Bruce McCandless Co State Veterans Nursing Home
903 Moore Dr · Florence, CO · 81226 · 7197846331
105 certified beds Government - State
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$81,520 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
74% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.46 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.64 | 0.55–0.75 |
| Weekend hours / resident-day | 3.12 | ≈ weekday level |
| Nursing turnover / year | 74% | median 45% |
| Fines (3-yr window) | 1 · $81,520 |
Inspection citations (20 in the current record)
-
Immediate jeopardy · K January 29, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected February 26, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 29, 2026
Provide activities to meet all resident's needs.
Corrected February 28, 2026 · Quality of Life and Care
-
Potential for harm · D January 29, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected February 27, 2026 · Quality of Life and Care
-
Potential for harm · E January 29, 2026
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.
Corrected February 27, 2026 · Pharmacy Service
-
Potential for harm · D January 29, 2026
Provide and implement an infection prevention and control program.
Corrected February 27, 2026 · Infection Control
-
Actual harm · G June 6, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 25, 2024 · Quality of Life and Care
-
Potential for harm · D June 6, 2024
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected July 25, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E June 6, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected July 25, 2024 · Resident Assessment and Care Planning
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Potential for harm · D June 6, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 25, 2024 · Quality of Life and Care
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Potential for harm · E June 6, 2024
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected July 25, 2024 · Quality of Life and Care
-
Potential for harm · D June 6, 2024
Implement a program that monitors antibiotic use.
Corrected July 25, 2024 · Infection Control
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Actual harm · G February 27, 2020
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected August 13, 2020 · Quality of Life and Care
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Actual harm · G February 27, 2020
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 13, 2020 · Quality of Life and Care
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Potential for harm · D February 27, 2020
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 13, 2020 · Resident Assessment and Care Planning
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Potential for harm · D February 27, 2020
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected August 13, 2020 · Resident Assessment and Care Planning
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Potential for harm · E February 27, 2020
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected August 13, 2020 · Quality of Life and Care
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Potential for harm · D February 27, 2020
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.
Corrected August 13, 2020 · Quality of Life and Care
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Potential for harm · D February 27, 2020
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected August 13, 2020 · Pharmacy Service
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Potential for harm · D February 27, 2020
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.
Corrected August 13, 2020 · Pharmacy Service
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Potential for harm · E February 27, 2020
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected August 13, 2020 · Nutrition and Dietary
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 29, 2026 | Fine | $81,520 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 065394 · certified since October 1, 2008. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.