1335 6th St., Del Norte, CO 81132 · Rio Grande County · (719) 657-1105
60 certified beds, about 57 residents a day · For profit - Individual · Medicare and Medicaid since 2017
CMS Care Compare ratings, data as of September 1, 2026 · CCN 065424 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on December 19, 2024, inspectors cited 11 health deficiencies (the Colorado average is 8.7, the national average 9.2).
Of 29 health citations since January 2020, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 2.79 hours per resident per day, against 3.72 across Colorado and 3.86 nationally. Registered nurses accounted for 0.64 of those hours.
46.8% of nursing staff left within the year CMS measured (Colorado average 47.1%).
CMS links it to Centennial Healthcare, an affiliated group of 8 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 29 health citations on file.
Inspectors wroteBased on observations and interviews, the facility failed to store, prepare, distribute and serve food in a sanitary manner in the main kitchen and the main dining room. Specifically, the facility failed to: -Ensure food was labeled, dated and discarded in a timely manner; and -Ensure the refrigerator and hot cocoa machine was cleaned regularly. I. Failed to ensure food was labeled, dated and disposed of timely A. Professional reference The Colorado Retail Food Establishment Rules and Regulations, (3/16/24), retrieved on 4/2/25 read. in pertinent part, A date marking system that meets the criteria may include: [...]
Inspectors wroteBased on observations, record review and interviews, the facility failed to promote and maintain the resident's dignity for four (#3, #39, #49 and #51) of five residents reviewed for dignity and respect out of 41 sample residents. Specifically, the facility failed to ensure Resident #3, Resident #39, Resident #51 and Resident #49's call lights were in reach.
Inspectors wroteBased on record review and interviews, the facility failed to ensure residents received care from qualified employees for 11 (#15, #5, #46, #49, #34, #6, #19, #262, #45, #47 and #24) of 11 residents out of 41 sample residents. Specifically, the facility failed to ensure qualified and credentialed staff received, entered, confirmed and revised verbal and written physician's orders for Residents #15, #5, #46, #49, #34, #6, #19, #262, #45, #47 and #24.
Inspectors wroteBased on observations, record review and interviews, the facility failed to prepare, distribute and serve food in a sanitary manner in the main kitchen. Specifically, the facility failed to ensure hand hygiene was conducted appropriately in the main kitchen.
Inspectors wroteBased on record review and interviews, the facility failed to ensure that all residents were free from abuse, neglect, and exploitation for one (#53) of three residents reviewed for abuse out of 41 sample residents. Specifically, the facility failed to protect Resident #53 from verbal abuse by certified nurse aide (CNA) #7.
Inspectors wroteBased on observations, record review and interviews, the facility to ensure for one (#5) of three residents reviewed for assistance with activities of daily living (ADL) out of 41 sample residents received the appropriate treatment and services to maintain or improve his or her abilities. Specifically, the facility failed to: -Ensure Resident #5 was provided with the appropriate level of assistance for positioning and transfers; and, -Ensure Resident #5's care plan was updated with the appropriate level of staff assistance for transfers per therapy discharge instructions.
Inspectors wroteBased on observations, record review and interview, the facility failed to ensure one (#4) of three residents out of 41 sample residents received treatment and care in accordance with professional standards of practice and the comprehensive person-centered care plan. Specifically, the facility failed to follow the physician's orders for Resident #4's pain medications and dressing changes. I. Facility policy and procedure The Administering Medications policy, revised April 2019, was provided by the nursing home administrator (NHA) on 12/19/124 at 9:03 a.m. It read in pertinent part, Medications are administered in a safe and timely manner, and as prescribed. If a drug is withheld, refused or given at a time other than the scheduled time, the individual administering the medication shall initial and circle the medication administration record space provided for the drug and dose. II. [...]
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 two of five certified nurse aides (CNA) reviewed. Specifically, the facility did not complete a performance review and provide regular in-service education for CNA #2 and CNA #4.
Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure the medication error rate was not greater than five percent. Specifically, the facility's medication error rate was 5.88% with two errors out of 34 opportunities for error.
Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure the residents were free from significant medication errors for one (#13) of seven residents reviewed for medication errors out of 41 sample residents. Specifically, the facility failed to ensure that Resident #13 was administered the correct dose of insulin by properly priming the insulin pen before insulin administration.
Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure meals were served according to the resident's preferences for one (#12) of two residents out of 41 sample residents. Specifically, the facility failed to offer food choices according to Resident #12's preferences.
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 prevent the development and transmission of disease and infection in one of four units. Specifically, the facility failed to ensure glucometers were cleaned in a sanitary manner. I. Professional reference The Centers for Disease Control and Prevention (CDC) Considerations for Blood Glucose Monitoring and Insulin Administration (8/7/24), was retrieved on 12/27/24 from https://www.cdc.gov/injection-safety/hcp/infection-control/index.html#:~:text=Unsafe%20practices%20during%20assisted%20monitoring,for%20more%20than%20one%20person. [...]
Inspectors wroteBased on record review, observations and staff interviews, the facility failed to ensure three (#4, #45 and #43) of eight residents reviewed for accident hazards out of 21 sample residents, were provided adequate supervision and a safe environment to prevent accidents and the re-occurrence of falls. Specifically, the facility failed to implement effective fall precautions to prevent the re-occurrence of falls for Resident #45 and Resident #43, contributing to major injuries: On 3/31/23 with a third fall within a week, Resident #43 fell suffering a laceration to her forehead and was sent to the emergency room for sutures; and On 7/7/23 with a fifth fall within two months, Resident #45 fell suffering a fractured hip. [...]
Inspectors wroteBased on record review and interviews, the facility failed to ensure licensed nurses were able to demonstrate competencies in skills and techniques necessary to care for residents' needs, as identified through resident assessments, facility assessments, and described in the plan of care for three of five certified nurse aides (CNAs), two of two licensed practical nurses (LPNs) and two of two registered nurses (RNs). Specifically, the facility: -Failed to complete competencies as identified in the facility assessment for CNA #2, #4, and #6; -Failed to complete competencies as identified in the facility assessment for LPN #1 and #2; and -Failed to complete competencies as identified in the facility assessment for RN #1 and #2. I. [...]
Inspectors wroteBased on observations, record review and interviews the facility failed to comprehensively assess and care plan the continued use of personal alarms and wander guards as potential restraints for three (#17, #43 and #14) of eight residents reviewed for physical restraints out of 21 sample residents. Specifically, the facility failed to: -Obtain orders and consents for alarms prior to their application for Resident #17 and #43; and, -Review and ensure the necessity for continued use of alarms was not for staff convenience for Residents #17, #43 and #14.
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 must provide regular in-service education based on the outcome of these reviews for three of five certified nurse aides (CNAs) reviewed. Specifically, the facility had not completed annual performance reviews and/or provided regular in-service education based on the outcome of the reviews for CNA #2, CNA #4 and CNA #6.
Inspectors wroteBased on record review and interviews, the facility failed to ensure three (#43, #201 and #36) of eight residents were free from unnecessary psychotropic medications out of 21 sample residents. Specifically, the facility failed to: -Monitor targeted behaviors for psychotropic medications for Residents #43, #102, and #36; -Ensure consents were obtained prior to medication administration for Residents #43 and #201; and, -Ensure as needed (PRN) orders did not extend 14 days without documented clinical rationale from the physician or a physician evaluation of the resident for Residents #43 and #201.
Inspectors wroteBased on observations and interviews, the facility failed to ensure drugs and biologicals were labeled and stored in accordance with accepted professional standards, in two of two medication carts and one of one medication storage rooms. Specifically, the facility -Failed to date an Anoro ellipta inhaler; -Failed to date two vials of tuberculin when opened; -Failed to discard an expired Victoza pen; and, -Failed to discard an unknown pill in a plastic cup in the medication cart.
Inspectors wroteBased on observations, record review and staff interviews, the facility failed to ensure food was stored, prepared and served under sanitary conditions in one kitchen. Specifically, the facility failed to ensure cutting boards were free from deep scratches and stains.
Inspectors wroteBased on observations, record reviews and interviews, the facility failed to maintain an infection control program designed to provide a safe, sanitary and comfortable environment to prevent the development and transmission of communicable diseases and infections for residents. Specifically, the facility failed to ensure: -Ensure staff offered residents hand hygiene appropriately; and, -Ensure proper hand hygiene standards were followed by staff during dining service.
Inspectors wroteBased on record review and interviews, the facility failed to ensure three (#17, #43 and #45) of five residents reviewed for abuse out of 21 sample residents were free from abuse. Specially, the facility failed to: -Prevent a resident to resident altercation between Resident #43 and Resident #17; and, -Ensure Resident #45 was free from physical abuse by a family member.
Inspectors wroteBased on observations, record review and staff interviews, the facility failed to provide an ongoing program to support residents in their choice of activities, designed to meet the interests of and support the physical, mental, and psychosocial well-being of each resident, encouraging both independence and interaction in the community for one (#10) of three residents reviewed for activities out of 21 sample residents. Specifically, the facility failed to ensure Resident #10 was invited and encouraged to attend activities of her preference.
Inspectors wroteBased on record review, observations and interviews, the facility failed to ensure one (#7) of two residents with a pressure ulcer received the necessary treatment and monitoring according to professional standards of practice out of 21 sample residents. Specifically, the facility failed for Resident #7 to: -Measure the pressure injury upon discovery; -Document finding of pressure injury; -Care plan the pressure injury; and, -Complete a Braden scale (to assess for pressure injury risk) timely.
Inspectors wroteBased on resident observations, record review and staff interviews, the facility failed to ensure residents received proper respiratory treatment and care for two (#4 and #40) of two residents reviewed for supplemental oxygen use out of 21 sample residents. Specifically, the facility failed to: -Administer oxygen in accordance with the physician's order for Resident #4; and, -Ensure a physician's order was in place for Resident #40's continuous oxygen use.
Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure that the hospice services provided meet professional standards and principles that applied to individuals providing services in the facility for one (#40) of two residents reviewed for hospice services out of 21 sample residents. Specifically, the facility failed to: -Have a written agreement for Resident #40 that included both the most recent hospice plan of care and a description of the services furnished by the long term care (LTC) facility; and, -Ensure that the LTC facility staff provide orientation regarding the policies and procedures of the facility, including patient rights, appropriate forms, and record keeping requirements, to hospice staff furnishing care to LTC residents.
Inspectors wroteBased on record review and interviews, the facility failed to ensure in-service training for certified nurse aides (CNAs) consisted of annual training for dementia management and abuse prohibition training. Specifically, the facility: -Failed to ensure CNAs received dementia management training for two of five CNAs; and -Failed to ensure CNAs received abuse prohibition training for two of five CNAs.
Inspectors wroteBased on record review and interviews, the facility failed to ensure required in-service training for nurse aides, no less than 12 hours per year, and included dementia management and resident abuse prevention training. Specifically, the facility: -Failed to ensure five (#1, #2, #3, #4 and #5) out of five certified nurse aides' (CNAs) in-service training records reviewed, completed at least 12 hours of annual training. -Failed to have a system in place to permanently maintain an in-service training program for nurse aides that was sufficient and effective as determined by the facility assessment and included resident abuse prevention and infection control and prevention.
Inspectors wroteBased on interviews and record review, the facility failed to ensure the services provided met professional standards of care for two (#33 and #22) out of 22 sample residents. Specifically, the facility failed to: - obtain physician orders prior to placing wheelchair and bed alarms in the Resident #33's wheelchair and bed, and - obtain physician order prior to placing wheelchair and bed alarms to prevent falls and a wander guard to prevent elopement for resident #22's safety.
Inspectors wroteBased on record review, observations and interviews, the facility failed to ensure one (#22) of six residents reviewed for medication regimen out of 22 sample residents was as free from unnecessary medications as possible. Specifically, the facility failed to: -Provide individualized, non-pharmacological approaches to accommodate Resident #22's distress related to the nursing facility admission and preventing exit seeking behavior; -Timely identify and reassess the need for psychotropic medication therapy after Resident #22's behaviors diminished; and -Reassess the need for duplicate pharmacological therapy for Resident #22's behaviors.
9 fire safety citations on file: 2 on December 19, 2024, 3 on July 13, 2023, 4 on January 24, 2020.
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) | 2.79 | 3.72 | 3.86 |
| Registered nurses | 0.64 | 0.82 | 0.69 |
| All nursing staff on weekends | 2.51 | 3.29 | 3.42 |
| Nurse aides | 1.69 | ||
| Licensed practical nurses | 0.46 | ||
| Nursing staff turnover (share who left in a year) | 46.8% | 47.1% | 45.8% |
| Registered nurse turnover | 12.5% | 44.6% | 42.9% |
| Administrators who left | 1 |
CMS expects 4.63 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 2.90 on weekdays and 2.51 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 4.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.05 in April to June 2025 to 2.79 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 | 2.79 | 0.64 | 2.90 | 2.51 | 4.4% | 0 of 90 | 57 |
| Oct to Dec 2025 | 2.96 | 0.74 | 3.10 | 2.61 | 3.7% | 0 of 92 | 53 |
| Jul to Sep 2025 | 3.07 | 0.65 | 3.20 | 2.72 | 7.3% | 0 of 92 | 52 |
| Apr to Jun 2025 | 3.05 | 0.64 | 3.29 | 2.46 | 9.1% | 0 of 91 | 50 |
| 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 | 6.0 | 13.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.6 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.5 | 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 | 5.1 | 13.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.5 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 24.7 | 20.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 21.4 | 20.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 17.5 | 12.1 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.1 | 1.4 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 5.2 | 1.7 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for River Valley Rehabilitation and Healthcare Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (42.9% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
42.9% this home
No different from 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. 45 eligible stays.
11.4% 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. 79 eligible stays.
6.4% 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. 43 eligible stays.
55.3% 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. 38 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. 52 residents counted.
5.4% 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. 52 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. 9 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: RIVER VALLEY REHABILITATION AND HEALTHCARE CENTER LLC. CMS links this home to Centennial Healthcare, a group of 8 nursing homes averaging 2.4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Centennial I Tbd Holdco LLC | 5% or greater indirect ownership interest | Organization | 09/01/2022 | |
| Centennial Mn Tr I | 5% or greater indirect ownership interest | Organization | 01/01/2025 | |
| Bank Hapoalim B.m. | 5% or greater mortgage interest | Organization | 04/30/2025 | |
| Gottlieb, Refoel | Managing control - governing body | Individual | 09/01/2022 | |
| Bank Hapoalim B.m. | Operational/managerial control | Organization | 04/30/2025 | |
| Gottlieb, Refoel | Operational/managerial control | Individual | 09/01/2022 | |
| Klippert, Crystal | Operational/managerial control | Individual | 06/17/2024 | |
| Walker, Kelsey | Operational/managerial control | Individual | 05/01/2024 | |
| Gottlieb, Refoel | Adp of the SNF | Individual | 09/01/2022 | |
| Klippert, Crystal | Adp of the SNF | Individual | 09/30/2025 | |
| Walker, Kelsey | Adp of the SNF | Individual | 09/30/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
These are the official offices in Colorado. NursingHomeClear cannot take or act on complaints.