Paonia Care and Rehabilitation Center

1625 Meadowbrook Blvd · Paonia, CO · 81428 · 9705274837

60 certified beds For profit - Limited Liability company Chain: Madison Creek Partners

Why this verdict

  • Carries CMS’s abuse warning icon.
  • Inspection record is far worse than the national median (deficiency count and severity).
  • 4 citations involved actual harm to residents.
  • Inspection results have improved across recent cycles.

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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 prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

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.

Total nurse staffing below 3.0 hours per resident-day

2.93 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

68% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 38
Serious harm & abuse 20% 40
Staffing 20% 55
Federal penalties 15% 57
Trend 10% 88
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day2.933.48 min · 4.1 strong
RN hours / resident-day0.730.55–0.75
Weekend hours / resident-day2.61≈ weekday level
Nursing turnover / year68%median 45%
Fines (3-yr window)2 · $32,619

Inspection citations (44 in the current record)

  • Actual harm · G August 7, 2025

    Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

    Corrected September 2, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E August 7, 2025

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected September 2, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D August 7, 2025

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Corrected September 2, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D August 7, 2025

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected September 2, 2025 · Quality of Life and Care

  • Potential for harm · D August 7, 2025

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected September 2, 2025 · Quality of Life and Care

  • Potential for harm · D August 7, 2025

    Provide care or services that was trauma informed and/or culturally competent.

    Corrected September 2, 2025 · Quality of Life and Care

  • Potential for harm · D August 7, 2025

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Corrected September 2, 2025 · Quality of Life and Care

  • Potential for harm · D August 7, 2025

    Provide and implement an infection prevention and control program.

    Corrected September 2, 2025 · Infection Control

  • Potential for harm · D August 7, 2025

    Implement a program that monitors antibiotic use.

    Corrected September 2, 2025 · Infection Control

  • Potential for harm · D August 7, 2025

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected September 2, 2025 · Infection Control

  • Potential for harm · D August 7, 2025

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

    Corrected September 2, 2025 · Infection Control

  • Potential for harm · D March 24, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected April 29, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · K March 1, 2024

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Corrected March 1, 2024 · Nutrition and Dietary

  • Actual harm · G March 1, 2024 · found via complaint

    Provide enough food/fluids to maintain a resident's health.

    Corrected March 28, 2024 · Quality of Life and Care

  • Potential for harm · D March 1, 2024

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected March 28, 2024 · Resident Rights

  • Potential for harm · E March 1, 2024

    Honor the resident's right to manage his or her financial affairs.

    Corrected March 28, 2024 · Resident Rights

  • Potential for harm · E March 1, 2024

    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

    Corrected March 28, 2024 · Resident Rights

  • Potential for harm · E March 1, 2024

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected March 28, 2024 · Resident Rights

  • Potential for harm · D March 1, 2024

    Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

    Corrected March 28, 2024 · Resident Rights

  • Potential for harm · D March 1, 2024

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected March 28, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D March 1, 2024

    Plan the resident's discharge to meet the resident's goals and needs.

    Corrected March 28, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D March 1, 2024

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    Corrected March 28, 2024 · Quality of Life and Care

  • Potential for harm · E March 1, 2024

    Ensure the activities program is directed by a qualified professional.

    Corrected March 28, 2024 · Quality of Life and Care

  • Potential for harm · E March 1, 2024

    Ensure medication error rates are not 5 percent or greater.

    Corrected March 28, 2024 · Pharmacy Service

  • Potential for harm · D March 1, 2024

    Ensure that residents are free from significant medication errors.

    Corrected March 28, 2024 · Pharmacy Service

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
August 7, 2025Fine$12,438
March 1, 2024Fine$20,181

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 065251 · certified since March 1, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.