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Gunnison Valley Health Senior Care Center

1500 W Tomichi Ave, Gunnison, CO 81230 · Gunnison County · (970) 641-0704

50 certified beds, about 32 residents a day · Government - City/county · Medicare and Medicaid since 1977

CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
2 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 065144 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on January 29, 2026, inspectors cited 2 health deficiencies (the Colorado average is 8.7, the national average 9.2).

Of 8 health citations since March 2020, 2 were rated as actual harm or immediate jeopardy to residents.

CMS lists 3 fines totaling $14,866 in the last three years; the largest was $8,018, and the latest is dated April 2, 2024.

Nurses and nurse aides worked 4.13 hours per resident per day, against 3.72 across Colorado and 3.86 nationally. Registered nurses accounted for 1.12 of those hours.

45.7% 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.

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 8 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
3D
3E
0F
Potential for minimal harm
0A
0B
0C
January 29, 2026Standard inspection · 2 citations
  1. E
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 23, 2026
    Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure residents were treated with respect and dignity for five (#24, #17, #3, #14 and #28) of 10 residents reviewed for respect and dignity out of 22 sample residents. Specifically, the facility failed to ensure Resident #24, Resident #17, Resident #3, Resident #14 and Resident #28, who required meal assistance were treated with respect and dignity.
  2. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 23, 2026
    Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure the medication error rate was less than five percent (%). Specifically, the facility's medication error rate was 6.25%, with two errors out of 32 opportunities for error.
April 24, 2024Standard inspection · 1 citation
  1. E
    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
    F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 10, 2024
    Inspectors wroteBased on record review and interviews, the facility failed to have a registered nurse (RN) scheduled eight hours consecutively every day for seven days a week. Specifically, the facility failed to have an RN on duty for eight consecutive hours consistently from 10/1/23 to 4/24/24.
April 2, 2024Complaint inspection · 1 citation
  1. G
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · Actual harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on interviews and record review, the facility failed to ensure one (#1) out of three sample residents were kept free from abuse. The facility failed to provide increased oversight and monitoring to ensure Resident #1, who had severe cognitive impairment and was unable to consent to sexual contact of any type, was protected from sexual abuse by Resident #2, who was cognitively intact. On 2/13/24, Resident #2 was observed watching television in Resident #1's room by two different staff members. At 9:23 p.m., over an hour after the last known observation of the two residents, certified nurse aide (CNA) #1 entered Resident #1's room while doing routine rounds. Resident #1's door had been closed and when CNA #1 entered Resident #1's room, he observed Resident #2, who was nude, lying on top of Resident #1, who was also nude, and having sexual intercourse with her. [...]
March 12, 2020Standard inspection · 4 citations
  1. G
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) May 22, 2020
    Inspectors wroteBased on observations, record review and interviews, the facility failed to prevent pressure injuries for one (#25) of two residents reviewed for pressure injuries out of 25 sample residents. The facility failed to assess and implement interventions for a newly placed medical device (knee brace). The facility further failed to regularly assess Resident #25's skin integrity underneath the knee brace after she was deemed to be high risk for pressure ulcer development. These failures led to the development of an unstageable pressure ulcer to the resident's right lower extremity caused by the leg brace. The pressure ulcer caused the resident to experience pain in the wound area as well as to endure painful dressing changes.
  2. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 22, 2020
    Inspectors wroteBased on observations, interviews and record review, the facility failed to maintain an infection control program designed to prevent the spread of infection in one of three neighborhoods. Specifically, the facility failed to: -Implement appropriate hand hygiene practices and glove use while providing activities of daily (ADL) care to Resident #26; and -Implement appropriate hand hygiene practices during housekeeping cleaning tasks on the [NAME] Park neighborhood.
  3. D
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 22, 2020
    Inspectors wroteBased on record review and interviews, the facility failed to ensure one (#20) of five residents reviewed for unnecessary medications out of 25 sample residents was free from unnecessary drugs. Specifically, the facility failed to ensure psychotropic medications included evidence that informed consent was provided for and by the resident; which included evidence of education, targeted behaviors, potential side effects and correct dosage.
  4. D
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 22, 2020
    Inspectors wroteBased on record review and interviews, the facility failed to implement policies and procedures related to pneumococcal immunizations for two (#26 and #19) of five residents reviewed for immunizations out of 25 sample residents. Specifically, the facility failed to offer and provide the pneumococcal 23-valent polysaccharide vaccine (PPSV23) to the residents.

Fire safety inspections

7 fire safety citations on file: 1 on January 29, 2026, 6 on April 24, 2024.

Every fire safety citation7 citations
  1. F
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · January 29, 2026 · Corrected (the home has a date of correction)
  2. F
    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
    K 223 · April 24, 2024 · Corrected (the home has a date of correction)
  3. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · April 24, 2024 · Corrected (the home has a date of correction)
  4. F
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · April 24, 2024 · Corrected (the home has a date of correction)
  5. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · April 24, 2024 · Corrected (the home has a date of correction)
  6. D
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · April 24, 2024 · Corrected (the home has a date of correction)
  7. D
    Have properly installed electrical wiring and gas equipment.
    K 511 · April 24, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
April 2, 2024Fine $8,018
December 11, 2023Fine $4,363
October 23, 2023Fine $2,485

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeColoradoUnited States
All nursing staff (RN, LPN and aides)4.133.723.86
Registered nurses1.120.820.69
All nursing staff on weekends3.643.293.42
Nurse aides2.28
Licensed practical nurses0.73
Nursing staff turnover (share who left in a year)45.7%47.1%45.8%
Registered nurse turnover50.0%44.6%42.9%
Administrators who left0

CMS expects 3.55 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 4.33 on weekdays and 3.64 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 16.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.07 in April to June 2025 to 4.13 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.131.124.333.64 16.6%0 of 9032
Oct to Dec 20254.381.164.533.98 13.7%0 of 9229
Jul to Sep 20254.311.144.513.79 19.3%0 of 9231
Apr to Jun 20254.071.044.203.74 12.9%0 of 9133
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Colorado, Jan to Mar 20263.590.763.753.185.9%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

Staff pay at this home

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.

Official wage estimates for Colorado

JobMedianMiddle halfEmployed
Colorado, all employers
CNAs (nursing assistants)$22.78$21.42 to $24.0022,240
LPNs and LVNs$35.52$29.76 to $38.374,920
Registered nurses$48.20$40.67 to $52.3754,490
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

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.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeColoradoUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
21.113.413.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.80.60.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
2.51.41.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
9.13.43.2
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
24.913.314.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.03.44.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
24.520.015.4
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.21.41.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.21.71.8

Owners and operators

Legal business name: GUNNISON VALLEY HEALTH SENIOR CARE CENTER.

NameRoleTypeShareSince
County of Gunnison5% or greater direct ownership interestOrganization10/16/2013
Alpern, BruceCorporate directorIndividual11/01/2012
Covey, MarlaCorporate directorIndividual02/01/2014
Haver, DonaldCorporate directorIndividual02/01/2014
Hutchison Crockett, MarlaCorporate directorIndividual02/01/2023
Kaufman, MarkCorporate directorIndividual02/01/2022
Leach, JackieCorporate directorIndividual03/18/2026
McMahill, EmilyCorporate directorIndividual02/01/2025
Amrich, JasonCorporate officerIndividual12/06/2021
Baker, JosephCorporate officerIndividual10/16/2013
Blad, NathanCorporate officerIndividual10/13/2025
Baker, JosephOperational/managerial controlIndividual10/16/2013
Alpern, BruceTrustee of the SNFIndividual10/01/2012
Covey, MarlaTrustee of the SNFIndividual02/01/2014
Haver, DonaldTrustee of the SNFIndividual02/01/2014
Hutchison Crockett, MarlaTrustee of the SNFIndividual02/01/2023
Kaufman, MarkTrustee of the SNFIndividual02/01/2022
McMahill, EmilyTrustee of the SNFIndividual02/01/2025
Amrich, JasonAdp of the SNFIndividual06/11/2025
Anderson, KennethAdp of the SNFIndividual05/26/2026
Kibler, ShandyAdp of the SNFIndividual05/26/2026

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.

  1. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on January 29, 2026: "Ensure medication error rates are not 5 percent or greater."
  2. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on March 12, 2020: "Provide and implement an infection prevention and control program."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on January 29, 2026: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
  4. How many nurses and aides work each shift, nights and weekends included?Inspectors cited 1 problem in this area, most recently on April 24, 2024: "Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis."

Colorado contacts for a concern about a nursing home

These are the official offices in Colorado. NursingHomeClear cannot take or act on complaints.

Common questions

What is Gunnison Valley Health Senior Care Center's Medicare star rating?
CMS rates Gunnison Valley Health Senior Care Center 5 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Gunnison Valley Health Senior Care Center get at its last inspection?
2 health deficiencies at the standard inspection on January 29, 2026. The Colorado average is 8.7.
Has Gunnison Valley Health Senior Care Center been fined?
Yes. CMS lists 3 fines totaling $14,866 in the last three years.
Does Gunnison Valley Health Senior Care Center 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 Gunnison Valley Health Senior Care Center?
CMS lists 21 owners and managers. Legal business name: GUNNISON VALLEY HEALTH SENIOR CARE CENTER.

Sources

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