450 Prospector Ave, Durango, CO 81301 · La Plata County · (970) 516-1404
40 certified beds, about 37 residents a day · For profit - Partnership · Medicare since 2014
CMS Care Compare ratings, data as of September 1, 2026 · CCN 065411 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on November 21, 2024, inspectors cited 2 health deficiencies (the Colorado average is 8.7, the national average 9.2).
Of 9 health citations since April 2022, 3 were 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 3.67 hours per resident per day, against 3.72 across Colorado and 3.86 nationally. Registered nurses accounted for 1.42 of those hours.
42.1% of nursing staff left within the year CMS measured (Colorado average 47.1%).
CMS links it to Centennial Healthcare, an affiliated group of 8 nursing homes.
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.
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.
Inspectors wroteBased on record review and interviews, the facility failed to provide services to ensure the residents highest practical physical wellbeing for two (#2 and #3) of four residents reviewed out of four sample residents. Specifically, the facility failed to ensure Resident #2 and Resident #3 had a physician's order to consume alcoholic beverages.
Inspectors wroteBased on interviews and record review, the facility failed to employ an infection preventionist (IP) who had completed specialized training in infection prevention and control which had the potential to affect all residents residing in the facility at the time of the survey. Specifically, the facility failed to have a qualified IP involved with the facility's infection prevention and control program.
Inspectors wroteBased on record review and interviews, the facility failed to provide the necessary behavioral health care and services to attain and maintain the highest practicable physical, mental, and psychosocial well-being for one (#14) of three residents reviewed for behavioral and emotional status out of 22 sample residents. Specifically, the facility failed to coordinate timely necessary behavioral, mental and emotional health care and services for Resident #14.
Inspectors wroteBased on observations, record review and interviews, the facility failed to implement appropriate nutritional interventions for one (#1) of three residents reviewed for nutrition out of 20 sample residents to maintain acceptable parameters of nutritional status. Resident #1 had diagnoses of Parkinson's disease, protein calorie malnutrition, dysphagia (swallowing difficulty) and dementia, which made her at nutritional risk. She required supervision assistance at meals, which through observations was not provided. The facility failed to implement nutrition interventions when the resident sustained a severe weight loss. Due to the facility's failures, Resident #1 sustained a weight loss of 15.1% (16.8 lbs) from 2/9/23 through 7/6/23, which was considered severe.
Inspectors wroteBased on observation, records review and interviews, the facility failed to adequately monitor the resident for unnecessary psychotropic medications needed to provide effective and person-centered care for three (#15, #89 and #26) of five residents reviewed for use of psychotropic medication out of 18 sample residents. Record review revealed that Resident #15 had exit-seeking behaviors. The facility failed to obtain consent prior to increasing the administration of antipsychotic medication (Seroquel) and failed to ensure the antipsychotic medication administered was given to treat the resident's medical symptoms and not used for discipline or convenience. Additionally, the facility failed to implement effective person-centered behavior management interventions to prevent occasional wandering and exit-seeking behaviors. [...]
Inspectors wroteBased on record review and interviews, the facility failed to develop and implement a discharge planning process that focused on the resident's discharge goals for three (#93, #36 and #138) of four residents out of 20 sample residents. Specifically, the facility failed to for Resident #93, #36 and #138: -Develop and complete a discharge plan of care; -Obtain physician orders for discharge; -Educate and document for discharge instructions; and, -Reconcile medications prescribed for discharge.
Inspectors wroteBased on record review, observations and interviews, the facility failed to ensure drugs and biologicals were labeled and stored in accordance with accepted professional standards for one of two medication storage rooms and one of two medication carts. Specifically, the facility failed to label biological supplies and to lock the medication cart when unattended.
Inspectors wroteBased on observations, record review and staff interviews, the facility failed to ensure two (#8 and #12) of four residents observed for nutrition/hydration maintained acceptable parameters of nutritional status to avoid unintended weight loss out of 20 sample residents. The facility failed to identify and consistently implement timely interventions to maintain residents' weight. The facility failed to timely address Resident #8's significant weight loss and poor intake. Resident #8 lost 17.4 pounds (lbs) between 2/3/22 and 4/3/22, resulting in 11.24% total weight loss in two months. The facility did not identify the weight loss between 2/3/22 and 3/15/22 at 7.11% as a significant loss, delaying interventions to potentially slow the weight loss decline of Resident #8. [...]
Inspectors wroteBased on observation, interviews and record review, the facility failed to ensure safe Hoyer (mechanical) lift transfers for one (#3) of three residents reviewed out of 20 sample residents. Specifically, the facility failed to ensure certified nurse aide (CNA) #1 assisted Resident #3 with Hoyer lift transfers in a safe manner to prevent discomfort and injuries to Resident #3. The facility failed to ensure all nursing staff demonstrated the ability to safely transfer residents with Hoyer lifts to prevent injuries, until after an unsafe transfer was observed during the survey.
11 fire safety citations on file: 7 on November 21, 2024, 2 on July 12, 2023, 2 on April 7, 2022.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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) | 3.67 | 3.72 | 3.86 |
| Registered nurses | 1.42 | 0.82 | 0.69 |
| All nursing staff on weekends | 3.31 | 3.29 | 3.42 |
| Nurse aides | 2.12 | ||
| Licensed practical nurses | 0.13 | ||
| Nursing staff turnover (share who left in a year) | 42.1% | 47.1% | 45.8% |
| Registered nurse turnover | 30.8% | 44.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.32 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 3.82 on weekdays and 3.31 on weekends, 13% 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 3.95 in April to June 2025 to 3.67 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 | 3.67 | 1.42 | 3.82 | 3.31 | 0.0% | 0 of 90 | 37 |
| Oct to Dec 2025 | 4.13 | 1.54 | 4.28 | 3.74 | 0.0% | 0 of 92 | 33 |
| Jul to Sep 2025 | 4.11 | 1.45 | 4.29 | 3.63 | 0.0% | 0 of 92 | 35 |
| Apr to Jun 2025 | 3.95 | 1.52 | 4.17 | 3.40 | 0.0% | 0 of 91 | 35 |
| 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.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Colorado, all employers | |||
| CNAs (nursing assistants) | $22.78 | $21.42 to $24.00 | 22,240 |
| LPNs and LVNs | $35.52 | $29.76 to $38.37 | 4,920 |
| Registered nurses | $48.20 | $40.67 to $52.37 | 54,490 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
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 | 4.5 | 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 | 0.0 | 1.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.3 | 3.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.3 | 1.6 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 6.4 | 13.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 0.0 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 13.4 | 20.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 16.6 | 20.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 21.6 | 12.1 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 1.4 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.8 | 1.7 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Cottonwood Rehabilitation and Healthcare Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (69.7% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
69.7% this home
Better than the national rate
US median of homes 51.5% · Colorado: 39 better, 8 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 182 eligible stays.
9.7% this home
No different from the national rate
US median of homes 10.7% · Colorado: 3 better, 0 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 184 eligible stays.
5.9% this home
No different from the national rate
US median of homes 7.1% · Colorado: 4 better, 0 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 99 eligible stays.
69.2% this home
Median of homes: Colorado65.0% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 94 residents counted.
0.9% this home
Median of homes: Colorado0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 115 residents counted.
0.0% this home
Median of homes: Colorado0.0% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 115 residents counted.
98.5% this home
Median of homes: Colorado99.5% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 66 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: COTTONWOOD REHABILITATION AND HEALTHCARE CENTER LLC. CMS links this home to Centennial Healthcare, a group of 8 nursing homes averaging 2.4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Centennial Mn Tr I | 5% or greater indirect ownership interest | Organization | 18% | 09/01/2022 |
| Centennial Ms Trust I | Indirect ownership interest | Organization | 09/01/2022 | |
| Capital Finance LLC | 5% or greater security interest | Organization | 09/01/2022 | |
| Gottlieb, Refoel | Managing control - governing body | Individual | 09/01/2022 | |
| Capital Finance LLC | Operational/managerial control | Organization | 09/01/2022 | |
| Gotts Consulting Colorado LLC | Operational/managerial control | Organization | 09/01/2022 | |
| Bradley, Christine | Operational/managerial control | Individual | 09/12/2022 | |
| Gottlieb, Refoel | Operational/managerial control | Individual | 09/01/2022 | |
| Turpen, Mark | Operational/managerial control | Individual | 05/01/2024 | |
| Centennial Ms Trust I | Adp of the SNF | Organization | 09/01/2022 | |
| Centennial Yf Trust I | Adp of the SNF | Organization | 09/01/2022 | |
| Bradley, Christine | Adp of the SNF | Individual | 08/27/2025 | |
| Gottlieb, Refoel | Adp of the SNF | Individual | 09/01/2022 | |
| Turpen, Mark | Adp of the SNF | Individual | 08/27/2025 |
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.
Chosen from this home's own inspection record.
These are the official offices in Colorado. NursingHomeClear cannot take or act on complaints.