Walsh Healthcare Center
150 N Nevada St., Walsh, CO 81090 · Baca County · (719) 324-5262
30 certified beds, about 23 residents a day · Government - Hospital district · Medicaid since 1991
Certified for Medicaid
Overall
2 of 5
Health inspections
3 of 5
Staffing
1 of 5
CMS note: This facility did not submit staffing data.
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 06A175 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on October 16, 2025, inspectors cited 6 health deficiencies (the Colorado average is 8.7, the national average 9.2).
None of its 17 health citations since September 2022 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
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.
709/22
401/24
610/25
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 17 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
7D
7E
3F
Potential for minimal harm
0A
0B
0C
October 16, 2025Standard inspection · 6 citations
- F Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Inspectors wroteBased on staff interview and record review the facility failed to electronically submit complete and accurate direct care staffing information. Specifically, the facility failed to submit to the Center for Medicare and Medicaid Services (CMS) the Payroll Based Journal (PBJ) for the quarter (4/1/25 thru 6/30/25) due to staff errors.
- F Have enough outside ventilation via a window or mechanical ventilation, or both.
Inspectors wroteBased on observations and interviews, the facility failed to ensure adequate outside ventilation by means of windows, or mechanical ventilation. Specifically, the facility failed to ensure the exhaust fans in the shower room and resident bathrooms.
- E Honor the resident's right to organize and participate in resident/family groups in the facility.
Inspectors wroteBased on record review and interviews, the facility failed to provide response, action and rationale to residents involved in group grievances. Specifically, the facility failed to effectively address, resolve and demonstrate the facility's response to grievances identified during resident council.
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observations, record review, and interviews, the facility failed to ensure that its medication error rate was not greater than five percent (%). Specifically, the facility had a medication error rate of 48%, which was 12 errors out of 25 total opportunities for error.
- D Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure one (#7) of three residents reviewed received food and fluids prepared in a form designed to meet his or her needs out of 16 sample residents. Specifically, the facility failed to ensure Residents #7 was served a mechanically altered diet per physician's orders.
- D Implement a program that monitors antibiotic use.
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 two (#2 and #9) of three residents out of 16 sample residents. Specifically, the facility failed to:-Ensure clinical signs and symptoms of an infection were identified and/or culture results were obtained prior to the administration of antibiotics for Resident #9; and,-Ensure a system was in place to monitor Resident #2's prophylactic antibiotic use.
January 24, 2024Standard inspection · 4 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations and interviews, the facility failed to ensure food was stored, prepared and served under sanitary conditions in the kitchen. Specifically, the facility failed to ensure: -Perishable foods were discarded after the date of expiration; and, -Perishable foods were labeled and dated.
- E Observe each nurse aide's job performance and give regular training.
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 four of four certified nurse aides (CNAs) reviewed. Specifically, the facility did not provide inservice education based on the outcome of the performance reviews for CNA #1, #2, #3 and #4.
- E Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on interviews and observations, the facility failed to ensure residents consistently receive food prepared by methods that conserved nutritive value, palatable in taste, texture, appearance and temperature. Specifically, the facility failed to ensure resident food was palatable in taste, temperature, texture and appearance.
- D Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspectors wroteBased on record review and interviews, the facility failed to ensure three (#12, #5 and #9) of six residents reviewed for unnecessary medications out of 11 sample residents were free from unnecessary drugs. Specifically, the facility failed to: -Have an effective method to track behaviors for efficacy of psychotropic medications for Residents #12, #5 and #9; and, -Obtain consent for psychotropic medications prior to administration for Residents #5 and #9.
September 29, 2022Standard inspection · 7 citations
- E Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on record review and interviews, the facility failed to provide notification of a change in condition for three (#4, #5 and #14) out of 18 sample residents. Specifically, the facility failed to: -Notify the provider of elevated blood sugars for Resident #4; and, -Notify the provider of missed medications for Resident #5 and #14.
- 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.
Inspectors wroteBased on observations, interviews and record review, the facility failed to ensure drugs and biologicals were labeled and stored in accordance with accepted professional standards, in one of one medication carts and one of one medication storage rooms. Specifically, the facility: -Failed to date Tresiba insulin when opened; -Failed to discard tuberculin when expired; and, -Failed to discard an expired Advair inhaler.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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: -Appropriate hand hygiene by food service staff; -Cutting boards were free from deep scratches and stains; and, -Dishwasher maintained sufficient levels of sanitizing solution.
- E Dispose of garbage and refuse properly.
Inspectors wroteBased on observations and staff interviews, the facility failed to ensure garbage and refuse was properly disposed of and the dumpster lid was closed to prevent harborage to pests and insects. Specifically, the facility failed to ensure trash in the kitchen lids were closed and not overflowing.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure one (#12) of 18 sample residents received the highest practicable treatment and care in accordance with professional standards of practice and the comprehensive person-centered care plan. Specifically, the facility failed to elevate Resident #12's right leg as ordered by the provider
- D Assist a resident in gaining access to vision and hearing services.
Inspectors wroteBased on observations, record review and interviews the facility failed to provide hearing assistive devices to a resident daily for one (#2) out of 18 sample residents. Specifically, the facility for Resident #2: -Failed to ensure hearing aids were applied daily; and, -Failed to care plan the use of hearing aids.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure the resident environment remained as free of accident hazards as possible, and adequate supervision and assistance devices to prevent accidents were provided, for one (#16) of one resident reviewed for smoking out of 18 sample residents. Specifically, the facility failed to provide qualified supervision during smoking for a resident who required supervision.
Fire safety inspections
15 fire safety citations on file: 1 on October 16, 2025, 2 on January 24, 2024, 12 on September 29, 2022.
Every fire safety citation15 citations
- F Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Have simulated fire drills held at unexpected times.
- F Have restrictions on the use of flammable curtains.
- F Develop and maintain an Emergency Preparedness Program (EP).
- F Address subsistence needs for staff and patients.
- F List the names and contact information of those in the facility.
- F Have properly located and lighted "Exit" signs.
- F Install a fire alarm system that can be heard throughout the facility.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Properly select, install, inspect, or maintain portable fire extinguishes.
- F Have simulated fire drills held at unexpected times.
- F Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F Meet requirements for the installation and maintenance of electrical systems.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
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) | not reported | 3.72 | 3.86 |
| Registered nurses | not reported | 0.82 | 0.69 |
| All nursing staff on weekends | not reported | 3.29 | 3.42 |
| Nurse aides | not reported | ||
| Licensed practical nurses | not reported | ||
| Nursing staff turnover (share who left in a year) | not reported | 47.1% | 45.8% |
| Registered nurse turnover | not reported | 44.6% | 42.9% |
| Administrators who left | not reported |
CMS note on this home's staffing data: This facility did not submit staffing data.
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 October to December 2025, nursing staff hours per resident were 4.92 on weekdays and 3.72 on weekends, 24% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 7.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.09 in July to September 2025 to 4.58 in October to December 2025.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Oct to Dec 2025 | 4.58 | 0.63 | 4.92 | 3.72 | 7.4% | 12 of 92 | 22 |
| Jul to Sep 2025 | 5.09 | 0.60 | 5.54 | 3.96 | 7.4% | 14 of 92 | 19 |
| United States, Oct to Dec 2025 | 3.76 | 0.62 | 3.93 | 3.34 | 5.3% | 0.5% of days | |
| Colorado, Oct to Dec 2025 | 3.54 | 0.75 | 3.69 | 3.15 | 5.6% | 1.4% 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.
Quality measures
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 | 11.8 | 13.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.4 | 0.6 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.3 | 1.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.0 | 3.4 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 13.5 | 13.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.6 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 23.6 | 20.0 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.8 | 1.4 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 4.1 | 1.7 | 1.8 |
Owners and operators
Legal business name: Legal Business Name Not Available.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ownership data not available |
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.
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 5 problems in this area, most recently on October 16, 2025: "Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on October 16, 2025: "Ensure medication error rates are not 5 percent or greater."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on September 29, 2022: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on October 16, 2025: "Honor the resident's right to organize and participate in resident/family groups in the facility."
Other nursing homes nearby
- Southeast Colorado Hospital LTC Springfield, 18.2 mi · 5 of 5 stars · 14 citations
Colorado contacts for a concern about a nursing home
These are the official offices in Colorado. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Colorado Department of Public Health and Environment, Health Facilities and Emergency Medical Services Division, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Colorado State Long-Term Care Ombudsman Program, 303-862-3524. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Find and compare facilities, where Colorado publishes its own records on licensed homes.
Common questions
- What is Walsh Healthcare Center's Medicare star rating?
- CMS rates Walsh Healthcare Center 2 out of 5 stars overall, with 3 for health inspections, 1 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Walsh Healthcare Center get at its last inspection?
- 6 health deficiencies at the standard inspection on October 16, 2025. The Colorado average is 8.7.
- Has Walsh Healthcare Center been fined?
- CMS lists no fines in the last three years.
- Does Walsh Healthcare Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Walsh Healthcare Center?
- CMS lists 1 owner or manager. Legal business name: Legal Business Name Not Available.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.