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Hildebrand Care Center

1401 Phay Ave, Canon City, CO 81212 · Fremont County · (719) 275-8656

75 certified beds, about 70 residents a day · For profit - Corporation · Medicare and Medicaid since 1983

CMS high performing icon Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 065179 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on December 4, 2025, inspectors cited 3 health deficiencies (the Colorado average is 8.7, the national average 9.2).

Of 13 health citations since July 2022, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists 1 fine totaling $15,642 in the last three years; the largest was $15,642, and the latest is dated April 17, 2024.

Nurses and nurse aides worked 3.81 hours per resident per day, against 3.72 across Colorado and 3.86 nationally. Registered nurses accounted for 1.05 of those hours.

48.6% 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 13 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
8D
3E
1F
Potential for minimal harm
0A
0B
0C
December 4, 2025Standard inspection, Complaint inspection · 3 citations
  1. E
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 31, 2025
    Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure proper storage of medications for four of four medication storage carts. Specifically, the facility failed to:-Date residents' insulin pens and inhalers with the date they were opened;-Label residents' medications the resident's name; -Discard insulin vials and epinephrine (used to treat life threatening conditions, including allergic reactions) medication that had expired; and,-Ensure loose pills in a medication cart were discarded.
  2. D
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    F605 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 31, 2025
    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 one (#7) of five residents reviewed for use of psychotropic medication out of 51 sample residents. Specifically, the facility failed to ensure the physician's order for Resident #7's as needed (PRN) lorazepam (antianxiety medication) was reevaluated and a rationale was provided by the physician to justify the continued use of the psychotropic medication beyond the 14-day limit.
  3. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 31, 2025
    Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure residents received adequate supervision to prevent accidents for two (#10 and #39) of five residents reviewed for accidents out of 51 sample residents. Specifically, the facility failed to ensure Resident #10 and #39 were transferred appropriately and according to their plan of care.
April 17, 2024Complaint inspection · 1 citation
  1. J
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on record review and interviews, the facility failed to ensure one (#1) out of three sample residents received the care and services necessary to maintain her highest practicable level of well-being. Specifically, the facility failed to serve Resident #1 the correct physician-ordered mechanical soft texture diet which contributed to her mental and physical decline. Resident #1, who had a history of dysphagia (difficulty swallowing) and dementia, had a physician-ordered texture diet of mechanical soft. On 3/3/24, Resident #1 was served large pieces of steak, mashed potatoes, and a bread roll for dinner. The resident began choking in the dining room, the Heimlich maneuver (a first aid procedure utilized to dislodge an obstruction from the throat) was performed and emergency services were called. [...]
November 16, 2023Standard inspection · 6 citations
  1. D
    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    F561 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 8, 2023
    Inspectors wroteBased on observations, record review and interviews, the facility failed to honor resident choices for one (#37) of one out of 31 sample residents. Specifically, the facility failed to ensure Resident #37 received anti-nausea medication in a timely manner upon request.
  2. D
    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
    F585 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 8, 2023
    Inspectors wroteBased on interviews and record review, the facility failed to ensure one (#6) out of 31 sample residents were provided prompt efforts by the facility to resolve grievances. Specifically, the facility failed to document and provide a resolution to Resident #6's missing item.
  3. D
    Assist a resident in gaining access to vision and hearing services.
    F685 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 8, 2023
    Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure proper treatment and assistive devices to maintain vision abilities for one (#121) of one resident reviewed for visual problems out of 31 sample residents. Specifically, the facility failed to ensure Resident #121 was assisted to wear his glasses.
  4. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 18, 2024
    Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure one (#121) of three out of 31 sample residents received adequate supervision to prevent accidents. Specifically, the facility failed to agency staff were aware of Resident #121 ' s history and risk of elopement.
  5. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 28, 2023
    Inspectors wroteBased on resident observations, record review, and staff interviews, the facility failed to ensure residents received respiratory treatment as ordered for two (#20 and #64) of two residents reviewed for supplemental oxygen use out of 31 sample residents. Specifically, the facility failed to ensure Resident #20 and Resident #64 received oxygen at the liter flow prescribed by the physician.
  6. D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 14, 2023
    Inspectors wroteBased on observations and interviews the facility failed to ensure two out of two medication refrigerators stored narcotic medications in accordance with accepted professional standards and that only licensed staff had access to resident-prescribed medications. Specifically, the facility failed to: -Ensure the treatment cart and medication cart was locked when left unattended; and -Ensure controlled medications were in a locked storage container that was permanently secured to the refrigerator.
July 28, 2022Standard inspection · 3 citations
  1. F
    Ensure residents have reasonable access to and privacy in their use of communication methods.
    F576 · Resident Rights · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) August 8, 2022
    Inspectors wroteBased on observation, record review and interview, the facility failed to ensure that residents had reasonable access to send and receive mail during the routine United States Postal Service hours of operation. Specifically, the facility failed to ensure residents' personal mail was delivered timely on Saturday.
  2. E
    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    F561 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 11, 2022
    Inspectors wroteBased on observations, record review, and interviews, the facility failed to honor the bathing preferences for four residents (#61, #47, #21, #23) of five residents reviewed for choices out of 37 sample residents. Specifically, the facility failed to provide routine bathing consistent with the residents' preferences for Resident #61, #47, #21 and #23.
  3. E
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 23, 2022
    Inspectors wroteIV. Resident #23 A. Resident status Resident #23, age [AGE], was admitted on [DATE] and readmitted on [DATE]. According to the July 2022 CPO, diagnoses included depression, anxiety, hypertension, gastroesophageal reflux disease (GERD), long-term use of antibiotics, history of urinary tract infections, hypothyroidism and chronic pain. The 5/23/22 MDS assessment revealed Resident #23 was cognitively intact with a BIMS score of 15 out of 15. The resident exhibited physical, verbal and other behavioral symptoms directed toward others one to three days including rejection of care for the past seven days. B. Record review Review of the July 2022 CPO revealed Resident #23 received the following medications were added on 3/31/22 and the month April 2022: -Biofreeze 5% topically three times daily as needed for pain, (the site for application was not documented), ordered on 3/31/22; [...]

Fire safety inspections

4 fire safety citations on file: 2 on December 4, 2025, 1 on November 16, 2023, 1 on July 28, 2022.

Every fire safety citation4 citations
  1. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · December 4, 2025 · Corrected (the home has a date of correction)
  2. E
    Have properly sized and located compartments to protect residents from smoke.
    K 371 · December 4, 2025 · Corrected (the home has a date of correction)
  3. F
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · November 16, 2023 · Corrected (the home has a date of correction)
  4. E
    Provide properly protected cooking facilities.
    K 324 · July 28, 2022 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
April 17, 2024Fine $15,642

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)3.813.723.86
Registered nurses1.050.820.69
All nursing staff on weekends3.343.293.42
Nurse aides2.21
Licensed practical nurses0.56
Nursing staff turnover (share who left in a year)48.6%47.1%45.8%
Registered nurse turnover57.1%44.6%42.9%
Administrators who leftnot reported

CMS expects 3.29 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 4.00 on weekdays and 3.34 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 9.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.88 in April to June 2025 to 3.81 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.811.054.003.34 9.3%0 of 9070
Oct to Dec 20253.480.693.563.29 12.0%0 of 9271
Jul to Sep 20253.480.863.722.87 10.8%0 of 9268
Apr to Jun 20253.880.814.133.24 7.1%0 of 9166
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. If you work here, your report helps start one.

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.

Work here? Share your pay anonymously

For Hildebrand Care Center. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
Usual shift
Do you get a shift differential?
Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

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
14.713.413.9
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
1.91.41.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
4.33.43.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.21.61.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
10.613.314.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.93.44.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
7.720.015.4
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.51.41.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.41.71.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Hildebrand Care Center's Medicare short-stay residents. How to read these, and what Medicare pays for.

Went home or back to the community

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

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. 22 eligible stays.

Potentially preventable readmissions

10.4% 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. 37 eligible stays.

Infections that led to a hospital stay

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

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. 14 eligible stays.

Self-care and mobility at discharge

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. 16 residents counted.

Falls with major injury

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: 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. 18 residents counted.

New or worsened pressure ulcers

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: 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. 18 residents counted.

Medication list given at discharge

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. 5 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.

Owners and operators

Legal business name: SHADOW MOUNTAIN MANAGEMENT.

NameRoleTypeShareSince
Shadow Mountain Management5% or greater direct ownership interestOrganization11/01/1973
Beaton, Kimberly5% or greater direct ownership interestIndividual08/01/2017
Leonard, Sharon5% or greater direct ownership interestIndividual08/01/2017
Cory, PhillipCorporate directorIndividual01/01/2010
Hamby, RobertCorporate directorIndividual01/01/2010
Shadow Mountain ManagementOperational/managerial controlOrganization08/01/2016
Lester, DelwinOperational/managerial controlIndividual05/31/2018

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 do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on December 4, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on November 16, 2023: "Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on December 4, 2025: "Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs."
  4. 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 December 4, 2025: "Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function."

Other nursing homes nearby

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 Hildebrand Care Center's Medicare star rating?
CMS rates Hildebrand Care Center 5 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Hildebrand Care Center get at its last inspection?
3 health deficiencies at the standard inspection on December 4, 2025. The Colorado average is 8.7.
Has Hildebrand Care Center been fined?
Yes. CMS lists 1 fine totaling $15,642 in the last three years.
Does Hildebrand 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 Hildebrand Care Center?
CMS lists 7 owners and managers. Legal business name: SHADOW MOUNTAIN MANAGEMENT.

Sources

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