1200 Village Rd, Carbondale, CO 81623 · Garfield County · (970) 963-1500
90 certified beds, about 40 residents a day · For profit - Corporation · Medicare and Medicaid since 1987
CMS Care Compare ratings, data as of September 1, 2026 · CCN 065237 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on August 29, 2024, inspectors cited 17 health deficiencies (the Colorado average is 8.7, the national average 9.2).
Of 28 health citations since October 2021, 2 were rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $25,990 in the last three years; the largest was $25,990, and the latest is dated August 29, 2024.
Nurses and nurse aides worked 3.66 hours per resident per day, against 3.72 across Colorado and 3.86 nationally. Registered nurses accounted for 0.89 of those hours.
43.6% of nursing staff left within the year CMS measured (Colorado average 47.1%).
CMS links it to Life Care Centers of America, an affiliated group of 194 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 28 health citations on file.
Inspectors wroteBased on observation, record review and interviews, the facility failed to ensure one (#24) of three residents reviewed for weight loss out of 28 sample residents received the care and services necessary to meet their nutrition and hydration needs and to maintain their highest level of physical well-being. Resident #24 was admitted on [DATE] with a diagnosis of Alzheimer's disease, dysphagia (difficulty swallowing), prediabetes and chronic kidney disease stage 3. On 7/16/24 the resident weighed 197 pounds (lbs) and on 8/29/24 the resident weighed 185 lbs. The resident lost 5.1% (10 lbs) of her body weight in 29 days. [...]
Inspectors wroteBased on record review and interviews, the facility failed to ensure an effective quality assurance program to identify and address facility compliance concerns was implemented, in order to facilitate improvement in the lives of nursing home residents, through continuous attention to quality of care. Specifically, the quality assurance performance improvement (QAPI) program committee failed to identify and address multiple concerns related to quality of care.
Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure residents had the right to a dignified existence for three (#6, #27 and #4) of three residents out of 28 sample residents reviewed. Specifically, the facility failed to: -Provide Resident #6 and Resident #27 with a dignified dining experience; -Provide Resident #4 with privacy and dignity while he used his urinal in his room; and, -Ensure residents were not discussed by staff in areas where the conversations could be overheard by others.
Inspectors wroteBased on record review and interviews, the facility failed to ensure four (#241, #242, #36, and #239) of five residents out of 28 sample residents had a completed baseline care plan within 48 hours of admission. Specifically, the facility failed to ensure that Resident #241, Resident #242, Resident #36 and Resident #239 had baseline care plans completed within 48 hours of admission and/or baseline care plans which addressed all of the minimum requirements, including initial goals based on admission orders, physician orders, dietary orders, therapy services, social services, preadmission screening and resident review (PASARR) recommendation, if applicable.
Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure that three (#16, #14 and #17) of three residents out of 28 sample residents received necessary respiratory care. Specifically, the facility failed to: -Ensure portable oxygen tanks were refilled timely for Residents #16, #14, and #17; -Ensure oxygen tubing was changed routinely and dated; and, -Ensure staff were using the appropriate personal protective equipment (PPE) while filling residents' oxygen tanks.
Inspectors wroteBased on observations, record review and interviews, the facility failed to consistently serve food that was palatable in taste, texture, appearance and temperature. Specifically, the facility failed to ensure food was palatable and served at the appropriate temperature.
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 a dietary aide's (DA) medication was not stored in the walk-in refrigerator; -Ensure appropriate hand hygiene was performed for staff and residents during meal service; and, -Ensure dietary staff removed their jewelry before serving meals.
Inspectors wroteBased on observations, 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 development and transmission of infectious diseases. Specifically, the facility failed to: -Ensure housekeeping staff cleaned high touch areas in residents' rooms; and, -Ensure staff followed appropriate hand hygiene practices.
Inspectors wroteBased on record review and interviews, the facility failed to conduct a preadmission screening resident review (PASRR) for two (#20 and #10) of two residents reviewed for PASRR out of 28 sample residents. Specifically, the facility failed to submit a new PASRR Level I after Resident #20 and Resident #10 were admitted to the facility with a provisional PASRR and remained in the facility for more than 30 days.
Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure one (#24) of two residents reviewed for assistance with activities of daily living (ADL) out of 28 sample residents received appropriate treatment and services to maintain or improve his or her abilities. Specifically, the facility failed to ensure Resident #24 was repositioned timely
Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure two (#37 and #1) of two residents out of 28 sample residents received treatment and care in accordance with professional standards of practice. Specifically, the facility failed to ensure Resident #37 and Resident #1 received quality care when the residents' physicians did not respond timely after both residents experienced a change of condition.
Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure proper treatment and assistive devices to maintain hearing abilities for one (#26) of one resident reviewed for hearing and vision problems out of 28 sample residents. Specifically, the facility failed to ensure Resident #26 was assisted to receive a replacement hearing aid after her right hearing aid was lost.
Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure that residents who entered the facility without limited mobility and range of motion received appropriate services and assistance to maintain or improve mobility with the maximum practicable independence unless a reduction in mobility was demonstrated as unavoidable for one (#24) of four residents out of 28 sample residents. Specifically, the facility failed to ensure Resident #24 received passive range of motion (PROM) to prevent potential decline in her mobility.
Inspectors wroteBased on record review and interviews, the facility failed to complete a performance review of every nurse aide at least once every 12 months and provide regular in-service education based on the outcome of these reviews for one out of five staff reviewed. Specifically, the facility did not complete an annual performance review and/or provide regular in-service education based on the outcome of the review for certified nurse aide (CNA) #2.
Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure that one (#241) of five residents out of 28 sample residents were free from unnecessary medications. Specifically, the facility failed to ensure as needed (PRN) physician's orders for psychotropic drugs were limited to 14 days unless the physician provided a rationale for extended use.
Inspectors wroteBased on interviews and record review, the facility failed to ensure certified nurse aides (CNA) received at least 12 hours of annual in-service training that also included dementia management training and resident abuse prevention training to ensure continued competence for two out of five certified nurse aides (CNA) reviewed. Specifically, the facility failed to ensure CNA #2 and CNA #3 received 12 hours of continuing education annually.
Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure staffing information was posted in a prominent place, readily accessible to residents and visitors. Specifically, the facility failed to post the total number of actual hours worked by the licensed and unlicensed staff directly responsible for resident care per shift.
Inspectors wroteBased on observations, record review and staff interviews, the facility failed to ensure the resident environment remained as free of accident hazards as possible for one (#39) of four residents reviewed for accident hazards out of 26 sample residents. The facility failed to ensure appropriate and effective measures were in place to prevent Resident #39 from repeated falls. Resident #39 fell out of bed on 9/7/22 and again on 1/17/23. Both falls for Resident #39 resulted in a hematoma and lacerations to her head after she hit her head on the bed frame. Resident #39 had to go to the hospital for an evaluation and sutures after the fall on 1/17/23. The review of the fall identified the resident's call light was on just before the 1/17/23 fall but the alarm to the call light did not immediately sound to notify staff.
Inspectors wroteBased on observations, record review and staff interviews, the facility failed to ensure infection control practices were maintained to provide a safe, sanitary and comfortable environment to help prevent the development and transmission of communicable diseases and possible transmission of Coronavirus (COVID-19) infection. Specifically, the facility failed to: -Follow proper infection control practices following an employee who exhibited signs/symptoms of COVID-19, entered the facility and began working, then was later confirmed to have COVID-19 from a positive COVID-19 antigen test; and, -Practice proper hand hygiene during meal service with resident assistance.
Inspectors wroteBased on interviews and record review, the facility failed to take steps to protect two (#8 and #32) of seven residents reviewed for abuse out of 26 sample residents. Specifically, the facility failed to ensure Resident #8 was free from physical abuse by Resident #18 and Resident #43 and Resident #32 was free from physical abuse from Resident #15.
Inspectors wroteBased on observations, record review, and interviews, the facility failed to ensure a resident diagnosed with dementia, received the appropriate treatment and services to attain or maintain his or her highest practicable physical, mental, and psychosocial well-being for four (#8, #15, #43 and #32) of seven residents reviewed for dementia care out of 26 sample residents. Specifically, the facility failed to identify effectively and implement person-centered approaches for dementia care to prevent resident-to-resident altercations for Resident #8, #15, #43 and #32. Cross-reference: F600 for failure to prevent resident abuse.
Inspectors wroteBased on interviews and record review, the facility failed to perform COVID-19 testing and documentation of the testing schedules for staff after an identification of a positive tested COVID-19 staff member who exhibited signs/symptoms of the infection while at the facility. Specifically, the facility failed to: -Perform a COVID-19 viral test on an employee as soon as possible with exhibited symptoms of COVID-19; -Investigate details on when the employee started exhibiting signs/symptoms of COVID-19 on 2/5/23; and, -Follow a testing schedule when the employee exhibited signs/symptoms of COVID-19.
Inspectors wroteBased on record review and staff interviews, the facility failed to timely investigate a potential allegation of abuse involving two (#29 and #43) of seven residents reviewed for abuse out of 26 sample residents. Specifically, the facility failed to: -Timely investigate all allegations of potential abuse for Residents #29; and, -Implement immediate interventions to prevent potential future abuse from Resident #43.
Inspectors wroteBased on interviews and record review, the facility failed to establish a system of record of receipt and disposition of all controlled drugs in sufficient detail to enable an accurate reconciliation on three of three halls (200, 300, and [NAME] Hall/memory care) reviewed for narcotic administration. Specifically, the facility failed to ensure narcotic removal documentation in the narcotic log matched the dates of narcotic administration in the electronic medical record (EMR).
Inspectors wroteBased on observations, record review and interviews, the facility failed to provide an ongoing program to support residents in their choice of activities, designed to meet their interests and support their physical, mental and psychosocial well-being, for two (#39 and #3) of 12 residents who resided in the [NAME] Hall memory care neighborhood, potentially affecting all the residents who resided in [NAME] Hall. Specifically, the facility failed to: -Ensure resident centered activity programs were offered and participation was encouraged for all 12 residents in the [NAME] Hall, including both individual and group activities; -Ensure the activity staff assessed and consistently documented the activities provided to the residents; and -Ensure the facility provided an activity program during COVID-19 outbreaks in [NAME] Hall.
Inspectors wroteBased on interviews and record review, the facility failed to ensure that individuals identified with a mental disorder (MD) or intellectual disability (ID) were screened and evaluated and received care and services in the most integrated setting appropriate to their needs for one (#43) of two residents reviewed for preadmission screening and resident review (PASARR) services of 28 sample residents. Specifically, the facility failed to ensure Resident #43 received a second level one PASARR within 30 days after admission to the facility as directed in the initial screening assessment.
Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure one (#24) of two residents observed for limited range of motion, out of 28 sample residents, was provided appropriate treatment and services to increase range of motion and/or to prevent further decrease in range of motion. Specifically, the facility failed to ensure Resident #24's hand splint was in place as ordered.
Inspectors wroteBased on observation, record review and interviews, the facility failed to ensure supervision and assistive devices to prevent accidents for one (#12) of six residents reviewed for falls out of 28 sample residents. Specifically, the facility failed to: -Complete a thorough and complete investigation after unwitnessed falls to ensure all risks and interventions to prevent additional falls were considered; -Implement effective and updated staff communication to prevent falls; and -Provide and follow effective interventions to prevent falls.
23 fire safety citations on file: 13 on August 29, 2024, 3 on February 9, 2023, 7 on October 26, 2021.
| Date | Penalty | Amount or length |
|---|---|---|
| August 29, 2024 | Fine | $25,990 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.66 | 3.72 | 3.86 |
| Registered nurses | 0.89 | 0.82 | 0.69 |
| All nursing staff on weekends | 3.20 | 3.29 | 3.42 |
| Nurse aides | 2.02 | ||
| Licensed practical nurses | 0.76 | ||
| Nursing staff turnover (share who left in a year) | 43.6% | 47.1% | 45.8% |
| Registered nurse turnover | 45.5% | 44.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.96 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 3.85 on weekdays and 3.20 on weekends, 17% 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 3.47 in April to June 2025 to 3.66 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 | 3.66 | 0.89 | 3.85 | 3.20 | 0.0% | 0 of 90 | 40 |
| Oct to Dec 2025 | 3.59 | 0.98 | 3.78 | 3.13 | 2.1% | 0 of 92 | 39 |
| Jul to Sep 2025 | 3.49 | 0.95 | 3.66 | 3.06 | 1.6% | 0 of 92 | 38 |
| Apr to Jun 2025 | 3.47 | 1.07 | 3.61 | 3.15 | 0.0% | 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 | 14.8 | 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 | 4.2 | 1.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 8.1 | 3.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 3.0 | 1.6 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 13.5 | 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 | 21.7 | 20.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 16.2 | 20.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 5.4 | 12.1 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 1.4 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.8 | 1.7 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Heritage Park Care Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (62.3% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
62.3% 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. 140 eligible stays.
12.4% 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. 146 eligible stays.
7.6% 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. 92 eligible stays.
93.8% 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. 64 residents counted.
2.5% 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. 79 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. 79 residents counted.
100.0% 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. 55 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: HERITAGE PARK OPERATIONS LLC. CMS links this home to Life Care Centers of America, a group of 194 nursing homes averaging 3.4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Colorado Medical Investors LLC | 5% or greater direct ownership interest | Organization | 100% | 06/24/2014 |
| Preston, Forrest | Indirect ownership interest | Individual | 06/24/2014 | |
| Brink, Crystal | Managing control - governing body | Individual | 03/15/2023 | |
| Cox, Samantha | Managing control - governing body | Individual | 11/24/2025 | |
| Schmidt, Derek | Managing control - governing body | Individual | 10/18/2012 | |
| Cross, Cindy | Corporate officer | Individual | 09/01/2014 | |
| Henry, Terry | Corporate officer | Individual | 08/16/1999 | |
| Lay, Lisa | Corporate officer | Individual | 02/09/2018 | |
| Swanker, Richard | Corporate officer | Individual | 04/01/2011 | |
| Thurmond, Joan | Corporate officer | Individual | 09/22/2000 | |
| Developers Investment Company Inc | Operational/managerial control | Organization | 06/24/2014 | |
| Life Care Centers of America, Inc. | Operational/managerial control | Organization | 09/01/2014 | |
| Brink, Crystal | Operational/managerial control | Individual | 03/15/2023 | |
| Cox, Samantha | Operational/managerial control | Individual | 11/24/2025 | |
| Fletcher, Todd | Operational/managerial control | Individual | 12/13/2024 | |
| Oravec, Robert | Operational/managerial control | Individual | 09/01/2024 | |
| Preston, Aubrey | Operational/managerial control | Individual | 12/13/2024 | |
| Schmidt, Derek | Operational/managerial control | Individual | 10/18/2012 | |
| Ziegler, James | Operational/managerial control | Individual | 12/13/2024 | |
| Colorado Medical Investors LLC | Adp of the SNF | Organization | 08/31/2000 | |
| Life Care Centers of America, Inc. | Adp of the SNF | Organization | 03/03/2025 | |
| Brink, Crystal | Adp of the SNF | Individual | 03/30/2026 | |
| Oravec, Robert | Adp of the SNF | Individual | 03/03/2025 | |
| Preston, Forrest | Adp of the SNF | Individual | 08/31/2000 |
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.