Rio Grande County · (719) 852-5118
60 certified beds, about 36 residents a day · Government - State · Medicare and Medicaid since 2007
Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 065391 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on October 17, 2024, inspectors cited 2 health deficiencies (the Colorado average is 8.7, the national average 9.2).
Of 9 health citations since December 2021, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 5.08 hours per resident per day, against 3.72 across Colorado and 3.86 nationally. Registered nurses accounted for 1.88 of those hours.
23.7% of nursing staff left within the year CMS measured (Colorado average 47.1%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
112/21
503/23
102/24
210/24
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 9 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
6D
1E
1F
Potential for minimal harm
0A
0B
0C
October 17, 2024Standard inspection · 2 citations
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observations, record review and interviews, the facility failed to provide services for two (#15 and #7) of two residents reviewed out of 23 sample residents according to professional standards of practice. Specifically, the facility failed to ensure Resident #15's and Resident #7's vital signs, specifically the resident's blood pressure and pulse, were monitored and assessed prior to the administration of a blood pressure medication.
- D Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Inspectors wroteBased on record review and interviews, the facility failed to maintain complete and accurate resident resuscitation choices in the medical record for three (#141, #13 and #32) of fourteen residents out of 23 sample residents. Specifically, the facility failed to: -Ensure a physician's order was in place for a do not resuscitate (DNR) for Resident #141, who wished to be a DNR per the resident's Medical Orders for Scope of Treatment (MOST) form; -Ensure documentation of a MOST form was in place for Resident #13; and, -Ensure the MOST form was discussed with and signed by Resident #32, who was cognitively intact.
February 13, 2024Complaint inspection · 1 citation
- G Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on record review and staff interviews, the facility failed to ensure one (#1) of four residents reviewed for abuse out of four sample residents was kept free from abuse. Resident #2 and Resident #1 were involved in an altercation on 11/7/23. Resident #2 attacked Resident #1 and Resident #1 had injuries that included a scratch to his left forehead that was cleaned, a scratch on his nose, an abrasion to his left face/cheek, left jawline, left ear and bruising to the top of his left shoulder. There was redness around his neck and Resident #1 complained of severe left shoulder pain. Interventions added after the altercation were to move Resident #2 to a different hall and the resident was to be in the staff's line of sight. However, those interventions were not effective due to another altercation that occurred on 1/3/24. [...]
March 16, 2023Standard inspection · 5 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, record review, and staff interviews, the facility failed to ensure food was stored, prepared, and served under sanitary conditions in one kitchen. Specifically, the facility failed to ensure: -Appropriate hand hygiene by food service staff; and, -Foods of modified consistency were reheated to safe temperatures following the use of a multi-step preparation process.
- E Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on record review and staff interview, the facility failed to develop and implement policies and procedures related to pneumococcal immunizations for three (#91, #38 and #25) of five residents reviewed for vaccinations of 29 sample residents. Specifically, the facility failed to ensure Residents #91, #38 and #25 were offered and/or received pneumococcal immunization.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure the resident environment remained as free of accident hazards as possible, and adequate supervision and assistance devices to prevent accidents were provided for one (#27) of three residents reviewed for accidents out of 22 sample residents. Specifically, the facility failed to provide supervision during meals for Resident #27 who required supervision due to choking/coughing.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on resident observations, record review, and staff interviews, the facility failed to ensure residents received proper respiratory treatment and care for one (#15) of four residents reviewed for supplemental oxygen use out of 22 sample residents. Specifically, the facility failed to ensure physician's order was in place for Resident #15's continuous oxygen use.
- D Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Inspectors wroteBased on observations, record review, and interviews, the facility failed to provide special eating equipment and utensils for residents who need them for one (#20) of two residents reviewed for adaptive equipment out of 22 sample residents. Specifically, the facility failed to ensure the physician ordered weighted utensils, Dycem placement, sippy cup and scoop plate was positioned correctly during all meals for Resident #20.
December 2, 2021Standard inspection · 1 citation
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure residents who needed respiratory care were provided such care, consistent with professional standards of practice for two (#20 and #27) of three residents reviewed for oxygen therapy out of 22 sample residents. Specifically, the facility failed to ensure oxygen was administered according to physician orders for Resident #20 and #27.
Fire safety inspections
3 fire safety citations on file: 2 on October 17, 2024, 1 on March 16, 2023.
Every fire safety citation3 citations
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Properly select, install, inspect, or maintain portable fire extinguishes.
- D Provide properly protected cooking facilities.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Colorado | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 5.08 | 3.72 | 3.86 |
| Registered nurses | 1.88 | 0.82 | 0.69 |
| All nursing staff on weekends | 3.83 | 3.29 | 3.42 |
| Nurse aides | 3.20 | ||
| Licensed practical nurses | 0.00 | ||
| Nursing staff turnover (share who left in a year) | 23.7% | 47.1% | 45.8% |
| Registered nurse turnover | 33.3% | 44.6% | 42.9% |
| Administrators who left | 2 |
CMS expects 3.10 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 5.59 on weekdays and 3.83 on weekends, 31% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.89 in April to June 2025 to 5.08 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 5.08 | 1.88 | 5.59 | 3.83 | 0.0% | 0 of 90 | 36 |
| Oct to Dec 2025 | 5.03 | 1.80 | 5.52 | 3.80 | 0.0% | 0 of 92 | 35 |
| Jul to Sep 2025 | 4.38 | 1.58 | 4.77 | 3.37 | 2.9% | 0 of 92 | 40 |
| Apr to Jun 2025 | 3.89 | 1.35 | 4.27 | 2.93 | 0.0% | 0 of 91 | 41 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Colorado, Jan to Mar 2026 | 3.59 | 0.76 | 3.75 | 3.18 | 5.9% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Colorado | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 24.3 | 13.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.6 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 4.9 | 1.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 8.8 | 3.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.6 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 19.4 | 13.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.9 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 10.5 | 20.0 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.4 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.0 | 1.7 | 1.8 |
Owners and operators
Legal business name: STATE OF COLORADO.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| State of Colorado | 5% or greater direct ownership interest | Organization | 01/12/2007 | |
| Aldrich, Erin | W-2 managing employee | Individual | 10/08/2022 | |
| Davis, Christa | W-2 managing employee | Individual | 02/02/2007 | |
| Montague, Mindy | W-2 managing employee | Individual | 02/02/2007 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on October 17, 2024: "Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on March 16, 2023: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on October 17, 2024: "Ensure services provided by the nursing facility meet professional standards of quality."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on February 13, 2024: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
- How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.
Other nursing homes nearby
- Rock Creek Rehabilitation and Healthcare Center Monte Vista, 1.1 mi · 1 of 5 stars · 31 citations
- San Luis Care Center Alamosa, 13.3 mi · 4 of 5 stars · 14 citations
- Evergreen Nursing Home Alamosa, 13.6 mi · 2 of 5 stars · 13 citations
- River Valley Rehabilitation and Healthcare Center Del Norte, 15.4 mi · 2 of 5 stars · 29 citations
- Rio Grande Rehabilitation and Healthcare Center La Jara, 22.6 mi · 1 of 5 stars · 39 citations
Colorado contacts for a concern about a nursing home
These are the official offices in Colorado. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Colorado Department of Public Health and Environment, Health Facilities and Emergency Medical Services Division, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Colorado State Long-Term Care Ombudsman Program, 303-862-3524. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Find and compare facilities, where Colorado publishes its own records on licensed homes.
Common questions
- What is Colorado Veterans Community Living Ctr at Homelake's Medicare star rating?
- CMS rates Colorado Veterans Community Living Ctr at Homelake 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Colorado Veterans Community Living Ctr at Homelake get at its last inspection?
- 2 health deficiencies at the standard inspection on October 17, 2024. The Colorado average is 8.7.
- Has Colorado Veterans Community Living Ctr at Homelake been fined?
- CMS lists no fines in the last three years.
- Does Colorado Veterans Community Living Ctr at Homelake accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Colorado Veterans Community Living Ctr at Homelake?
- CMS lists 4 owners and managers. Legal business name: STATE OF COLORADO.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.