211 E 3rd Ave, Mancos, CO 81328 · Montezuma County · (970) 533-9031
60 certified beds, about 55 residents a day · For profit - Corporation · Medicare and Medicaid since 1993
CMS Care Compare ratings, data as of September 1, 2026 · CCN 065306 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on June 27, 2024, inspectors cited 3 health deficiencies (the Colorado average is 8.7, the national average 9.2).
Of 13 health citations since January 2019, 2 were rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $8,278 in the last three years; the largest was $8,278, and the latest is dated December 10, 2025.
Nurses and nurse aides worked 2.81 hours per resident per day, against 3.72 across Colorado and 3.86 nationally. Registered nurses accounted for 0.50 of those hours.
51.0% 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 13 health citations on file.
Inspectors wroteBased on interviews, record review and observations, the facility failed to ensure residents were free from accidents or hazards for one (#1) of three residents reviewed out of seven sample residents. Specifically, the facility failed to ensure Resident #1 was provided transportation, by use of the facility vehicle, without injury. Resident #1, was admitted on was admitted on [DATE], with diagnoses of dementia, mild, with other behavioral disturbances, age-related osteoporosis without current pathological fracture, muscle weakness, difficulty walking, abnormalities of the gait and mobility, need for assistance with personal care and adult failure to thrive. On 9/15/25 the resident was being transported to an appointment outside of the facility. [...]
Inspectors wroteBased on record review and interviews, the facility failed to ensure a copy of medical records were provided timely for one (#1) of two residents out of seven sample residents. Specifically, the facility failed to ensure medical records were provided timely upon request to Resident #1's representative.
Inspectors wroteBased on record review and interviews, the facility failed to ensure care plans were revised and appropriate for three (#1 and #3) of four residents reviewed for comprehensive care plans out of seven sample residents. Specifically, the facility failed to:-Ensure Resident #1's fall care plan was revised to include new interventions if needed to assist in the prevention of falls for 11 out the resident's 13 falls between 1/17/25 and 6/27/25; and,-Ensure Resident #3's care plan was revised to include new interventions if needed after the resident fell on 7/27/25.
Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure food was prepared, distributed and served under sanitary conditions in the kitchen. Specifically, the facility failed to: -Ensure kitchen staff handled ready-to-eat foods in an appropriate sanitary manner to prevent cross contamination; and, -Ensure safe holding temperatures for food items were maintained.
Inspectors wroteBased on observations and interviews, the facility failed to ensure all drugs and biologicals used in the facility were properly stored and labeled on three of five units. Specifically, the facility failed to ensure residents' topical medications were stored and locked in appropriate medication carts or medication storage rooms that were accessed only by authorized licensed personnel.
Inspectors wroteBased on observations, interviews and record review, the facility failed to maintain an infection control program designed to provide a safe, sanitary and comfortable environment to help prevent the development and transmission of disease and infection on four of five units. Specifically, the facility failed to: -Ensure residents' rooms were cleaned in a sanitary manner; -Ensure residents' personal care items were labeled and stored in a sanitary manner; and, -Ensure a urinary catheter was maintained in a sanitary manner.
Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure residents with dementia received the appropriate treatment and services to attain or maintain the highest practicable physical, mental and psychosocial well-being for one (#41) of five residents reviewed for dementia care of 26 sample residents. The facility was aware that Resident #41 had diagnoses of dementia with behavioral disturbance and insomnia. Since her admission on [DATE] she had wandered throughout the facility, particularly on the hall where she resided, and sometimes disturbed other residents by opening their bedroom doors at night without knocking and looking in on them. [...]
Inspectors wroteBased on observations, record review, and interviews the facility failed to ensure all drugs and biologicals were properly stored in one of one medication storage refrigerators. Specifically, the facility failed to ensure proper storage temperatures for medications and vaccines.
Inspectors wroteBased on observations, record review, and interviews, the facility failed to ensure one (#24) of three residents reviewed for bathing and grooming received the necessary assistance with activities of daily living (ADLs) of 26 sample residents. Specifically, the facility failed to ensure Resident #24 received timely assistance with eye and facial cleanliness, adequate fingernail and oral care, and ensure his clothing was clean.
Inspectors wroteBased on observations, record review and staff interviews, the facility failed to minimize the risk for foodborne illness in a highly susceptible population in one of one kitchen. Specifically, the facility failed to follow industry standards for proper cleaning and sanitizing of kitchen equipment and utensils and to properly date mark and discard expired foods.
Inspectors wroteVI. Resident #12 A. Resident status Resident #12, age [AGE], was admitted on [DATE]. According to the 10/24/18 MDS assessment, diagnoses included Alzheimer's disease, psychotic disorder other than schizophrenia, dementia with behavioral disturbance, and unspecified psychosis. The 10/24/18 MDS assessment revealed the resident had short- and long-term memory problems with severely impaired cognitive skills for daily decision making. She had adequate hearing, vision, and unclear speech, and no psychosis behavioral symptoms or rejection of care. She was totally dependent on staff for bed mobility, transfers, dressing, eating, toileting, and personal hygiene. The 7/25/18 comprehensive MDS assessment revealed the staff completed her activity preferences, which included listening to music and being around animals such as pets. B. Observations 1/07/19 -At 2:44 p.m. [...]
Inspectors wroteBased on observations, record review, and staff interviews, the facility failed to ensure all drugs and biologicals were properly stored in one of one medication storage refrigerator. Specifically, the facility failed to ensure vaccines were stored according to practice standards and manufacturer guidelines.
Inspectors wroteBased on record review and interviews, the facility failed to ensure they did not require residents to waive potential facility liability for loss of personal property for all residents. Specifically, the facility failed to ensure that the language in the admission Agreement document did not release the facility from liability for the loss of residents' personal items.
12 fire safety citations on file: 7 on June 27, 2024, 3 on February 27, 2020, 2 on January 10, 2019.
| Date | Penalty | Amount or length |
|---|---|---|
| December 10, 2025 | Fine | $8,278 |
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) | 2.81 | 3.72 | 3.86 |
| Registered nurses | 0.50 | 0.82 | 0.69 |
| All nursing staff on weekends | 2.44 | 3.29 | 3.42 |
| Nurse aides | 1.77 | ||
| Licensed practical nurses | 0.54 | ||
| Nursing staff turnover (share who left in a year) | 51.0% | 47.1% | 45.8% |
| Registered nurse turnover | 54.5% | 44.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.27 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 2.97 on weekdays and 2.44 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 11.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.22 in April to June 2025 to 2.81 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 | 2.81 | 0.50 | 2.97 | 2.44 | 11.3% | 0 of 90 | 55 |
| Oct to Dec 2025 | 3.21 | 0.54 | 3.35 | 2.84 | 2.2% | 0 of 92 | 54 |
| Jul to Sep 2025 | 3.37 | 0.54 | 3.50 | 3.02 | 0.9% | 0 of 92 | 52 |
| Apr to Jun 2025 | 3.22 | 0.69 | 3.32 | 2.96 | 6.8% | 0 of 91 | 54 |
| 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 | 7.3 | 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 | 5.6 | 3.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.3 | 1.6 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 9.9 | 13.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.0 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 21.8 | 20.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 7.4 | 20.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 7.0 | 12.1 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.9 | 1.4 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.2 | 1.7 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Valley Rehabilitation and Healthcare Center, the's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (49.8% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
49.8% 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. 48 eligible stays.
10.2% 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. 58 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
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. 23 eligible stays.
60.9% 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. 23 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. 29 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. 29 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. 15 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: THE 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 | 09/01/2022 | |
| Centennial M Trust II | Indirect ownership interest | Organization | 01/01/2025 | |
| Capital Finance LLC | 5% or greater security interest | Organization | 09/01/2022 | |
| Gottlieb, Refoel | Managing control - governing body | Individual | 09/01/2022 | |
| Singer, Meir | Corporate officer | Individual | 09/01/2022 | |
| Capital Finance LLC | Operational/managerial control | Organization | 09/01/2022 | |
| Gotts Consulting Colorado LLC | Operational/managerial control | Organization | 09/01/2022 | |
| Gottlieb, Refoel | Operational/managerial control | Individual | 09/01/2022 | |
| Monarco, Ashlee | Operational/managerial control | Individual | 09/12/2022 | |
| Turpen, Mark | Operational/managerial control | Individual | 05/01/2024 | |
| Centennial Ms Trust I | Adp of the SNF | Organization | 09/01/2022 | |
| Centennial Yf Trust I | Adp of the SNF | Organization | 09/01/2022 | |
| Gottlieb, Refoel | Adp of the SNF | Individual | 09/01/2022 | |
| Monarco, Ashlee | Adp of the SNF | Individual | 07/23/2025 | |
| Turpen, Mark | Adp of the SNF | Individual | 07/23/2025 |
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.