Home / Colorado / Glenwood Springs
2305 Blake Ave, Glenwood Springs, CO 81601 · Garfield County · (970) 945-5476
54 certified beds, about 39 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1988
CMS Care Compare ratings, data as of September 1, 2026 · CCN 065244 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on October 17, 2024, inspectors cited 7 health deficiencies (the Colorado average is 8.7, the national average 9.2).
Of 29 health citations since January 2022, 2 were rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
81.8% of nursing staff left within the year CMS measured (Colorado average 47.1%).
CMS links it to Madison Creek Partners, an affiliated group of 13 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 29 health citations on file.
Inspectors wroteBased on record review and interviews, the facility failed to provide reasonable accommodations for six (#9, #7, #8, #15, #2 and #13) of 10 residents out of 15 sample residents. Specifically, the facility failed to ensure call lights were within reach for Resident #9, Resident #7, Resident #8, Resident #15, Resident #2 and Resident #13.
Inspectors wroteBased on record review and interviews, the facility failed to timely report an allegation of abuse involving two (#1 and #2) of six residents reviewed for abuse out of 15 sample residents. Specifically, the facility failed to:-Timely report an allegation of physical abuse by Resident #2 towards Resident #1; and,-Timely report an allegation of verbal abuse by Resident #1 towards Resident #2.
Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure an environment free from risk of accidents and hazards for one (#7) of three residents reviewed for accident hazards out of 15 sample residents. Specifically, the facility failed to ensure staff utilized a mechanical lift, as was care planned, when transferring Resident #7 from her wheelchair to her bed.
Inspectors wroteBased on record review and resident interviews, the facility failed to promptly address and attempt to resolve resident group complaints and grievances concerning issues of resident care and life in the facility that were important to the residents. Specifically, the facility failed to ensure residents felt their concerns with call light timeliness resulting in long waits for staff assistance were addressed and resolved.
Inspectors wroteBased on interviews and record review, the facility failed to ensure the resident environment remained as free of accident hazards as possible for four of ten resident rooms and one (#6) of two residents reviewed for accidents out of 26 sample residents, received adequate supervision to decrease and/or prevent risk for accident hazards. Specifically the facility failed to: -Ensure tap water in the facility was kept within a safe temperature range; -Initiate a timely fall care plan and interventions to prevent falls for Resident #6; and, -Ensure Resident #6's neurological assessments were completed after the resident sustained an unwitnessed fall in her room on 8/21/24.
Inspectors wroteBased on resident interviews, staff interviews, and observations, the facility failed to ensure residents were provided with food cooked and served in a manner that conserved nutritive value, flavor, appearance, texture and at an appetizing temperature. Specifically, the facility failed to consistently serve foods at a palatable texture.
Inspectors wroteBased on observations, record review and interviews, the facility failed to store, prepare, distribute and serve food in a sanitary manner in the main kitchen. Specifically, the facility failed to: -Ensure safe and appropriate storage of food items in the pantry; and, -Ensure hand hygiene was conducted appropriately.
Inspectors wroteBased on record review and interviews, the facility failed to maintain an infection control program designed to provide a safe, sanitary and comfortable environment to help prevent the possible developement and transmission of infectious diseases. Specifically, the facility failed to offer COVID-19 vaccinations and provide COVID-19 vaccination information to Resident #28, Resident #12, Resident #5 and Resident #17.
Inspectors wroteBased on observation and interviews, the facility failed to ensure one (#12) of one of 26 sample residents received treatment and care in accordance with professional standards of practice. Specifically, the facility failed to ensure Resident #12's blood pressure was measured appropriately in accordance with medical standards of practice.
Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure one (#15) of three residents reviewed for activities out of 26 sample residents received individualized activities in accordance with standards of care. Specifically, the facility failed to offer Resident #15 activities in Spanish, which was his preferred language.
Inspectors wroteBased on record review and interviews, the facility failed to provide sufficient nursing staff to ensure the residents received the care and services they required in a timely manner. Specifically, the facility failed to answer call lights in a timely manner for residents requesting staff assistance.
Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure one (#6) of three residents reviewed out of 26 sample residents received the care and services necessary to meet their nutrition needs and to maintain their highest level of physical well-being. Specifically, the facility failed to: -Accurately obtain and document Resident #6's weights; and, -Weigh Resident #6 per physician's orders.
Inspectors wroteBased on observations, record review and interviews, the facility failed to provide the necessary treatment and services to treat and prevent pressure injuries for one (#1) of three residents reviewed for pressure ulcers out of 39 sample residents. Resident #1, who was known to be at risk for pressure injuries, was admitted on [DATE] and readmitted on [DATE]. The resident had diagnoses of multiple sclerosis (disabling disease of brain and spinal cord), neurogenic bladder and metabolic encephalopathy (brain disorder caused by chemical imbalance of the blood). Hospital documentation recommended treatment for the wounds which were present to the Resident #1's sacrum, right lower extremity and left lower extremity upon the resident's readmission to the facility on 3/17/24. The recommendations further indicated the resident was to follow up with outpatient wound care. [...]
Inspectors wroteBased on observations, record review and interviews the facility failed to provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Specifically, the facility failed to educate the dietary staff about the type of dishwasher, the correct temperature and the correct parts per million (PPM).
Inspectors wroteBased on observations, interviews and record review the facility failed to store, prepare, distribute, and serve food in a sanitary manner in the main kitchen. Specifically, the facility failed to: -Ensure appropriate hand washing and glove usage in the main kitchen; -Ensure cooked food items were monitored and cooled properly; -Ensure the handwashing sink was only used for handwashing; -Ensure food was labeled, dated and disposed of timely; -Ensure ice pack for human use were not stored with food; and, -Ensure food was cooked to the appropriate temperature.
Inspectors wroteBased on observations, record review and staff interviews, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections on four of four units. Specifically, the facility failed to: -Ensure staff followed appropriate hand hygiene practices; -Ensure appropriate use of personal protective equipment (PPE) such as masks and gloves; and, -Ensure houskeeping staff cleaned resident rooms appropriately.
Inspectors wroteBased on interviews and record review the facility failed to honor resident choices for three (#22, #12 and #15) of four reviewed for self-determination out of 24 sample residents. Specifically, the facility failed to ensure Resident #22, Resident #12 and Resident #15 received showers consistently according to their choice of frequency.
Inspectors wroteBased on observations, record review and staff interviews, the facility failed to provide services for seven out of nine sample residents according to professional standards of practice. Specifically, the facility failed to clarify physician's orders with dose information for the administration of diclofenac gel.
Inspectors wroteBased on observation, record review and interviews, the facility failed to ensure that services provided or arranged are delivered by individuals who have the skills, experience and knowledge to do a particular task or activity which included proper licensure or certification. Specifically, the facility failed to ensure certified nurse aide (CNA) #1, who had medication authority in the facility, was certified in the State registration system to ensure the training was aligned with the requirement of the State.
Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure activities designed to support residents physical, mental and psychosocial well-being were provided for two (#40 and #22) of three residents reviewed for activities out of 24 sample residents. Specifically, the facility failed to ensure Resident #40 and Resident #22 were provided activities and developed a comprehensive care plan which addressed each resident's socialization and activity needs.
Inspectors wroteBased on record review, resident interview and staff interviews, the facility failed to ensure proper treatment and assistive devices to maintain vision abilities for two (#15 and #12) of three residents reviewed for visual problems out of 24 sample residents. Specifically, the facility failed to: -Ensure appropriate follow up on scheduling eye appointments for Resident #15; and, -Ensure Resident #12 was provided with annual eye appointments.
Inspectors wroteBased on record review and interviews, the facility failed to provide trauma informed care in order to eliminate or mitigate triggers that caused re-traumatization for one (#11) of two residents reviewed out of 24 sample residents. Specifically, the facility failed identify triggers for Resident #11's post traumatic stress disorder (PTSD) to prevent retraumatization.
Inspectors wroteBased on interviews, observations and record review, the facility failed to assist a resident in obtaining routine or emergency dental services, as needed for one (#12) out of two residents reviewed for dental services out of 24 sample residents. Specifically, the facility failed to ensure dental services were offered to Resident #12.
Inspectors wroteBased on observation, record review and interviews, the facility failed to ensure one (#11) of two residents reviewed for pressure injuries, out of 26 sample residents, received care consistent with professional standards of practice to prevent and heal pressure injuries. Resident #11 had a facility acquired unstageable pressure injury which was not identified as unavoidable in the medical record. The review of the resident's progress notes and medical record between 11/11/21 and 1/10/22 did not identify the resident was seen by her primary physician or by a wound physician after it was identified the resident had an unstageable pressure injury/DTI (deep tissue injury). The review of the resident's medical record indicated the resident was not identified to have any skin related issues to her left heel until it was identified as unstageable on 11/11/21. [...]
Inspectors wroteBased on observations and interviews, the facility failed to store, prepare, distribute, and serve food in a sanitary manner in one of one facility kitchens. Specifically the facility failed to: -Ensure ready-to-eat foods were handled properly; -Store food items and equipment in a sanitary manner; and -Ensure the entire kitchen area was clean and free from dirt, grime and food debris.
Inspectors wroteBased on interviews and record review, the facility failed to honor resident choices regarding bathing frequency and/or type for four (#9, #34, #14 and #37) of six residents reviewed out of 26 sample residents. Specifically, the facility failed to honor the Resident #9, #34, #14 and #37's bathing preferences. The residents all said they did not receive baths/showers frequently enough and according to their preferences.
Inspectors wroteBased on observations, interviews and record review, the facility failed to provide palatable foods to seven of seven (#21, #23, #34, #18, #9, #10 and #32) residents interviewed for palatability out of 26 sample residents. Specifically, the facility failed to ensure proper temperatures of food served to the residents, which made the meals unpalatable to them. The residents also complained about availability of certain food items, especially breakfast meats, juices and ice cream.
Inspectors wroteBased on interviews and record review, the facility failed to ensure one (#5) of two residents reviewed out of 26 sample residents received restorative services to ensure the highest practicable physical well-being. Specifically, the facility failed to provide restorative services for Resident #5 after she was discharged from therapy. Resident #5's goal was to improve and maintain her independence so she could discharge back to her home in the community, but she said her physical function had declined. The facility failed to provide a restorative program to provide services to Resident #5.
Inspectors wroteBased on observations, interviews and record review, the facility failed to provide catheter care for one (#34) of six residents reviewed out of 26 sample residents. Specifically, nursing staff failed to consistently provide and document Resident #34's suprapubic catheter care every shift with soap and water per physician orders and professional standards. The facility further failed to assess and document the condition of the resident's suprapubic catheter site, which had redness and drainage.
29 fire safety citations on file: 13 on October 17, 2024, 9 on March 30, 2023, 7 on January 11, 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) | not reported | 3.72 | 3.86 |
| Registered nurses | not reported | 0.82 | 0.69 |
| All nursing staff on weekends | not reported | 3.29 | 3.42 |
| Nurse aides | not reported | ||
| Licensed practical nurses | not reported | ||
| Nursing staff turnover (share who left in a year) | 81.8% | 47.1% | 45.8% |
| Registered nurse turnover | 66.7% | 44.6% | 42.9% |
| Administrators who left | 2 |
CMS note on this home's staffing data: The accuracy of the staffing data for this measure could not be validated by CMS.
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 3.54 on weekdays and 3.03 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 49.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.33 in April to June 2025 to 3.39 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 | 3.39 | 0.78 | 3.54 | 3.03 | 49.5% | 0 of 90 | 39 |
| Oct to Dec 2025 | 3.26 | 0.76 | 3.39 | 2.93 | 44.4% | 0 of 92 | 39 |
| Jul to Sep 2025 | 3.15 | 0.62 | 3.27 | 2.86 | 61.1% | 0 of 92 | 41 |
| Apr to Jun 2025 | 3.33 | 0.55 | 3.48 | 2.95 | 58.8% | 0 of 91 | 37 |
| 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 | 11.7 | 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 | 2.2 | 1.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.4 | 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 | 14.5 | 13.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.2 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 31.8 | 20.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 22.0 | 20.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 9.0 | 12.1 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.9 | 1.4 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.1 | 1.7 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Glenwood Springs Healthcare's Medicare short-stay residents. On returning residents home or to the community, CMS rates it worse than the national rate (38.6% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
38.6% this home
Worse 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. 66 eligible stays.
11.1% 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. 71 eligible stays.
7.5% 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. 31 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
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. 15 residents counted.
0.0% 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. 22 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. 22 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
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. 13 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: BLAKE AVENUE OPERATIONS, LLC. CMS links this home to Madison Creek Partners, a group of 13 nursing homes averaging 3.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Chief Joseph Trail, LLC | 5% or greater direct ownership interest | Organization | 100% | 03/02/2026 |
| Tippet, LLC | 5% or greater indirect ownership interest | Organization | 83% | 03/02/2026 |
| White Canyon, LLC | 5% or greater indirect ownership interest | Organization | 18% | 03/02/2026 |
| Clegg, Michael | Managing control - governing body | Individual | 02/12/1974 | |
| Ikerd, John | Managing control - governing body | Individual | 03/02/2026 | |
| Madison Creek Partners LLC | Operational/managerial control | Organization | 07/01/2016 | |
| Adragna, Joseph | Operational/managerial control | Individual | 09/25/2019 | |
| Christensen, Covey | Operational/managerial control | Individual | 07/01/2016 | |
| Clegg, Michael | Operational/managerial control | Individual | 06/26/2023 | |
| Friis, Larry | Operational/managerial control | Individual | 01/19/2026 | |
| Hopkins, Amber | Operational/managerial control | Individual | 12/01/2021 | |
| Ikerd, John | Operational/managerial control | Individual | 04/25/2022 | |
| Madison Creek Partners LLC | Adp of the SNF | Organization | 03/25/2026 | |
| Adragna, Joseph | Adp of the SNF | Individual | 09/25/2019 | |
| Christensen, Covey | Adp of the SNF | Individual | 07/01/2016 | |
| Clegg, Michael | Adp of the SNF | Individual | 06/26/2023 | |
| Friis, Larry | Adp of the SNF | Individual | 01/19/2026 | |
| Hopkins, Amber | Adp of the SNF | Individual | 12/01/2021 | |
| Ikerd, John | Adp of the SNF | Individual | 04/25/2022 |
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.