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Vista Ridge Care and Rehabilitation

855 Hunter Dr, Pueblo, CO 81001 · Pueblo County · (719) 253-3700

90 certified beds, about 69 residents a day · For profit - Corporation · Medicare and Medicaid since 1973

Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 065121 · 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 6 health deficiencies (the Colorado average is 8.7, the national average 9.2).

Of 28 health citations since September 2022, 3 were rated as actual harm or immediate jeopardy to residents.

CMS lists 2 fines totaling $41,772 in the last three years; the largest was $28,512, and the latest is dated December 4, 2025.

Nurses and nurse aides worked 3.18 hours per resident per day, against 3.72 across Colorado and 3.86 nationally. Registered nurses accounted for 0.93 of those hours.

64.2% of nursing staff left within the year CMS measured (Colorado average 47.1%).

CMS links it to Frontline Management, an affiliated group of 9 nursing homes.

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 28 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
3G
0H
0I
Potential for more than minimal harm
15D
8E
2F
Potential for minimal harm
0A
0B
0C
December 4, 2025Standard inspection · 6 citations
  1. E
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 5, 2025
    Inspectors wroteBased on observations, record review and interviews, the facility failed to consistently serve food that was palatable and attractive at the appropriate temperatures. Specifically, the facility failed to ensure food was palatable and served at the appropriate temperature.
  2. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 5, 2025
    Inspectors wroteBased on observations 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 ready-to-eat foods were handled in a sanitary manner; and,-Ensure kitchen equipment was clean.
  3. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 5, 2025
    Inspectors wroteBased on record review, observations, and interviews, 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 diseases and infection on two of four units. Specifically, the facility failed to:-Ensure nursing staff properly performed hand hygiene during medication administration;-Ensure staff donned (put on)) when providing care for a resident who was on enhanced barrier precautions (EBP); and,-Ensure staff sanitized the Hoyer lift between residents.
  4. 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 5, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure that residents were free of unnecessary psychotropic medications for one (#7) of six residents reviewed for unnecessary medications out of 44 sample residents. Specifically, the facility failed to:-Ensure an as needed (PRN) psychoactive medication were discontinued after 14 days for Resident #7;-Provide documentation and rationale to justify the continued use of a PRN psychotropic medication for Resident #7; and, -Ensure a care plan was in place with monitoring and effectiveness of Resident #7's psychotropic medication.
  5. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 5, 2025
    Inspectors wroteBased on record review and interviews, the facility failed to ensure one (#82) residents of seven residents received treatment and care in accordance with professional standards of practice out of 44 sample residents. Specifically, the facility failed to ensure staff reported a fall for Resident #82.
  6. D
    Implement a program that monitors antibiotic use.
    F881 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 5, 2025
    Inspectors wroteBased on record review and staff interviews, the facility failed to develop and implement an antibiotic stewardship program that included antibiotic use protocols and a system to monitor antibiotic use for one (#7) of one resident out of 44 sample residents. Specifically, the facility failed to have a system in place to monitor Resident #7's prophylactic antibiotic use.
May 15, 2025Complaint inspection · 4 citations
  1. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 11, 2025
    Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure one (#1) of four residents reviewed for abuse out of seven sample residents were kept free from abuse. Specifically, the facility failed to protect Resident #1 from sexual abuse by Resident #6.
  2. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 11, 2025
    Inspectors wroteBased on observations, record review, and interviews, the facility failed to ensure two (#2 and #4) of seven residents out of seven sample residents received services provided or arranged by the facility that met professional standards of quality. Specifically, the facility failed to ensure weekly skin assessments were consistently completed, per physican's orders, for Resident #2 and Resident #4.
  3. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · 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) June 11, 2025
    Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure residents who were unable to carry out activities of daily living (ADL) received the necessary services to maintain good grooming and personal hygiene for one (#2) of three residents reviewed for ADLs out of seven sample residents. Specifically, the facility failed to ensure Resident #2, who was dependent on staff for care, received showers per her preference.
  4. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 11, 2025
    Inspectors wroteBased on record review and interviews, the facility failed to ensure that the medical record was complete and accurate in keeping with accepted standards of practice for one (#1) of seven residents out of seven sample residents. Specifically, the facility failed to ensure physician's visit progress notes for Resident #1 were maintained in her electronic medical record (EMR).
December 14, 2023Standard inspection, Complaint inspection · 7 citations
  1. G
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) January 11, 2024
    Inspectors wroteBased on observation, record review and interviews, the facility failed to ensure residents received care consistent with professional standards of practice to prevent pressure injuries for two (#48 and #54) of four residents out of 33 sample residents. Resident #54 was admitted to the facility with a known risk of developing pressure wounds. The resident developed a blister on the right heel caused by poor-fitting shoes the wound started as a blister that worsened and required medical attention. The blister developed into a deep tissue pressure injury and progressed after several weeks and surgical debridement to a stage 4 pressure injury to his right heel. [...]
  2. F
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) January 11, 2024
    Inspectors wroteBased on interviews and record reviews, the facility failed to provide and deploy sufficient nursing staffing during weekends to meet the needs of residents in keeping with their comprehensive care plans and ensure their highest practicable quality of care. Specifically, the facility failed to provide sufficient nursing staff fiscal year (FY) Quarter 3 2023 (April 1-June 30) with excessively low weekend staffing to provide dignified and quality care, prevent falls and accidents, and prevent pressure ulcers. Cross-reference F686: failure to prevent pressure ulcer; and F689 failure to prevent falls and accidents.
  3. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) January 11, 2024
    Inspectors wroteBased on observations and interviews 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 diseases and infection for three out of three units at the facility. Specifically, the facility failed to: -Ensure proper infection control practices were followed in the laundry area including wearing a gown when loading dirty laundry into the washing machines, and storing dirty laundry away from clean areas and clean clothing ; and -Ensure residents were provided an opportunity to participate in hand hygiene before meals.
  4. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 11, 2024
    Inspectors wroteBased on observations and interviews, the facility failed to label and date stored food items and distribute and serve food in a sanitary manner in two of three kitchens. Specifically, the facility failed to: -Ensure cold food items were held at the proper temperature to reduce the potential risk of foodborne illness; -Ensure that stacked pans did not contain moisture between the pans; and, -Ensure kitchen vents in the main kitchen were free from hanging dust.
  5. 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 11, 2024
    Inspectors wroteBased on record review, observations, and interviews, the facility failed to keep residents safe from accident hazards related to falls for one (#76) of two residents reviewed for falls out of 33 sample residents. Specifically the facility failed to provide Resident #76 timely assistance to use the bathroom after the administration of a laxative medication causing the resident to fall and become injured sustaining an abrasion to the head and knee pain.
  6. 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) January 11, 2024
    Inspectors wroteBased on resident observations, record review, and staff interviews, the facility failed to ensure residents received respiratory treatment as ordered for one (#185) of two residents reviewed for supplemental oxygen use out of 33 sample residents. Specifically, the facility failed to: -Administer oxygen therapy according to the physician's order for Resident #185; -Clean and store Resident #185's nebulizer equipment according to the manufacturer's recommendations after each use; and, -Ensure a care plan focus was in place to include Resident#185's respiratory needs and all required components of oxygen therapy, nebulizer treatment, equipment maintenance, and machine storage.
  7. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 11, 2024
    Inspectors wroteBased on observations, record review and staff interviews, the facility failed to ensure it was free of medication error rates of five percent or less. Specifically, the medication pass observation error rate was 7.41% or two errors out of 27 opportunities for error.
September 1, 2022Standard inspection · 11 citations
  1. G
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) October 1, 2022
    Inspectors wroteBased on observation, interviews and record review, the facility failed to ensure the necessary care and treatment to prevent the development of pressure injuries for one (#61) of two residents reviewed of 44 sample residents. The facility failed to provide the necessary equipment, interventions and care timely for a resident who was identified to be at risk for developing pressure ulcers due to the presence of a right femoral fracture and use of an immobilizing device. Resident #61 was admitted to the facility on [DATE] with diagnoses of post polio syndrome, muscle weakness, lack of coordination, and abnormalities of gait and mobility. The resident was hospitalized from [DATE] to 8/3/22 following a fall and subsequent fracture of her right femur. A skin assessment was completed upon Resident #61's readmission to the facility on 8/3/22. [...]
  2. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) October 1, 2022
    Inspectors wroteBased on interviews and record review the facility failed to ensure the environment remained free from accidents and hazards and that residents received adequate supervision and assistive devices to prevent accidents for two (#61 and #7) of three residents out of 44 sample residents. Resident #61 was admitted to the facility on [DATE] with diagnoses of post polio syndrome, muscle weakness, lack of coordination, and abnormalities of gait and mobility. The resident required extensive, two person assistance for toileting and transfers. On 7/26/22, the resident fell in her bathroom during a transfer with one certified nurse aide (CNA) assisting. The resident was sent out to the hospital on 7/27/22 due to increased pain to her right lower extremity. At the hospital, it was discovered that the resident had a fracture to her right femur. [...]
  3. E
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 1, 2022
    Inspectors wroteIII. Incident of physical abuse between Resident #38 and Resident #16 A. Facility investigation The facility investigation of abuse on 7/5/22 at 4:20 p.m. was provided by the nursing home administrator on 8/30/22 at 1:00 p.m. The report indicated the following: Activity assistant (AA) #1 reported that resident (#38) was yelling at another resident (#16) during (a) music program. The activity assistant asked the resident (#38) to move away from the other resident (but) she refused. Activity assistant then saw Resident #38 kick the other resident (#16) in the leg when the music was over. Resident (#38) was assisted to her room at that time. Residents were separated and assisted to appropriate rooms due to program ending. Asked (the) resident if another resident kicked her, she nodded her head and stated 'Oh ya' and moved her legs. [...]
  4. E
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 1, 2022
    Inspectors wroteVI. Resident #70 A. Resident status Resident #70, age [AGE], was admitted on [DATE] and readmitted [DATE]. According to the August 2022 CPO, diagnoses included malignant neoplasm (cancer) of the left lung, atrial fibrillation, and diabetes mellitus. The 8/15/22 MDS assessment revealed Resident #70 was cognitively intact with a BIMS score of 15 out of 15. He required extensive one-person assistance with most ADLs. He was occasionally incontinent of bowel and bladder. He required physical help in part of the bathing activity and one-person physical assistance. B. Resident interview Resident #70 was interviewed on 8/30/22 at 8:21 a.m. He said he was not getting his showers. He said he would have liked a shower a couple times per week, but was not getting them and only had one shower since his admission [DATE] to 8/30/22). C. [...]
  5. 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) October 1, 2022
    Inspectors wroteBased on observations and staff interviews, the facility failed to label, safely store and properly dispose of medications in a manner consistent with applicable federal and state standards of practice for two of two medication storage rooms and one of two medication carts. Specifically, the facility failed to ensure: -Multi-dose vials Tuberculin was dated when first opened; and, -Expired medications were removed from the medication rooms and medication carts in a timely manner.
  6. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 1, 2022
    Inspectors wroteV. Failure to ensure dirty laundry was contained A. Observations On 8/31/22 at 10:26 a.m. the dirty linen room on the Short P hallway revealed the following: -The Short P dirty linen room had a red open laundry transport cart which contained three light blue laundry bags covered in approximately 25 items of soiled dirty clothing that were not bagged but thrown on top of the blue bags. The room also contained a used rolled up air mattress, a wet mop in a bucket, and several plastic three tiered containers. B. Interviews The plant operation manager (POM) and the laundry aide (LA) #1 was interviewed on 8/31/22 at 10:26 a.m. LA #1 said he would a few times a day take the red linen cart from each soiled laundry room and pushed it to the laundry area where clothes were sorted before washing. [...]
  7. D
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 1, 2022
    Inspectors wroteBased on record review and interviews the facility failed to fully ensure residents had the right to formulate advance directives, by not keeping advance directives updated and current for three (#54, #61 and #70) of five residents out of 44 sampled residents. Specifically, the facility failed to ensure advance directive forms included updated and accurate information. The facility policy was to use the Colorado medical orders for scope and treatment (MOST) form however, did not abide by its standards of practice. Resident #70 MOST form did not match their physician order, Resident #54 did not have a physician order for code status and Resident #61's MOST form had not been signed by the physician for 29 days.
  8. D
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 1, 2022
    Inspectors wroteBased on observations, resident and staff interviews and record review, the facility failed to ensure appropriate services, equipment, and assistance to maintain or improve mobility with the maximum practicable independence for one (#57) of two residents out of 44 sample residents. Specifically, the facility failed to ensure Resident #57 received continued nursing services for right hand contractures following occupational therapy (OT) discharge (4/16/22), with no physician orders, care plan or documentation of modified hand splints (carrots or rolled towel) being offered or provided. Cross-reference F677 failure to provide appropriate activities of daily living treatment and services to maintain or improve abilities for dependent residents.
  9. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 1, 2022
    Inspectors wroteBased on observation, record review and interviews, the facility failed to provide catheter care, treatments and services to minimize the risk of urinary tract infection for one (#124) of two reviewed out of 44 sample residents. Specifically, the facility failed to ensure Resident #124 had an order for urinary catheter and catheter care in place timely.
  10. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 1, 2022
    Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure the medication error rate was not greater than five %. Specifically, nursing staff failed to prime an insulin pen prior to administering an insulin injection to Residents #124 and #127 which resulted in a medication error rate of 7.14% or two errors out of 28 opportunities. Cross-reference F760 failure to ensure the residents were free from a significant medication error.
  11. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 1, 2022
    Inspectors wroteBased on observations, interviews and record review the facility failed to ensure residents were kept free from significant medication errors for two (#124 and #127) of four reviewed out of 44 sample residents. Specifically, the facility failed to ensure an insulin pen was primed before administering to Residents #124 and #127. Cross-reference F759 failure to ensure the facility's medication error rate was not greater than 5%.

Fire safety inspections

23 fire safety citations on file: 14 on December 4, 2025, 5 on December 14, 2023, 4 on September 1, 2022.

Every fire safety citation23 citations
  1. K
    Use approved construction type or materials.
    K 161 · December 4, 2025 · Corrected (the home has a date of correction)
  2. F
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · December 4, 2025 · Corrected (the home has a date of correction)
  3. F
    Have properly located and lighted "Exit" signs.
    K 293 · December 4, 2025 · Corrected (the home has a date of correction)
  4. F
    Have properly installed hallway dispensers for alcohol-based hand rub.
    K 325 · December 4, 2025 · Corrected (the home has a date of correction)
  5. F
    Install a fire alarm system that can be heard throughout the facility.
    K 341 · December 4, 2025 · deficient, provider has
  6. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · December 4, 2025 · Corrected (the home has a date of correction)
  7. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · December 4, 2025 · deficient, provider has
  8. F
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · December 4, 2025 · deficient, provider has
  9. E
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · December 4, 2025 · Corrected (the home has a date of correction)
  10. E
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · December 4, 2025 · Corrected (the home has a date of correction)
  11. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · December 4, 2025 · Corrected (the home has a date of correction)
  12. E
    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
    K 362 · December 4, 2025 · deficient, provider has
  13. E
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · December 4, 2025 · Corrected (the home has a date of correction)
  14. D
    Install corridor and hallway doors that block smoke.
    K 363 · December 4, 2025 · Corrected (the home has a date of correction)
  15. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · December 14, 2023 · Corrected (the home has a date of correction)
  16. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · December 14, 2023 · Corrected (the home has a date of correction)
  17. F
    Install corridor and hallway doors that block smoke.
    K 363 · December 14, 2023 · Corrected (the home has a date of correction)
  18. F
    Have simulated fire drills held at unexpected times.
    K 712 · December 14, 2023 · Corrected (the home has a date of correction)
  19. D
    Have properly located and lighted "Exit" signs.
    K 293 · December 14, 2023 · Corrected (the home has a date of correction)
  20. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · September 1, 2022 · Corrected (the home has a date of correction)
  21. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · September 1, 2022 · Corrected (the home has a date of correction)
  22. F
    Have simulated fire drills held at unexpected times.
    K 712 · September 1, 2022 · Corrected (the home has a date of correction)
  23. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · September 1, 2022 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
December 4, 2025Fine $13,260
December 4, 2025Payment Denial 33 days from January 1, 2026
December 14, 2023Fine $28,512

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)3.183.723.86
Registered nurses0.930.820.69
All nursing staff on weekends2.793.293.42
Nurse aides1.85
Licensed practical nurses0.41
Nursing staff turnover (share who left in a year)64.2%47.1%45.8%
Registered nurse turnover84.0%44.6%42.9%
Administrators who left1

CMS expects 3.83 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 3.34 on weekdays and 2.79 on weekends, 16% 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 3.43 in April to June 2025 to 3.18 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.180.933.342.79 0.0%0 of 9069
Oct to Dec 20253.320.873.443.02 11.5%0 of 9273
Jul to Sep 20253.490.863.583.26 21.2%0 of 9274
Apr to Jun 20253.430.903.583.06 13.9%0 of 9168
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 Vista Ridge Care and Rehabilitation. 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
19.913.413.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
1.20.60.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
2.11.41.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
7.33.43.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.61.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
20.413.314.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
5.63.44.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
21.320.015.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
14.320.323.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
6.812.112.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.51.41.9
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 Vista Ridge Care and Rehabilitation's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (50.5% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

50.5% 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. 158 eligible stays.

Potentially preventable readmissions

9.9% 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. 152 eligible stays.

Infections that led to a hospital stay

7.4% 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. 93 eligible stays.

Self-care and mobility at discharge

33.3% 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. 48 residents counted.

Falls with major injury

1.5% 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. 67 residents counted.

New or worsened pressure ulcers

1.5% 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. 67 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. 17 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: 1111 BONFORTE OPCO, LLC. CMS links this home to Frontline Management, a group of 9 nursing homes averaging 3.2 stars overall.

NameRoleTypeShareSince
1111 Bonforte Blvd, LLC5% or greater direct ownership interestOrganization100%11/01/2013
Fmi-Vp, LLC5% or greater indirect ownership interestOrganization50%11/01/2013
Falk, Gregory5% or greater indirect ownership interestIndividual50%11/01/2013
Jones, RobertIndirect ownership interestIndividual11/01/2013
Kiklis, DeanIndirect ownership interestIndividual11/01/2013
Orback, HeatherIndirect ownership interestIndividual11/01/2013
Cibc Bank USA5% or greater security interestOrganization11/01/2013
Frontier Management IncOperational/managerial controlOrganization11/01/2013
Quality Care Rehab IncOperational/managerial controlOrganization03/01/2024
Remedi Seniorcare of Colorado, LLCOperational/managerial controlOrganization05/31/2019
Wipfli LLPOperational/managerial controlOrganization01/01/2024
Babich, DeborahOperational/managerial controlIndividual06/15/2025
Baker, AdamOperational/managerial controlIndividual04/16/2020
Chavez, ClarindaOperational/managerial controlIndividual10/21/2024
Connor, AngelaOperational/managerial controlIndividual11/18/2024
Coulson, DianaOperational/managerial controlIndividual03/02/1979
Daberkow, SusanOperational/managerial controlIndividual06/10/2024
Dubla, TammyOperational/managerial controlIndividual02/26/2024
Duran, JeremyOperational/managerial controlIndividual04/24/2023
Gerson, DanielOperational/managerial controlIndividual12/17/2018
Gray-Trujillo, BelenOperational/managerial controlIndividual01/01/2025
Jones, RobertOperational/managerial controlIndividual11/01/2013
Lopez, AmyOperational/managerial controlIndividual04/29/2025
Newton, MichelleOperational/managerial controlIndividual12/26/2017
Ong, EdisonOperational/managerial controlIndividual04/04/2025
Orback, HeatherOperational/managerial controlIndividual11/01/2023
Reddy, VikasOperational/managerial controlIndividual12/04/2024
Salas, CheriseOperational/managerial controlIndividual06/02/2014
Saracino, KellyOperational/managerial controlIndividual11/01/2013
Simmerville, TammyOperational/managerial controlIndividual11/02/1974
Sipiriano, MoreblessingOperational/managerial controlIndividual05/20/2025
Slyhoff, MarcyOperational/managerial controlIndividual01/16/2015
Vialpando, AdrieneOperational/managerial controlIndividual09/02/2024
Frontier Management IncAdp of the SNFOrganization07/14/2025
Integra Accounting Solutions LLCAdp of the SNFOrganization01/01/2025
Lippold & Holland LLCAdp of the SNFOrganization11/25/2020
Quality Care Rehab IncAdp of the SNFOrganization07/09/2025
Remedi Seniorcare of Colorado, LLCAdp of the SNFOrganization07/09/2025
Wipfli LLPAdp of the SNFOrganization07/09/2025
Babich, DeborahAdp of the SNFIndividual06/15/2025
Baker, AdamAdp of the SNFIndividual04/16/2020
Chavez, ClarindaAdp of the SNFIndividual10/21/2024
Connor, AngelaAdp of the SNFIndividual11/18/2024
Coulson, DianaAdp of the SNFIndividual03/02/1979
Daberkow, SusanAdp of the SNFIndividual06/10/2024
Dubla, TammyAdp of the SNFIndividual02/26/2024
Duran, JeremyAdp of the SNFIndividual04/23/2023
Gerson, DanielAdp of the SNFIndividual12/17/2018
Gray-Trujillo, BelenAdp of the SNFIndividual01/01/2025
Jones, RobertAdp of the SNFIndividual11/01/2013
Lopez, AmyAdp of the SNFIndividual04/29/2025
Newton, MichelleAdp of the SNFIndividual12/26/2017
Ong, EdisonAdp of the SNFIndividual04/04/2025
Orback, HeatherAdp of the SNFIndividual11/01/2013
Reddy, VikasAdp of the SNFIndividual12/04/2024
Salas, CheriseAdp of the SNFIndividual06/02/2014
Saracino, KellyAdp of the SNFIndividual11/01/2013
Simmerville, TammyAdp of the SNFIndividual11/02/1974
Sipiriano, MoreblessingAdp of the SNFIndividual05/20/2025
Slyhoff, MarcyAdp of the SNFIndividual01/16/2015
Vialpando, AdrieneAdp of the SNFIndividual09/02/2024

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 10 problems in this area, most recently on December 4, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 4 problems in this area, most recently on December 4, 2025: "Provide and implement an infection prevention and control program."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 4 problems in this area, most recently on December 14, 2023: "Ensure medication error rates are not 5 percent or greater."
  4. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on December 4, 2025: "Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.79 hours per resident per day, below the Colorado average of 3.29.
  6. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

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Colorado contacts for a concern about a nursing home

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Common questions

What is Vista Ridge Care and Rehabilitation's Medicare star rating?
CMS rates Vista Ridge Care and Rehabilitation 3 out of 5 stars overall, with 3 for health inspections, 2 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Vista Ridge Care and Rehabilitation get at its last inspection?
6 health deficiencies at the standard inspection on December 4, 2025. The Colorado average is 8.7.
Has Vista Ridge Care and Rehabilitation been fined?
Yes. CMS lists 2 fines totaling $41,772 in the last three years.
Does Vista Ridge Care and Rehabilitation 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 Vista Ridge Care and Rehabilitation?
CMS lists 61 owners and managers, and links the home to Frontline Management. Legal business name: 1111 BONFORTE OPCO, LLC.

Sources

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